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i G <br />SAN JOAQUEWUNTY ENVIRONMENTAL HEALTSEPARTMENT <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 # PT0025908 for Record ID # PR0542418 <br />Valid From 12/6/2017 To 6/30/2018 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: KIDD, CHAD <br />DBA: BLUE MOON TATTOO & PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BLUE MOON TATTOO & PIERCING (KIDD, CH Facility ID FA0024374 <br />2306 EAST ST /account ID AR0045426 <br />TRACY CA 95376 Issued 12/6/2017 <br />Billing Address: ATTN : KIDD, CHAD <br />BLUE MOON TATTOO & PIERCING <br />105 W 20TH ST <br />TRACY CA 95376 <br />7027.rpt <br />