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SAN JOAQ40UNTY ENVIRONMENTAL HEALTSEPARTMENT <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# PT0023578 for Record ID# PR0538150 <br /> Valid From 7/1/2016 To 6/30/2017 <br /> l i <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MCGOVERN,JAMIE R <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ONE.SIXTEEN TATTOO LLC (MCGOVERN,JA Facility ID FA0023017 <br /> 181 S UNION RD Account ID AR0042225 <br /> MANTECA CA 95337 Issued 5/27/2016 <br /> Billing Address: ATTN : MCGOVERN, JAMIE R <br /> ONE SIXTEEN TATTOO LLC (MCGOVERN, JAMIE) <br /> 2720 OLSON ST <br /> STOCKTON CA 95205 <br /> 7027.rpt 1 <br /> t <br />