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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit 1D# PT0028086 for Record ID # PR0546909 <br />Valid From 5/20/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: FRANCO, ROBERT <br />-DBA: DEATH RAY TATTOO <br />THIS FORM MUST BE DTSPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: DEATH RAY TATTOO (FRANCO, ROBERT) Facility <br />ID FA0026584 <br />181 S UNION RD # 105 nccount�D AR0050609 <br />MANTECA CA 95336 issued 5/20/2021 <br />BillingAddress: <br />gTTN : FRANCO, ROBERT <br />DEATH RAY TATTOO <br />1130 WINDSOR PL <br />MANTECA CA. 95336 <br />7027.rpt End of Report <br />