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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 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0027288 for Record ID#PR0545220 <br /> Valid From 7/1/2021 To 6/30/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CERVANTES, CRYSTAL <br /> DBA: JB'S INK THERAPY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: JB'S INK THERAPY(CERVANTES, CRYSTAL) Facility ID FA0025710 <br /> 222 N EL DORADO ST#F Account ID AR0048638 <br /> STOCKTON, CA 95203 Issued 5/10/2021 <br /> Billing Address: ATTN : CERVANTES, CRYSTAL <br /> JB'S INK THERAPY <br /> 2163 MONTE DIABLO AVE <br /> STOCKTON, CA 95203 <br /> combinecrpt End of report <br />