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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave • Stockton, CA 95205-6232 • 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 # PT0025514 for Record ID # PR0541639 <br /> Valid From 7/1212021 To 6/30/2022 <br /> i <br /> PERMIT TO OPERATE - PE 4120 - BODY ART FACILITY-SINGLE USE <br /> Permit ID # PT0028165 for Record ID # PR0547051 <br /> Valid From 7/1212021 To 6/30/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: PATTERSON-CRANFORD, KRISTEN <br /> DBA: PERMANENT COSMETICS BY GAYLE & KRISTEN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: PERMANENT COSMETICS BY GAYLE & KRISTEN Facility to FA0026674 <br /> 401 W PINE ST Amount ID AR0050801 <br /> LODI CA 95240 issued 7/16/2021 <br /> Billing Address: ATTN : PATTERSON-C RAN FORD, KRISTEN <br /> PERMANENT COSMETICS BY GAYLE & KRISTEN <br /> 2228 CONDOR CT <br /> LODI CA 95240 <br /> 7027.rp1 End of Report <br />