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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jaspt Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0024298 for Record ID # PR0539504 <br />Valid From 7/112021 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: HERNANDEZ, JOSE F <br />DBA: MUDVILLE TAT2 STUDIO <br />THIS <br />FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated <br />Facility: MUDVILLE TAT2 <br />Bill <br />STUDIO (HERNANDEZ, JOSE F) <br />Facility ID <br />FA0022593 <br />127 W HARDING <br />WAY #B <br />Account ID <br />AR0041323 <br />STOCKTON, CA <br />95204 <br />Issued <br />5/10/2021 <br />ing Address: ATTN : HERNANDEZ, JOSE F <br />MUDVILLE TAT2 STUDIO <br />3164 JULILET RD <br />STOCKTON, CA 95205 <br />combinedrpt End of report <br />