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SAN JOAQUAUNTY ENVIRONMENTAL HEALTSEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023492 for Record ID#PR0538063 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LANGLEY,JAMES M <br /> DBA: BLUE MOON TATTOO & PIERCING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> v BLUE MOON TATTOO & PIERCING (LANGLE) Facility ID A 0040 84 <br /> Regulated Facility: Account ID AR0040086 <br /> 2306 EAST ST issued 5/23/2014 <br /> TRACY CA 95377 <br /> Billing Address: ATTN : LANGLEY, JAMES <br /> BLUE MOON TATTOO & PIERCING (LANGLEY, JAMES) <br /> 3203 HONEYDEW CT <br /> TRACY CA 95377 <br />