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t. <br /> SAN JOAQUAOUNTY ENVIRONMENTAL HEAL ?ARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 •Phone(209)468-3420 <br /> Linda TIrkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> 1 Permit 1D# PT0025211 for Record ID# PR0541081 <br /> t` Valid From 7/1/2017 To 6/30/2018 <br /> L, <br /> I <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> e <br />` Permit ID# PT0025212 for Record ID#PR0541082 <br /> Valid From .7/1/2017 To 6/30/2018 <br /> 4- <br /> i <br /> s' <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MEDER, SHANNON <br /> DBA: SHANMARIE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SHANMARIE Facility ID FA0023520 <br /> 233.DORRIS PL Account ID AR0043372 <br /> STOCKTON CA 95204 issued 5/31/2017 <br /> Billing Address: ATTN : MEDER, SHANNON <br /> SHANMARIE <br /> 233 DORRIS PL <br /> STOCKTON CA 95204 <br /> 7027.rpt <br />