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SAN JOA, QUNTY ENVIRONMENTAL I3EALT DEPARTMENT K <br /> y 1868. H dalton,Ava .n.Stockton, CA 96205-6232 •Phone(209)468=3420 <br /> Donna Heran,R.E.$: .,Director <br /> r <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> :`. Permit ID# PT0022596 for Record ID# PR0536984 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022597 for Record ID# PR0536985 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> r `• <br /> iN <br /> y <br /> J <br /> T <br /> S <br /> 3 i A - .- <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HAAS, ROSEMARIE <br /> DBA: STUDIO, THE <br /> x <br />°9 THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021236 <br /> Regulated Facility: STUDIO, THE Account io AR0038349 <br /> x 2441 S STOCKTON ST# 5 <br /> ` Issued 6/4/2013 <br /> LODI CA 95240 <br /> Y� <br /> Billing Address: ATTN : HAAS, ROSEMARIE <br /> STUDIO, THEA <br /> k <br /> 16220 N DE VRIES RD _ <br /> LODI CA 95242 '° <br /> 4 ,y - <br />