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SAN JOAQA,—OUNTY ENVIRONMENTAL HEALRDEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,RE.H.S.,Director <br /> ENVIRONMENTAL.HEALTH <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID#PT0025175 for Record ID#PR0541030 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0025203 for Record ID# PR0541071 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FREDRICKSEN, ROBERT <br /> DBA: THE RAVEN TATTOO &ART GALLERY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: THE RAVEN TATTOO&ART GALLERY(FREE Facility ID FA0023514 <br /> 13500 HWY 88 Account ID AR0043358 <br /> LOCKEFORD CA 95237 issued 81112019 <br /> Billing Address`. ATTN : FREDERICKSEN, ROBERT <br /> THE RAVEN TATTOO &ART GALLERY <br /> 5705 LARCOM LN <br /> STOCKTON CA 95210 <br /> 7o2zmt <br />