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<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468 3420 4 ,Y rk rt.
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<br /> Donna Heran,R.E.H.S.,Director'
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<br /> ENVIRONMENTAL HEALTH `
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<br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION
<br /> * : Permit ID# PT0023578 for Record ID# PR0538150 ¢' ��
<br /> Valid From 11/15/2013 To 6/30/2014
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<br /> R ' PERMIT TO OPERATE - 4120 BODY ART FACILITY SINGLE USE
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<br /> Permit ID# PT0023581 for Record ID# PRO538155
<br /> Valid From 11/15/2013 To 6/30/2014
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> h' PERMIT(s)Valid only for: MCGOVERN,JAMIE R �'' t �, n ¢�
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> , � Facility ID FA0022034 - r
<br /> Regulated Facility: CLASSIC TORCH TATTOO STUDIO es{� k #_ *�
<br /> , 5t Account ID AR0040184 ,w
<br /> 638N GRANT ST r� s� 4 � �7
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<br /> 12/12/2013 s �
<br /> STOCKTON CA 95202 r d �� f " r . f`> i .'y! " '" v�}x;xept i .• K �,.' 'f R�''tw3' ^x 'R .� f= f�rwr3�E 8 '+gt�,`a9 1 ,&m� .-�t' gt,
<br /> Billing Address? ATTN . MCGOVtRN, JAMIE R -
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<br /> CLASSIC TORCH TATTOO STUDIO
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