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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 4120 - BODY ART FACII.ITY--SINGLE USE <br />Permit ID # PT0027587 for Record ID # PR0546103 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027588 for Record ID # PR0546104 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: PgDILLA-VEGA, ALCIRA <br />DBA: AUTHENTIC IMAGES TATTOO &PIERCING LLC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TAE PREMISES <br />Regulated Facility: AUTHENTIC <br />IMAGES TATTOO 8. PIERCING LLC (VEGA, ALCIRA) Facility ID FA0026071 <br />2139 JACKSON AVE Account io gR0049385 <br />ESCALON CA 95320 slued 5/10/2022 <br />BillingAddress: <br />ATTN : PADILLA-VEGA, ALCIRA <br />AUTHENTIC IMAGES TATTOO &PIERCING LLC <br />2813 PRINCE ALBERT DR <br />MODESTO CA 95350 <br />7027.rpt End of Report <br />