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SAN JOAQUVWUNTY ENVIRONMENTAL HEALTI&PARTMENT <br /> 1868 E..Hazelton Ave. • Stockton,CA 95205-6232• Phone.(2. 09)468-3420 <br /> Linda 11irkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4120-BODY ART-FACILITY-SINGLE USE <br /> Permit ID#PT0025508 for Record ID#PR0541621 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMIT.TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0025509 for Record ID#PR0541622 , <br /> Valid From 7/1/2019 To 6130/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GREEN-FRESE, ERICA <br /> DBA: VERSAILLES SALON <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: VERSAILLES SALON (GREEN-FRESE, ERICA) Facility ID FA0023856 <br /> 1010 CENTRAL AVE Account ID AR0044221 <br /> TRACY CA 95376 Issued 5/1/2019 <br /> Billing Address: ATTN : GREEN-FRESE, ERICA <br /> VERSAILLES SALON.(GREEN-FRESE, ERICA) <br /> 2108 DEBORAH 5T <br /> TRACY CA 95376 <br /> 7o27.rpt <br />