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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 # PT0028077 for Record ID # PR0546897 <br />Valid From 5/1 312 0 21 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: MILLER, SARAH <br />DBA: SARAH MILLER CREATINES <br />TAiS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES ' <br />Regulated Facility: SYLVER LEE BEAUTY & CO (MILLER, SARAH) Facility ID FA0026574 <br />1126 N MAIN ST AccounUo AR0050583 <br />MANTECA CA 95336 issued 5/13/2021 <br />6iliing Address: ATTN : MILLER, SARAH <br />SYLVER LEE BEAUTY & CO <br />461 RIBIER CT <br />MANTECA CA 95336 <br />]02].rp[ Entl of Report <br />