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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 # PT0029314 for Record ID # PR0548547 <br />Valid From 7/3/2023 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: GRAY, JULIANNA <br />DBA: IN BLOOM TATTOO & PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: IN BLOOM TATTOO & PIERCING (GRAY, JULIANNA) Facility ID FA0027752 <br />18 E ELEVENTH ST Account ID AR0053863 <br />TRACY CA 95377 Issued 7/11/2023 <br />Billing Address: ATTN : GRAY, JULIANNA <br />IN BLOOM TATTOO & PIERCING <br />613 SNOWCREEK LN <br />PATTERSON CA 95363 <br />7027.rpt End of Report <br />