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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH 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 # PT0026015 for Record ID # PR0542601 <br />Valid From 7/1/2020 To 6/30/2021 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: MANOKOUN, DONNA <br />DBA: MUDVILLE TATTOOS <br />THIS FORM Mi1ST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MUDVILLE TAT2 STUDIO (MANOKOUN, DONS Facility <br />Bilking Address: ATTN : MANOKOUN, DONNA <br />MUDVILLE TAT2 STUDIO (MANOKOUN, DONNA) <br />127 W HARDING WAY <br />STOCKTON CA 95204 <br />7027.rpt <br />ID <br />FA0024503 <br />127 W HARDING <br />WAY <br />AccountlD <br />gR0045747 <br />STOCKTON CA <br />95204 <br />slued <br />8112/2020 <br />Bilking Address: ATTN : MANOKOUN, DONNA <br />MUDVILLE TAT2 STUDIO (MANOKOUN, DONNA) <br />127 W HARDING WAY <br />STOCKTON CA 95204 <br />7027.rpt <br />