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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 />PERMIT TO OPERATE - PE 4110 - BODYART PRACTITIONER REGISTRATION <br />Permit ID # PT0025741 for Record ID # PR0542035 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMIT TO OPERATE - PE 4120 -BODY ART FACILITY -SINGLE USE <br />Permit ID # PT0026061 for Record ID # PR0542668 <br />Valid From 7/1/2022 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: RODRIGUEZ, BLANCA <br />DBA: LODI MICRO CLINIC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />LODI <br />MICRO CLINIC (RODRIGUEZ, BLANCA) <br />Facility ID <br />FA0024129 <br />755 S <br />FAIRMONTAVE # C <br />Account ID <br />gR0044844 <br />LODI <br />CA 95240 <br />issued <br />5/10/2022 <br />Billing Address: ATTN : RODRIGUEZ, BLANCA <br />LODI MICRO CLINIC <br />10883 E LIVE OAK RD <br />LODI CA 95240 <br />7027.rpt End of Report <br />