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SAN JOAQUIN COUNTY ENVIItONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave •Stockton, CA 952056232 •Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 - BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0022892 for Record ID # PR0537375 <br />Valid From 7/112022 To 613012023 <br />PERMIT TO OPERATE - PE 4120 - BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0025991 for Record ID # PR0542562 <br />Valid From 711/2022 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: EDWARDS, SHAWN <br />DBA: FLYING CROW TATTOO <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON TUE PREMISES <br />Reguiatea FacI�ItY: FLYING CROW TATTOO (EDWARDS,SHAWN) Facility ID FA0021479 <br />245 W YOSEMITE AVE account iD AR0038870 <br />MANTECA CA 95336 �SSued 5110/2022 <br />l3ining address ATTN : EDWARDS, SHAWN <br />FLYING CROW TATTOO <br />1408 STOKER WAY <br />MANTECA CA 95336--691 <br />7027.rpt Entl of Report <br />