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i, }S01 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTHREPARTMENT <br /> ` 1868 E. Hazelton Ave._• Stockton CA 95205-6232 • Phone(209)468-3420 a6 <br /> Donna Heran,R.E.H.S.,Director �:� : <br /> >3 ENVIRONMENTAL HEALTH <br /> zn <br /> ,' `xt` • PERMIT TO OPERATE - 4120-BODY ART FACILITY SINGLE USE <br /> Aia <br /> Permit ID# PT0022592 for Record ID# PR0536979 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> err r <br /> Fx d M ? P } <br /> t <br /> d <br /> R �jk,� <br /> 11 rl� yx <br /> is <br /> F- <br /> <, <br /> 8 {t <br /> F <br /> } <br /> 7 y } t 1 <br /> '4$' dim:' <br /> of 4 r1 2V <br /> c2'4' <br /> �ix � �� t • r f 4SEa� <br /> 4 Y£ 4 £ } P <br /> R <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: RATTANASACK, SOUK <br /> DBA: TOBACCO CITY <br /> x <br /> i <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> -r Facility ID FA0021232 <br /> Regulated l TOBACCO CITY (SOUK RATTANASACK) Account lo AR0038345 <br /> 550 S CHEROKEE LN #G <br /> LODI CA 95240 issued 6/4/2013 <br /> 3' f f <br /> BillingAddress: ATTN : RATTANASACK, SOUK + <br /> TOBACCO CITY ((SOUK RATTANASACK) � ��� �j <br /> t <br /> 550 S CHEROKEE LN STE G � � 4�; � <br /> VY <br /> LODI CA 95240 <br /> .F l ti.. � ', Y r � •L / 1 �$" 7- �1, r i! „.'� <br /> rr <br /> q x , + rS ° a <br /> 99 <br /> 1 �.'wa. x„ate.: k''... ux. `.v�:e ., .sr ,._i,a ,1.C is- rr'�.eucf,.,:s_ ,;;:;T <br />