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SAN JOAQUI*UNTY ENVIRONMENTAL HEALT&PARTMENT <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#PT0026444 for Record ID#PRO544068 <br /> Valid From 7/1/2019 To 6/30/2020 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for:. LAZARO, MARY <br /> DBA: LODI MICRO CLINIC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI MICRO CLINIC (LAZARO, MARY) Facility ID FA0025066 <br /> 755 S FAIRMONT AVE#E2 Account ID AR0047096 <br /> LODI CA 95240 Issued 5/1/2019 <br /> Billing Address: ATTN : LAZARO, MARY <br /> LODI MICRO CLINIC , <br /> 6503 WILLIAMSBURG PL <br /> STOCKTON CA 95207 <br /> 7027.rpt <br />