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SAN rOAQUTN COUNTY k!VIRONM *TAL k9AI.TH EPARTMENT' <br /> ft ,s A <br /> 1868 E..-Hazelton Ave. • St6ickton,CA 95205-6232 Phone(209)468-3420 <br /> ` Donna Reran,R.E.H.S.,Director <br /> r ENVIRONMENTAL HEALTH J <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> iy Permit ID# PT0023048 for Record ID# PR0537533 <br />' Valid From 7/1/2012 To 6/30/2013 <br /> r PERMIT TO OPERATE - 4121 -BODY ART FACILITY-STERILIZATION <br /> { Permit ID# PT0023049 for Record ID# PR0537534 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> 41 <br /> p x ' <br /> & - <br /> k as ,'j <br /> tsF <br /> w <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> hk,; <br /> } PERMIT(s)Valid only for: EBRIHIMI, RAZER <br /> 4 DBA: LIVING INK <br /> >u <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility to FA0021606 <br /> �.. Regulated Facility: LIVING INK (EBRIHIMI, RAZER) Account to AR0039144 <br /> r 2189 N TRACY BLVD <br /> TRACY CA 95376 Issued 1211712012 <br /> Billing Address: ATTN : EBRIHIMI, RAZER <br /> k LIVING INK (EBRIHIMI, RAZER) <br /> 2189 N TRACY BLVD <br /> TRACY CA 95376 _ <br /> 3 b: <br /> x r <br />