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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 # PT0027922 for Record ID # PR0546643 <br />Valid From 4/1/2021 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: BRODERICK KAIN, KAITLIN <br />DBA: EMERALD TATTOO &PIERCING <br />TRIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: EMERALD TATTOO &PIERCING (BRODERICK KAIN, KAITLIN) Facility <br />ID FA0026474 <br />2525 S HUTCHINS ST# 8 AccountlD AR0050362 <br />LODI CA 95240 slued 4/712021 <br />Billing Address: TN: <br />BRODERICK KAIN, KAITLIN <br />EMERALD TATTOO &PIERCING <br />1964 PORTER WAY <br />STOCKTON CA 95207 <br />7027 rpt End of Report <br />