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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Jasjit Kang, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br /> Permit ID # PT0026147 for Record ID # PR0543461 <br /> Valid From 7/1 /2021 To 6/30/2022 <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 (GUERRERO, KIARA) Facility ID FA0024667 <br /> 2306 EAST ST Account ID AR0046128 <br /> TRACY, CA 95376 Issued 5/10/2021 <br /> Billing Address: ATTN : GUERRERO, KIARA <br /> BLUE MOON TATTOO & PIERCING <br /> 634 SCOOTER WAY <br /> STOCKTON , CA 95209 <br /> combinedipt End of repos <br />