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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Linda Tbrkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERNIIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027630 for Record ID # PR0546189 <br />Valid From 9/8/2020 To 6/30/2021 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BROWN, AMANDA <br />DBA: BLUE MOON TATTOO &PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THC PREMISES <br />Regulated Facility: BLUE MOON TATTOO 8 PIERCING (BROWN, , Facility <br />ID FA0026138 <br />2306 E 3T ��C_"I (� x(45 t 5.(-r ��+ ---� /+ccount iD AR0049543 <br />TRACY CA 95376 issued 9/10/2020 <br />Billing Address: ATTN : BROWN, AMANDA <br />BLUE MOON TATTOO & PIERCING <br />2092 PENNY LN <br />TRACY CA 95377 <br />�ov.rPt <br />