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SAN JOAQU*COUNTY ENVIRONMENTAL REAR IDEPARTMENT <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 4/29/2015 To 6/30/2015 <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: FORSAKEN TATTOO (ESTRADA, JAROD) Facility ID FA0022908 <br />13463 HIGHWAY 88 A Account ID AR0042008 <br />LOCKEFORD CA 95240 Issued 5/4/2015 <br />Billing Address: ATTN : ESTRADA, JAROD <br />FORSAKEN TATTOO (ESTRADA, JAROD) <br />20326 E BRANDT RD <br />LODI CA 95240 <br />7o2o.rpt <br />