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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 />PERNIIT TO OPERATE - PE 4110 - BODYART PRACTITIONER REGISTRATION <br />Permit ID # PT0028790 for Record ID # PRO647879 <br />Valid From 8/3/2022 To 6/30/2023 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: MONTES, ANTHONY <br />DBA: MUDVILLE TAT2 STUDIO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: MUDVILLE TAT2 STUDIO (MONTES, ANTHONY) Facility ID FA0027291 <br />127 W HARM <br />BillingAddress: <br />ING <br />WAY <br />AccountlD <br />gR0052473 <br />STOCKTON CA <br />95204 <br />Issued <br />8/4/2022 <br />ATTN : MONTES, ANTHONY <br />MUDVILLE TAT2 STUDIO <br />4529 BORGIA CT <br />STOCKTON CA 95207 <br />7027.rpt End of Report <br />