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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 # PT0029031 for Record ID # PR0548178 <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: ORHIERE, LIONEL <br />DBA: LIVING WATER STUDIO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LIVING WATER STUDIO (ORHIERE, LIONEL) <br />Facility ID FA0027489 <br />210 N MAIN ST <br />Account ID AR0053059 <br />MANTECA CA 95336 <br />Issued 5/25/2023 <br />Billing Address: ATTN : ORHIERE, LIONEL <br />LIVING WATER STUDIO <br />21641 S AIRPORT WAY <br />MANTECA CA 95337 <br />7027.rpt <br />End of Report <br />