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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 - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0024481 for Record ID#PR0539789 <br /> Valid From 7/1/2020 To 6/30/2021 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0026270 for Record ID# PR0543740 <br /> Valid From 7/1/2020 To 6/30/2021 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0026411 for Record ID# PR0544021 <br /> Valid From 7/1/2020 To 6/30/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: RIVERA, GERARDO & ROSAS,YECENIA <br /> DBA: XOCHICALCO TATTOOS &COSMETICS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: XOCHICALCO TATTOOS &COSMETICS Facility ID FA0025033 <br /> 5308 PACIFIC AVE#20A Account ID AR0047027 <br /> STOCKTON CA 95207 Issued 10/22/2020 <br /> Billing Address: ATTN : ROSAS, YECENIA <br /> XOCHICALCO TATTOOS &COSMETICS <br /> 6506 GREENFIELD LN <br /> STOCKTON CA 95207 <br /> 7o27.rpc <br />