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SAN JOAQLOCOUNTY ENVIRONMENTAL HEAL DEPARTMENT <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#PT0025385 for Record ID#PR0541390 <br /> Valid From 10/31/2016 To 6/30/2017 <br /> , I <br /> iJ <br /> I <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ROMAN, MACKENZIE <br /> DBA: LIVING'WATER STUDIOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LIVING WATER STUDIOS (ROMAN, MACKENZIE) Facility ID FA0023716 <br /> 210 N MAIN ST Account ID AR0043876 <br /> MANTECA, CA 95336 Issued 11/1/2016 <br /> Billing Address: ATTN : ROMAN, MACKENZIE <br /> LIVING WATER STUDIOS ' <br /> 210 N MAIN ST <br /> MANTECA, CA 95336 <br /> I <br /> 7o2a.rpt { <br /> a _ <br /> � j <br />