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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 4120 -BODY ART FACILITY SINGLE USE <br />Permit ID # PT0029455 for Record ID # PR0548695 <br />Valid From 9/7/2023 To 6/30/2024 <br />PERMIT TO OPERATE - PE 4110 - BODYART PRACTITIONER REGISTRATION <br />Permit ID # PT0029456 for Record ID # PR0548696 <br />Valid From 9/7/2023 To 6/30/2024 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BARBER, NICOLE <br />DBA: CHANGES BEAUTE LOUNGE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: CHANGES BEAUTE LOUNGE (BARBER, NICOLE) <br />211 E MARCH LN <br />STOCKTON CA 95207 <br />t3i�lingAddress: A7--rN : BARBER, NICOLE <br />CHANGES BEAUTE LOUNGE <br />PO BOX 690711 <br />STOCKTON CA 95269 <br />�ozz�i <br />Facility ID FA0027870 <br />Account ID AR0054159 <br />Issued 11/9/2023 <br />End of Report <br />