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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 />PERNIIT TO OPERATE - PE 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit 1D# PT0028505 for Record ID # PR0547510 <br />Valid From 2114/2022 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BgRAJAS VELAZQUEZ, ELMA <br />DBA: SALON DE BELLEZZA <br />MUST BE DISPLAYED CONSPICUOUSLY ON THE <br />Regmated Fac7�ity: SALON DE BELLEZZA RAJAS VELAZQUEZ, EL <br />MA) <br />5940 PACIFIC AVE <br />STOCKTON CA 95207 <br />BillingAddress: <br />ATTN : BARAJAS VELAZQUEZ, ELMA <br />SALON DE BELLEZZA <br />PO BOX 1004 <br />MANTECA CA 95336 <br />Feo�rry io FA0027014 <br />Acrqunt ID gR0051704 <br />issued 2/18/2022 <br />]027.rPt <br />Entl of Report <br />