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177777-7-. 7Kx< <br />SAN JOAQUf0OUNTY ENVIRONMENTAL HEALEPARTMENT <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 # PT0023226 for Record ID # PR0537751 <br />Valid From 6/21/2016 To 6/30/2017 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SMITH, ZACHARY <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BLUE MOON TATTOO (SMITH, ZACHARY) Facility ID FA0021764 <br />2306 EAST ST Account ID AR0039559 <br />TRACY CA 95376 Issued 6/23/2016 <br />Billing Address: ATTN : SMITH, ZACHARY <br />BLUE MOON TATTOO (SMITH, ZACHARY) <br />2933 DRIFTWOOD PL <br />STOCKTON CA 95219 <br />7o2zrpt <br />