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SAN JOAQU)ROUNTY ENVIRONMENTAL HEALZEPARTMENT <br /> 1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone(209)468-3420 <br /> Linda Thrkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0023205 for Record ID# PR0537718 <br /> Valid From 7/20/2016 To 6/30/2017 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0025240 for Record ID# PRO541158 <br /> Valid From 7/20/2016 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: SHEA,THOMAS F <br /> DBA: LIVING WATER STUDIOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LIVING WATER STUDIOS (SHEA,THOMAS) Facility ID FA0023568 <br /> 210 N MAIN ST AccountlD AR0043511 <br /> MANTECA CA 95336 Issued 7/25/2016 <br /> Billing Address: ATTN: SHEA, THOMAS <br /> LIVING WATER STUDIOS <br /> 210 N MAIN ST <br /> MANTECA CA 95336 <br /> 7027.rpt <br /> i <br />