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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 # PT0025689 for Record ID # PR0541951 <br />Valid From 5/2/2023 To 6/30/2024 <br />PERMIT TO OPERATE - PE 4120 - BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0029207 for Record ID # PR0548410 <br />Valid From 5/2/2023 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: MULROONEY, TAYLOR <br />DBA: THE LOFT <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: THE LOFT (MULROONEY, TAYLOR) Facility ID FA0027646 <br />215 W OAK ST # 3 Account ID AR0053603 <br />LODI CA 95240 Issued 5/4/2023 <br />Billing Address: ATTN : MULROONEY, TAYLOR <br />THE LOFT <br />744 APARICIO WAY <br />GALT CA 95632 <br />7027.rpt End of Report <br />