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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 - BODYART PRACTITIONER REGISTRATION <br />Permit ID # PT0026502 for Record ID # PR0544224 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMIT TO OPERATE - PE 4120 -BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0027868 for Record ID # PR0546555 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED fox cause. <br />PERMIT(s) Valid only for: GARIBAY, JESUS E <br />DBA: ONE TIME TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: ONETIME TATTOO STUDIO (GARIBAY, JESUS) Facility ID FA0026404 <br />407 N MAIN ST Account ID AR0050222 <br />MANTECA, CA 95336 Issued 5/10/2021 <br />Biding Address: ATTN : GARIBAY, JESUS <br />ONE TIME TATTOO STUDIO <br />948 N GOLDEN GATE AVE <br />STOCKTON, CA 95205 <br />combinedryt Entl of report <br />