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SAN JOAQU*OUNTY ENVIRONMENTAL HEAL&EPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Linda I'Vrkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0023401 for Record ID # PR0537993 <br />Valid From 7/1/2016 To 6/30/2017 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BENITES, RUBEN <br />DBA: LUCKY YOU TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LUCKY YOU TATTOO (BENITES, RUBEN) Facility ID FA0021931 <br />181 W ALAMEDA ST Account ID AR0039972 <br />MANTECA CA 95336 Issued 5/27/2016 <br />Billing Address: ATTN : BENITES, RUBEN <br />LUCKY YOU TATTOO (BENITES, RUBEN) <br />1417 DENVER AVE <br />STOCKTON CA 95206 <br />7027.rpt <br />