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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 # PT0028312 for Record ID # PR0547258 <br />Valid From 10115/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: CAMPOS, FRAULIEN <br />DBA: BEAUTY INK BY FRAULIEN <br />THIS FORM MUST BE DISPLAYCD CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: THE HIDDEN GEM (CAMPOS, FRAULIEN) Facility <br />ID FA0026831 <br />4545 GEORGETOWN PL AccountlD pR0051188 <br />STOCKTON CA 95207 ssued 10/21/2021 <br />Billing <br />Address: ATTN : CAMPOS, FRAULIEN <br />THE HIDDEN GEM <br />2113 CHESTER CT <br />STOCKTON CA 95209 <br />7027.rpt End of Report <br />