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SAN JOAQU*OUNTY ENVIRONMENTAL HEAL*EPARTMENT <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#PT0025206 for Record ID#PR0541076 <br /> Valid From 6/14/2016 To 6/30/2017 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GOFF, IAN <br /> DBA: ONE SIXTEEN TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ONE SIXTEEN TATTOO (GOFF, IAN) Facility ID FA0023516 <br /> 181 S UNION RD##105 Account ID AR0043367 <br /> MANTECA CA 95337 Issued 6/15/2016 <br /> Billing Address: ATTN : GOFF, IAN <br /> ONE SIXTEEN TATTOO <br /> 181 S UNION RD#105 <br /> MANTECA CA 95337 <br /> 7027.rpt <br />