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SAN JOAQUII1�UNTY ENVIRONMENTAL HEALT&PARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 •Phone(209)468-3420 <br /> Linda Tarkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID*PT0026302 for Record ID#PR0543786 <br /> Valid From 7/19/2018 To 6/30/2019 <br /> *** AHMED *** <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: WAGNER, TARYN <br /> DBA: FLAWLOUS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FLAWLOUS (WAGNER,TARYN) Facility io FA0024896 <br /> 806 W LODI AVE Account ID AR0046671 <br /> LODI CA 95240 issued 10/12/2018 <br /> Billing Address: ATTN : WAGNER, TARYN <br /> FLAWLOUS <br /> 14224 PROSPECT PL <br /> LOCKEFORD CA 95237 <br /> 7027.rpt <br />