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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 I{ang, RMRS., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4120 - BODYART FACILITY -SINGLE USE <br />Permit ID # PT0028798 for Record ID # PR0547890 <br />Valid From 8/5/2022 To 6/30/2023 <br />PERMTTS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: MELENDEZ SERRANO, LUIS <br />DBA: REVIVE ME <br />THIS FORIN MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: REVIVE ME (MELENDEZ SERRANO, LUIS) Facility <br />ID FA0027298 <br />445 W BEVERLY PL Account ID gR0052481 <br />TRACY CA 95376 sued 8/11/2022 <br />Billing Address: ATTN : MELENDEZ SERRANO, LUIS <br />REVIVE ME <br />2725 PAVILION PKUVI APT 9309 <br />TRACY CA 95304 <br />Ie27.rpt End of Report <br />