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SAN JOAQU UNTY ENVIRONMENTAL HEALIOEPARTMENT <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# PT0022933 for Record ID# PRO537419 <br /> Valid From 10/24/2017 To 6/30/2018 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HOLGUIN,JOHN <br /> DBA: GYPSY SOUL TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: GYPSY SOUL TATTOO (HOLGUIN,JOHN) Facility ID FA0024304 <br /> 118 W YOSEMITE AVE Account ID AR0045237 <br /> MANTECA CA 95336 issued 10/24/2017 <br /> Billing Address: ATTN : HOLGUIN, JOHN <br /> GYPSY SOUL TATTOO <br /> 1274 SANTIAM ST <br /> STAYTON OR 97383-2143 <br /> 7o27.rpt <br />