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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jas)it Kang, mE.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027383 for Record ID # PR0545459 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMIT TO OPERATE - PE 4120 - BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0028295 for Record ID # PR0547232 <br />Valid From 7/1/2022 To 6/3012023 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: HOANG, LIANA <br />DBA: BEAUTY BY LIANA <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: THE HIDDEN GEM (HOANG, LIANA) Facility iD FA0026809 <br />4545 GEORGETOWN PL # F-42 account io AR0051126 <br />STOCKTON CA 95207 Issued 5/10/2022 <br />Billing address: ATTN: HOANG, LIANA <br />THE HIDDEN GEM <br />1529 W WILLOW ST <br />STOCKTON CA 95203 <br />7027.rpt End of Report <br />