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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <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 - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022995 for Record ID# PR0537476 <br /> Valid From 7/1/2015 To 6/30/2016 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MARCOS,ADAME <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SECRET SIDEWALK TATTOO (MARCOS ADAI Facility ID FA0021558 <br /> 8 W ELEVENTH ST <br /> Account ID AR0039030 <br /> TRACY CA 95376 Issued 5/28/2015 <br /> Billing Address: ATTN : ADAME, MARCOS <br /> SECRET SIDEWALK TATTOO (MARCOS ADAME) <br /> 2079 BUENA VISTA DR <br /> MANTECA CA 95337 <br /> 7027.rpt <br />