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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 - BODYART PRACTITIONER REGISTRATION <br /> Permit ID # PT0028311 for Record ID # PR0547257 <br /> Valid From 6/15/2022 To 6/30/2023 <br /> PERMIT TO OPERATE - PE 4120 - BODY ART FACILITY-SINGLE USE <br /> Permit ID # PT0028731 for Record ID # PR0547801 <br /> Valid From 6/15/2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: HARD, SHAUNA <br /> DBA: SHAUNA HARO BEAUTY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SHAUNA HARO BEAUTY (HARD, SHAUNA) Facility to FA0027233 <br /> 404 W PINE ST # #5 Account ID AR0052308 <br /> LODI CA 95240 Issued 6/23/2022 <br /> Billing Address: ATTN : HARO, SHAUNA <br /> SHAUNA HARO BEAUTY <br /> 700 DAISY AVE <br /> LODI CA 95240 <br /> 7027.T1 End of Report <br />