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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave •Stockton,CA 952056232•Phone(209)468-3420 <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# PT0027587 for Record ID# PR0546103 <br /> Valid From 7/1/2023 To 6/30/2024 <br /> PERMIT TO OPERATE - PE 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0027588 for Record ID# PR0546104 <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: PADILLA-VEGA,ALCIRA <br /> DBA: AUTHENTIC IMAGES TATTOO & PIERCING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: AUTHENTIC IMAGES TATTOO & PIERCING (VEGA,ALCIRA) Facility ID FA0026071 <br /> 2139 JACKSON AVE Account ID AR0049385 <br /> ESCALON CA 95320 Issued 5/25/2023 <br /> Billing Address: ATTN : PADILLA-VEGA,ALCIRA <br /> AUTHENTIC IMAGES TATTOO & PIERCING <br /> 2813 PRINCE ALBERT DR <br /> MODESTO CA 95350 <br /> 7027 rpt End of Report <br />