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SAN JOAQUOOUNTY ENVIRONMENTAL HEALOEPARTMENT <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# PT0026229 for Record ID#PR0543616 <br /> Valid From 7/1/2019 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: FREDERICKSEN, SHAUNESSEY <br /> DBA: THE RAVEN TATTOO &ART GALLERY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE.PREMISES <br /> Regulated Facility: THE RAVEN TATTOO &ART GALLERY(FREE Facility ID FA0024777 <br /> 13500 HWY 88 Account ID AR0046389 <br /> LOCKEFORD CA 95237 Issued 8/1/2019 <br /> Billing Address: ATTN : FREDERICKSEN, SHAUNESSEY <br /> THE RAVEN TATTOO &ART GALLERY <br /> 5705 LARCOM LN <br /> STOCKTON CA 95210 <br /> 7027.rpt <br />