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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# PT0026998 for Record ID # PR0544657 <br />Valid From 7/1/2022 To 6/30/2023 <br />PERMITS TO OPERATE aze NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: BARRAGAN VALADEZ, ERIKA SOLEDAD <br />DBA: BLUE MOON TATTOO &PIERCING <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BLUE MOON TATTOO &PIERCING (BARRAGAN, ERIKA) Facility <br />ID FA0025382 <br />2306 EAST ST Accountlo AR0047816 <br />TRACY CA 95376 Issued 5/10/2022 <br />BillingAddress: <br />ATTN : BARRAGAN, ERIKA <br />BLUE MOON TATTOO &PIERCING <br />430 ACACIA ST <br />TRACY CA 95376 <br />7027.rpt End of Report <br />