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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 # PT0028417 for Record ID # PR0547379 <br />Valid From 12/21/2021 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: GAXIOLA, LUZ <br />DBA: TALL TALES TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facirity. TALL TALES TATTOO (GAXIOLA, LUZ) Facility <br />io FA0026930 <br />7170 WEST LN Account �D AR0051446 <br />STOCKTON CA 95210 ssued 12/23/2021 <br />BillingAddress: <br />ATTN : GAXIOLA, LUZ <br />TALL TALES TATTOO <br />1621 N BERKELEY AVE <br />STOCKTON CA 95205 <br />7027.rpt End of Report <br />