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SAN JOAQLT'v COUNTY ENVIRONMENTAL HEAL, fI 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 # PT0024671 for Record ID # PR0540070 <br />Valid From 7/1/2015 To 6/30/2016 <br />Aµ <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: ESTRADA, JAROD M <br />DBA: FORSAKEN TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: y FORSAKEN TATTOO (ESTRADA, JAROD) Facility ID FA0022908 <br />13463 HIGHWAY 88 *A <br />LOCKEFORD CA 95240 <br />Billing Address: ATTN : ESTRADA, JAROD <br />FORSAKEN TATTOO (ESTRADA, JAROD) <br />20326 E BRANDT RD <br />LODI CA 95240 <br />7027.rpt <br />Account D AR0042008 <br />issued 5/28/2015 <br />