Laserfiche WebLink
} £We k %1 <br /> { t SAN JGAQM' BOUNTY ENVIl20NMENTAL HEALTH DEPARTMENT r. <br /> 1868 E. Hazelton Avi:,_*,Stockton,CA 95205-6232 • Phone(209) 468-3426 <br /> ,- DonAa HeraaTRZX.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> .y <br /> r � <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> F <br /> 1 Permit ID# PT0023119 for Record ID# PR0537639 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID* PT0023120 for Record ID# PR0537640. <br /> Valid From 7/1/2012 To 6/30/2013 <br /> e <br /> r. <br /> z • <br /> ,- ... <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> i and may be SUSPENDED or REVOKED for cause. <br /> ` PERMIT(s)Valid only for: HURTADO, FERNANDO <br /> . 3 <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 2 THE GRAVE (HURTADO, FERNANDO) Facility ID FA0021680Account ID AR0039326 <br /> 127 HARDING WAY# B <br /> `b STOCKTON CA 95209 Issued 5/2/2013 <br /> Billing Address: ATTN : HURTADO, FERNANDO <br /> 2 THE GRAVE (HURTADO, FERNANDO) <br /> 2901 MONTICELLO DR <br /> STOCKTON CA 95209 <br /> <4 <br /> - �e <br />