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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1568 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 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0025741 for Record ID # PR0542035 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMIT TO OPERATE - PE 4120 - BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0026051 for Record ID # PR0542668 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) <br />THIS <br />Valid only for: <br />RODRIGUEZ, <br />BLANCA <br />DBA: <br />LODI MICRO <br />CLINIC <br />FORM MUST BE DISPLAYED CONSPICUOUSLY ON TDE PREMISES <br />Regulated Facility: LODI MICRO CLINIC (RODRIGUEZ, BLANCA) Facility ID FA0024129 <br />755 S FAIRMONT AVE #C Account ID AR0044844 <br />LODI, CA 95240 Issued 5/10/2021 <br />Billing <br />Address: ATTN : RODRIGUEZ, BLANCA <br />LODI MICRO CLINIC <br />10883 E LIVE OAK RD <br />LODI, CA 95240 <br />combinadrpt End of report <br />