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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 952056232 • Phone (209) 4683420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0028570 for Record ID # PR0547596 <br />Valid From 3/29/2022 To 6/30/2022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: FAJARDO HERNANDEZ, DIANA <br />DBA: THE BROW SPECIALIST CO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BROW DIVAS (FAJARDO HERNANDEZ, DIANA) Facility <br />ID FA0027087 <br />4 N SCHOOL ST account iD AR0051918 <br />LODI CA 95240 Issued 4/1/2022 <br />BillingAddress: <br />ATTN : FAJARDO HERNANDEZ, DIANA <br />BROW DIVAS <br />245 WATSON ST <br />LODI CA 95240 <br />7027.rpt End of Report <br />