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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 # PT0028279 for Record ID # PR0547210 <br />Valid From 9/17/2021 To 6/30/2022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: CRUZ, FAUSTINO <br />DBA: INFUSION SMP <br />TAIS FOAM MUST EE DISPLAYED CONSPICUOUSLY ON THE PHEM[SES <br />Regulated Facility: INFUSION SMP (CRUZ, FAUSTINO) Facility <br />ID FA0026791 <br />1150 W ROBINHOOD DR nccount�o AR0051090 <br />STOCKTON CA 95207 ssued 9/22/2021 <br />BillingAddress: <br />ATTN : CRUZ, FAUSTINO <br />INFUSION SMP <br />6715 TAILWIND LN <br />STOCKTON CA 95219 <br />7027.Tt - End of Report <br />