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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> r <br /> Jasjit Kang, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 4120 - BODY ART FACILITY-SINGLE USE <br /> Permit ID # PT0028277 for Record ID # PR0547208 <br /> Valid From 9/17/2021 To 6/30/2022 <br /> PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br /> Permit ID # PT0028278 for Record ID # PR0547209 <br /> Valid From 9/17/2021 To 6/30/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: WILLIAMS, SARAH <br /> DBA: INFUSION SMP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: INFUSION SMP (WILLIAMS, SARAH) Facility ID FA0026790 <br /> 1150 W ROBINHOOD DR AccountiD AR0051089 <br /> STOCKTON CA 95207 issued 9/22/2021 <br /> Billing Address: ATTN : WILLIAMS . SARAH <br /> INFUSION SMP <br /> 6715 TAILWIND LN <br /> STOCKTON CA 95219 <br /> 7027.rpt End of Report <br />