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SAN JOAQUSOUNTY ENVIRONMENTAL HEAL*EPARTMENT <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 # PT0026881 for Record ID # PRO544374 <br />Valid From 4/19/2019 To 613012,019 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: LEACH, JACQUELINE <br />DBA: BLUE MOON TATTOO & PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BLUE MOON TATTOO & PIERCING (LEACH, J Facility ID FA0025224 <br />2306 EAST ST Account ID AR0047467 <br />TRACY CA 95376 Issued 4/22/2019 <br />Billing Address: ATTN : LEACH, JACQUELINE <br />BLUE MOON TATTOO & PIERCING <br />760 QUAKER RIDGE CT <br />LATHROP CA 95330 <br />7027.rpt <br />