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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 # PT0023054 for Record ID # PR0537548 <br /> Valid From 7/1 /2021 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: CORONILLA, HENRY . <br /> DBA: PORT CITY INK <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated FacilityPORT CITY INK (CORONILLA, HENRY) Facility ID FA0025314 <br /> 1412 ROSEMARIE LN #A Account ID AR0047641 <br /> STOCKTON , CA 95207 Issued 5110/2021 <br /> Billing Address: ATTN : CORONILLA, HENRY <br /> PORT CITY INK <br /> 1412 ROSEMARIE LN #A <br /> STOCKTON , CA 95207 <br /> combinedrpt End or report <br />