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Environmental Health - Public
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EHD Program Facility Records by Street Name
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THORNTON
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9210
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4100 – Safe Body Art
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PR0547265
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Entry Properties
Last modified
8/7/2023 2:06:15 PM
Creation date
8/7/2023 2:02:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING/PERMITS
RECORD_ID
PR0547265
PE
4120
FACILITY_ID
FA0026838
FACILITY_NAME
FAIRY BEAUTY SPA (ERNEST, ANTOINETTE)
STREET_NUMBER
9210
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
9210 THORNTON RD #2
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4120 -BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0028318 for Record ID # PR0547265 <br />Valid From 10/13/2021 To 6/30/2022 <br />PERMIT TO OPERATE - PE 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0028319 for Record ID # PR0547266 <br />Valid From 10/13/2021 To 6/30/2022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: ERNEST, ANTOINETTE <br />DBA: FAIRY BEAUTY SPA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: FAIRY BEAUTY SPA (ERNEST, ANTOINETTE) Facility <br />io FA0026838 <br />9210 THORNTON RD # #2 Account io AR0051236 <br />STOCKTON CA 95209 sued 11/3/2021 <br />Billing <br />Address: ATTN : ERNEST, ANTOINETTE <br />FAIRY BEAUTY SPA <br />10411 MUIRWOODSAVE <br />STOCKTON CA 95209 <br />7027.rpt End of Report <br />
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