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SAN JOAQUOOUNTY ENVIRONMENTAL HEAEPARTMENT <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#PT0026445 for - Record ID#PR0544069 <br /> Valid From 1/23/2019 To 6/30/2019 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: WILSON, DAN <br /> DBA: BLUE MOON TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLUE MOON TATTOO(WILSON, DAN) Facility ID FA0025068 <br /> 2306 EAST ST Account ID AR0047098 <br /> TRACY CA 95376 issued 1/25/2019 <br /> Billing Address: ATTN : WILSON, DAN <br /> BLUE MOON'TATTOO <br /> 233 ALVARADO WAY <br /> TRACY CA 95376 <br /> 7027.rpt <br />