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v , <br /> r <br /> SAN JOAQU&OUNTY ENVIRONMENTAL HEAL16DEPARTMENT <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#PT0024232 for Record ID# PR0539346 <br /> Valid From 8/13/2014 To 6/30/2015 <br /> * * * DUPLICATE * * * <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BETANCOURT, KRISTAL E <br /> DBA: 12 MONKEYS TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 12 MONKEYS TATTOO (BETANCOURT, KRISTAL E Facility ID FA0022495 <br /> 911 N CENTRAL BLVD Account ID AR0041174 <br /> TRACY, CA 95376 Issued 4/8/2015 <br /> Billing Address: ATTN : BETANCOURT, KRISTAL E <br /> 12 MONKEYS TATTOO (BETANCOURT, KRISTAL E) <br /> 221 W ARCADIA ST <br /> MOUNTAIN HOUSE, CA 95391 <br /> 7024.rpt <br />