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SAN JOAQU , COUNTY ENVIRONMENTAL HEAL T��!DEPARTMENT <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 # PT0023402 for Record ID # PR0537994 <br />Valid From 4/29/2015 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: DAVIS, JOHN D <br />DBA: BLUE MOON <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility:Facility ID FA0021932 <br />BLUE MOON (DAVIS, JOHN) AR0039973 Account ID <br />2306 EAST ST <br />TRACY CA 95376 Issued 5/4/2015 <br />Billing Address: ATTN : DAVIS, JOHN <br />BLUE MOON (DAVIS, JOHN) <br />50 THOMAS AVE <br />MOUNTAIN HOUSE CA 95391-1007 <br />7020.rpt <br />