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P, <br /> -2151 <br /> a <br /> .e.. 7 q,? <br /> � <br /> K , ;,> ` r <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALT llEPARTMENT k k <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 /> _ t« "Vi. I � <br /> �-x M` w <br /> PERMIT TO OPERATE 4110 BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023001 for Record ID# PR0537482h <br /> Valid From 1/28/2013 To 6/30/2013 <br /> t= <br /> � @ <br /> F <br /> t � <br /> s <br /> t,..>� � �r c f {� �- a s.. tr i'-�✓` e hLt� � ����� kk{x h��� f�d'�fl/ a �`�t Y <br /> 12 <br /> o <br /> rrw <br /> ta ',� <br /> d .e. r't{+a rs,.--�" b' Y� pq+. iv x <br /> i Y'' ..'- As `f <br /> yt 41 R <br /> - t <br /> 1 d a�k9 ru <br /> . P <br /> 7 T f ez ,Sk A" 6 - P,a `fi fl•a ^k t ` F s <br /> Ohl((r <br /> Zillmf <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for. ESCALANTE, DENNIS M <br /> a ) <br /> �r + <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: IN 2.SKIN TATTOO-(DENNIS ESCALANTE). . N <br /> Facility ID FA0021564 r <br /> 2738 PACIFIC AVE <br /> f <br /> Account ID AR0039036" <br /> STOCKTON CA 95204 issued 1/29/2013 <br /> Billing Address ATT N . ESCALANTE, DENNIS M �- <br /> IN 2 SKIN TATTOO (DENNIS ESCALANTE) <br /> 2187 KEVIN CTS ` <br /> STOCKTON CA 95205 <br /> 7020.rpt' <br />