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SAN JO,$ COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />LindaTurkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0024751 for Record ID # PR0540208 <br />Valid From 6/12/2015 To 6/30/2016 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: KAKU, GLORIA <br />DBA: BLUE MOON TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BLUE MOON TATTOO (KAKU, GLORIA) Facility ID FA0022988 <br />2306 EAST ST /account ID AR0042166 <br />TRACY CA 95377 issued 6/16/2015 <br />Billing Address: ATTN : KAKU, GLORIA <br />BLUE MOON TATTOO (KAKU, GLORIA) <br />1837 MARKSTON RD <br />SACRAMENTO CA 95825 <br />7020.rpt <br />