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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 - BODYART PRACTITIONER REGISTRATION <br />Permit ID # PT0028923 for Record ID # PR0548032 <br />Valid From 10/21/2022 To 6/30/2023 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: JAVIER, DAVID <br />DBA: LOST DREAMS TATTOO AND PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LOST DREAMS TATTOO AND PIERCING (JAVIER, DAVID) Facility ID FA0027407 <br />5920 PACIFIC AVE Account ID AR0052800 <br />STOCKTON CA 95207 Issued 10/25/2022 <br />B Iling Address: ATTN : JAVIER, DAVID <br />LOST DREAMS TATTOO AND PIERCING <br />2482 E PARK ST <br />STOCKTON CA 95205 <br />7o2'.rpc <br />End of Report <br />