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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 - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0027056 for Record ID# PR0544789 <br /> Valid From 7/1/2020 To 6/30/2021 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: TERRONES, LESLIE <br /> DBA: XOCHICALCO TATTOOS & COSMETICS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: XOCHICALCO TATTOOS & COSMETICS (TERI Facility ID FA0025459 <br /> 5308 PACIFIC AVE#209 Account ID AR0048048 <br /> STOCKTON CA 95207 Issued 1/28/2021 <br /> Billing Address: ATTN : TERRONES, LESLIE <br /> XOCHICALCO TATTOOS & COSMETICS <br /> 8926 STONEWOOD DR <br /> STOCKTON CA 95209 <br /> 7027.rpt <br />