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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 # PT0023118 for Record ID # PR0537638 <br /> Valid From 7/1 /2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: PAK, SOPHOLLIE <br /> DBA: LIVING WATER STUDIOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LIVING WATER STUDIOS (PAK, SOPHOLLIE) Facility ID FA0021679 <br /> 210 N MAIN ST Account ID AR0039325 <br /> MANTECA CA 95336 issued 5/10/2022 <br /> Billing Address: ATTN : PAK, SOPHOLLIE <br /> LIVING WATER STUDIOS <br /> 555 MARIGNY WAY <br /> MANTECA CA 95336 <br /> 7o2zmf <br /> End of Report <br />