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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 952056232 • 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 # PT0028370 for Record ID # PR0547325 <br />Valid From 11/29/2021 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: AWADALLA, MANAL <br />DBA: SALON DE BELLEZZA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: SALON DE BELLEZZA (AWADALLA, MANAL) Facility ID FA0026889 <br />5940 PACIFIC AVE#C <br />Account <br />D AR0051349 <br />STOCKTON CA 95207 issued 12/14/2021 <br />Boring Address ATTN :AWADALLA, MANAL <br />SALON DE BELLEZZA <br />17074 TEMPLETON LN <br />LATHROP CA 95330 <br />7027.rpt Entl of Report <br />