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SAN JOAQUI'"COUNTY ENVIRONMENTAL HEALTREPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0027321 for Record ID#PR0545241 <br /> Valid From 1/24/2020 To 6/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MANFROM, MARS <br /> DBA: FLYING CROW TATTOO/116 TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE'PREMISES <br /> Regulated Facility: FLYING CROW TATTOO (MANFROM, MARS) Facility ID FA0025728 <br /> 245 W YOSEMITE AVE Account ID AR0048669 <br /> MANTECA CA 95337 Issued 1/28/2020 <br /> Billing Address: ATTN : MANFROM, MARS <br /> FLYING CROW TATTOO <br /> 383 SCENIC PL <br /> MANTECA CA 95337 <br /> 7027.rpt <br /> } <br />