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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 a Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0024232 for Record ID # PR0539346 <br />Valid From 12/29/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe 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: <br />12 MONKEYS TATTOO (BETANCOURT, KRISTAL E) Facility ID FA0022495 <br />911 N CENTRAL BLVD Account iD AR0041174 <br />TRACY CA 95376 Issued 3/16/2022 <br />BillingAddress: <br />ATTN : BETANCOURT, KRISTAL E <br />12 MONKEYS TATTOO <br />994 S CARLO ST <br />MOUNTAIN HOUSE CA 95391--820 <br />7027.mt End of Report <br />