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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 # PT0027057 for Record ID # PR0544790 <br /> Valid From 7/1/2022 To 6/30/2023 <br /> PERNHT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br /> Permit ID # PT0027058 for Record ID # PR0544791 <br /> Valid From 7/1 /2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: TY, LORLIE <br /> DBA: SALON DE BELLEZZA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SALON DE BELLEZZA (TY, LORLIE) Facility ID FA0026460 <br /> 5940 PACIFIC AVE # C Account ID AR0048049 <br /> STOCKTON CA 95207 Issued 5/10/2022 <br /> Billing Address: ATTN : TY, LORLIE <br /> SALON DE BELLEZZA <br /> 5940 PACIFIC AVE STE C <br /> STOCKTON CA 95207 <br /> 7027.rpt End of Report <br />