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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 />PERNHT TO OPERATE - 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027901 for Record ID # PR0546599 <br />Valid From 3/17/2021 To 6/3012021 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: FLEMING, CARLY <br />DBA: CARLY FLEMING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LODI MICRO CLINIC (FLEMING, CARLY) Facility ID FA0026438 <br />755 S FAIRMONT ST Accountt <br />0 AR0050301 <br />LODI CA 95240 sued 3/1 912 0 21 <br />Biding Address: ATTN : FLEMING, CARLY <br />LODI MICRO CLINIC <br />2081 SYLVAN WAY APT 608 <br />LODI CA 95242 <br />�ozzrP� <br />