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n <br /> fi <br /> r7 mar F, <br /> SAN JOAQUIl&UNTY ENVIRONMENTAL HEALTSEPARTMENT <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 7/1/2019 To 6/30/2020 <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 5/1/2019 <br /> Billing Address: ATTN : GUERRERO, KIARA ' <br /> BLUE MOON TA170.O.&PIERCING <br /> 634 SCOOTER.WAY <br /> STOCKTON CA 95209 <br /> 7027.rpt <br />