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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTSEPARTMENT <br /> 1868,L Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,,Director , <br /> - r <br /> ENVIRONMENTAL HEALTH <br /> f <br /> PERMIT TO OPERATE — 4120—BODY ART FACILITY—SINGLE USE <br /> rr. <br /> Permit ID# PT0022592 for Record ID# PR0536979 <br /> Valid From 7/1/2014 To 6/30/2015 <br />} <br /> q <br /> c . <br /> f <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: RATTANASACK, SOUK <br /> DBA: TOBACCO CITY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TOBACCO CITY(SOUK RATTANASACK) Facility ID FA0021232Account D AR0038345 <br /> : �. 550 S CHEROKEE LN#G <br /> LODI CA 95240 Issued 5/23/2014-: <br /> Billing Address: ATTN : RATTANASACK, SOUK <br /> TOBACCO CITY (SOUK RATTANASACK) <br /> 550 S CHEROKEE LN STE G <br /> LODI CA 95240 <br /> y <br />