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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 # PT0028537 for Record ID # PR0547547 <br />Valid From 3/4/2022 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: NGUYEN, TU <br />DBA: DUSTIN <br />TAIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TAE PREMISES <br />Regulated Facility: <br />SALON DE BELLEZZA (NGUYEN, TU) Facility ID FA0027043 <br />5940 PACIFIC AVE # C Account iD gR0051776 <br />STOCKTON CA 95207 Issued 3/4/2022 <br />BillingAddress: <br />ATTN : NGUYEN, TU <br />SALON DE BELLEZZA <br />8017 COPPERWOOD DR <br />CITRUS HEIGHTS CA 95610 <br />7027'rpt End of Report <br />