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SAN JOAQUUNTY ENVIRONMENTAL HEALTOEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID#PT0027177 for Record ID#PR0544975 <br /> Valid From 10/31/2019 To 6/30/2020 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0027178 for Record ID# PR0544976 <br /> Valid From 10/31/2019 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: KROGH, SHARON <br /> DBA: MIND, BODY AND SKIN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MIND, BODY AND SKIN (KROGH, SHARON) Facility to FA0025579 <br /> 20 W TENTH ST Account ID AR0048321 <br /> TRACY CA 95376 Issued 11/8/2019 <br /> Billing Address: ATTN : KROGH, SHARON <br /> MIND, BODY AND SKIN <br /> 20 W TENTH ST <br /> TRACY CA 95376 <br /> 7o2zrpt <br />