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SAN JOAQACOUNTY ENVIRONMENTAL HEAL*DEPARTMENT <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* PT0027423 for Record ID#PR0545581 <br /> Valid From 3/16/2020 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: POLK,VERONICA <br /> DBA: AESTHETICS LASH INK <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: AESTHETICS LASH INK(POLK,VERONICA) Facility ID FA0025860 <br /> 1955 LUCILE AVE#B Account iD AR0048937 <br /> STOCKTON CA 95209 issued 4/2/2020 <br /> Billing Address: ATTN POLK, VERONICA <br /> AESTHETICS LASH INK <br /> 2667 CRESCENT WAY <br /> DISCOVERY BAY CA 94505 <br /> 7o2zrpt <br />