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SAN JOAQUI? COUNTY ENVIRONMENTAL HEALTWEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Linda TIrkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0027269 for Record ID#PR0545160 <br /> Valid From 1/6/2020 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: HATFIELD,VALERIE <br /> DBA: AESTHETICS LASH INK <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: AESTHETICS LASH INK(HATFIELD,VALERIE Facility ID FA0025686 <br /> 1955 LUCILE AVE#B Account ID AR0048573 <br /> STOCKTON CA 95209 Issued 1/10/2020 <br /> Billing address: ATTN : HATFIELD,VALERIE <br /> AESTHETICS LASH INK <br /> 1351 CRESCENT DR <br /> BRENTWOOD CA 94513 <br /> 7027.rpt <br />