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,I <br /> SAN JOAQUNTY ENVIRONMENTAL HEALTI*PARTIVIENT g <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,RE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0024509 for Record ID# PR0539819 <br /> Valid From 1/30/2015 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ESCALANTE, MARK A <br /> DBA: IN 2 SKIN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />" <br /> Regulated Facility: IN 2 SKIN (ESCALANTE, MARK A) Facility ID FA0022777Account ID AR0041742 <br /> 2738 PACIFIC AVE <br /> STOCKTON CA 95204 Issued 2/3/2015 <br /> fi Billing Address: ATTN : ESCALANTE, MARK <br /> s• IN 2 SKIN (ESCALANTE, MARK A) <br /> 1000 N SAN JOAQUIN ST <br /> STOCKTON CA 95202 <br /> 7tr�D.mt <br />