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SAN JOAQUI&OUNTY ENVIRONMENTAL HEA1*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#PT0018700 for Record ID# PR0526732 <br /> Valid From 11/29/2016 To 6/30/2017 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0018701 for Record ID# PR0526733 <br /> Valid From 11/29/2016 To 6/30/2017 <br /> i <br /> r <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 /> DBA: THE PIRATES LOUNGE TATTOO PARLOR <br /> THIS FORM MUST BE'DI PLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: THE PIRATES LOUNGE TATTOO PARLOR(Ml Facility ID FA0018099 <br /> 2714 COUNTRY CLUB DR Account ID AR0031837 <br /> STOCKTON CA 95204 Issued 11/30/2016 <br /> Billing Address: ATTN : MCGOVERN, JAMIE R <br /> THE PIRATES LOUNGE TATTOO PARLOR <br /> 2720 OLSON ST <br /> STOCKTON CA 95205 <br /> 7027.rpt <br />