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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 7/1/2023 To 6/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: UNDERWOOD, KIARA <br /> DBA: IN BLOOM TATTOO & PIERCING STUDIO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: IN BLOOM TATTOO& PIERCING STUDIO (UNDERWOOD, KIARA) Facility ID FA0024667 <br /> 18 E ELEVENTH ST# B Account ID AR0046128 <br /> TRACY CA 95376 Issued 7/20/2023 <br /> Billing Address: ATTN : UNDERWOOD, KIARA <br /> IN BLOOM TATTOO & PIERCING STUDIO <br /> 634 SCOOTER WAY <br /> STOCKTON CA 95209 <br /> 7027.rpt End of Report <br />