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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave a Stockton,CA. 952056232•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# PTOC28311 for Record ID# PRO547257 <br /> Valid From 7/1/2023 To 6/30/2024 <br /> PERMIT TO OPERATE - PE 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0028731 for Record ID# PRO547801 <br /> Valid From 7/1/2023 To 6/30/2024 <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 ID FA0027233 <br /> 404 W PINE ST##5 AccountlD AR0052308 <br /> LODI CA 95240 Issued 5/25/2023 <br /> Billing Address: ATTN : HARO, SHAUNA <br /> S HAU NA HARO BEAUTY <br /> 700 DAISY AVE <br /> LODI CA 95240 <br /> 7027.rpt End of Report <br />