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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 Turkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027631 for Record ID # PR0546190 <br />Valid From 9/8/2020 To 613012021 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BERNAL, PINELA <br />DBA: BLUE MOON TATTOO 8 PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated i=aciGry: BLUE MOON TATTOO &PIERCING (BERNAL, i=acidity io FA0026139 <br />2306 EAST ST Accoune to <br />gR0049544 <br />TRACY CA 95376 ssued 9110/2020 <br />Billing <br />Address: ATTN : BERNAL, PINELA <br />BLUE MOON TATTOO &PIERCING <br />10346 RUDDER WAY <br />STOCKTON CA 95209 <br />7027.rpt <br />