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SAN JOA UTAUNTY ENVIRONMENTAL HEALT&PARTMENT <br /> Q m, <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director ' <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0025980 for Record ID# PR0542533 <br /> Valid From 11/18/2019 To 6/30/2020 <br /> f <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: COX-HALSEL,ALEXA <br /> DBA: UNION TATTOO & PIERCING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> 0. <br /> Regulated Facility: UNION TATTOO &PIERCING (COX-HALSEL,I Facility ID FA0024456 <br /> 512 N UNION RD#F Account ID AR0045643 <br /> MANTECA CA 95337 Issued 12/5/2019 <br /> Billing Address: ATTN : COX-HALSEL, ALEXA <br /> UNION TATTOO & PIERCING <br /> Y <br /> 2815 MONTE DIABLO AVE <br /> STOCKTON CA 95203 <br /> 7027.rpt <br />