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SAN JOAQUWOUNTY 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#PT0027408 for Record ID#PR0545506 <br /> Valid From 3/6/2020 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: MADRIGAL,ANGELO <br /> DBA: LIVING WATER STUDIO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LIVING WATER STUDIO (MADRIGAL,ANGEL( Facility ID FA0025834 <br /> 210 N MAIN ST Account ID AR0048867 <br /> MANTECA CA 95336 issued 3/9/2020 <br /> Billing Address: ATTN : MADRIGAL, ANGELO <br /> LIVING WATER STUDIO <br /> 1437 68TH AVE <br /> SACRAMENTO CA 95822 <br /> 7027.rpt <br /> E_ ; <br />