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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* PT0028074 for Record ID* PR0546893 <br /> Valid From 5/12/2021 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: TRAP,SAVY <br /> DBA: SALON DE BELLEZZA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SALON DE BELLEZZA(THAP, SAVY) Facility ID FA0026570 <br /> 5940 PACIFIC AVE Account ID AR0050561 <br /> STOCKTON CA 95207 Issued 5/13/2021 <br /> Billing Address: ATTN : THAP, SAVY <br /> SALON DE BELLEZZA <br /> 3825 OAK VALLEY WAY <br /> STOCKTON CA 95205 <br /> 7027.rpt End of Report <br /> FOR OFFICE USE ONLY <br /> Program (PE): Illi Fees: f; 15-2- Authorized by(RENS): q63 I Date Entered: SVia Ia <br /> f2 <br />