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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <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 - 4120 -BODY ART FACILITY SINGLE USE <br />Permit ID # PT0027587 for Record ID # PR0546103 <br />Valid From 8/4/2020 To 6/30/2021 <br />PERMIT TO OPERATE - 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0027588 for Record ID # PR0546104 <br />Valid From 8/4/2020 To 6/30/2021 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: PADILLA-VEGA, ALCIRA <br />DBA: AUTHENTIC IMAGES TATTOO &PIERCING LLC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: AUTHENTIC IMAGES TATTOO &PIERCING LL <br />2139 JACKSON AVE <br />ESCALON CA 95320 <br />Billing Address: ATTN : PADILLA-VEGA, ALCIRA <br />AUTHENTIC IMAGES TATTOO &PIERCING LLC <br />2813 PRINCE ALBERT DR <br />MODESTO CA 95350 <br />7027.rpt <br />Facility ID FA0026071 <br />Account �D AR0049385 <br />issued 8/5/2020 <br />