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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 # PT0028429 for Record ID # PR0547396 <br />Valid From 1/4/2022 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: RUTHSMITH, CHANTRA <br />DBA: BEAUTY-BY-CHANTRA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TAE PREMISES <br />Regulated Facility: THE HIDDEN GEM (RUTHSMITH, CHANTRA) Facility <br />ID FA0026942 <br />4545 GEORGETOWN PL # F42 account lD gR0051523 <br />STOCKTON CA 95207 Issued 1/6/2022 <br />BillingAddress: <br />ATTN : RUTHSMITH, CHANTRA <br />THE HIDDEN GEM <br />329 REDONDO CT <br />STOCKTON CA 95210 <br />7027.Tt End of Report <br />