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SAN JOAQU*OUNTY VNVIRONMENTAL HEALIWEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 •Phone(209)468-3420 <br /> Linda Turkatte,R.EAILS.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0026828 for Record ID#PR0544301 <br /> Valid From 3/29/2019 To 6/30/2019 <br /> s - <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: VRISMO,TANYA <br /> DBA: REVIVE BY TANYA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />{ Regulated Facility: LUMIERE SPA(VRISMO, TANYA) Facility ib FA0025180 <br /> 15 W OAK ST /account io AR0047369 <br /> LODI CA 95240 issued 4/2/2019 <br /> Billing Address: ATTN VRISMO, TANYA <br /> LUMIERE SPA <br /> 1830 LAKESHORE DR <br /> LODI CA 95242 <br /> 702Zryt <br />