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s <br /> �09 <br /> r <br /> i '`Ykss c <br /> 7 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT, <br /> 1868 E._Hazelton Ave. • Stockton CA 95205-6232 • Phone(209)468-3420 <br /> " .` Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4121 -BODY ART FACILITY-STERILIZATION <br /> iAt <br /> Permit ID# PT0022596 for Record ID# PR0536984 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> u <br /> a <br /> rte PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> t Permit ID# PT0022597 for Record ID# PR0536985 , <br /> Valid From 7/1/2012 To 6/3012013 <br /> 01"e, <br /> k{Y <br /> k <br /> x . <br /> d <br /> � r <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> 4 <br /> and may be SUSPENDED or REVOKED for cause. <br /> ' PERMIT(s)Valid only for: HAAS, ROSEMARIE <br /> DBA: STUDIO, THE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> ' <br /> ` Regulated Facility: STUDIO, THE Facility ID FA0021236 <br /> Account ID AR0030349 <br /> 2441 S STOCKTON ST#5 Issued <br /> 10/1612012 <br /> h LODI CA 95240 <br /> `s <br /> s� <br /> Billing Address: ATTN : HAAS, ROSEMARIE . , r <br /> ` STUDIO, THE x <br /> j 16220 N DE VRIES RD <br /> LODI CA 95242 <br /> { <br />