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�- <br /> 77 <br /> 777 <br /> SAN JOAQUIOOUNTY 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# PT0026147 for Record ID# PR0543461 <br /> Valid From 6/1/2018 To 6/30/2019 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GUERRERO, KIARA <br /> DBA: BLUE MOON TATTOO & PIERCING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLUE MOON TATTOO & PIERCING (GUERRE Facility ID FA0024667 <br /> 2306 EAST ST Account ID AR0046128 <br /> TRACY CA 95376 Issued 6/4/2018 <br /> Billing Address: ATTN : GUERRERO, KIARA <br /> BLUE MOON TATTOO & PIERCING <br /> 634 SCOOTER WAY <br /> STOCKTON CA 95209 <br /> 7o27.rpt <br />