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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 # PT0029321 for Record ID # PR0548554 <br />Valid From 7/6/2023 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: IBARRA, AMBER <br />DBA: IN BLOOM TATTOO & PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: IN BLOOM TATTOO & PIERCING (IBARRA, AMBER) <br />Facility ID FA0027759 <br />18 E ELEVENTH ST <br />Account ID AR0053870 <br />TRACY CA 95377 <br />Issued 7/12/2023 <br />Billing Address: ATTN : IBARRA, AMBER <br />IN BLOOM TATTOO & PIERCING <br />135 BERVERDOR AVE <br />TRACY CA 95376 <br />7027. rpt <br />End of Report <br />