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SAN JOAQ UIN OUNTY ENVIRONMENTAL HEALTIODEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420
<br /> Donna Heran,R.E.H.S.,Director -
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<br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION
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<br /> Permit ID# PT0023001 for Record ID# PRO537482
<br /> Valid From 7/1/2014 To 6/30/2015
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: QUARTER HORSE (ESCALANTE, DENNIS) Facility ID FA0021564
<br /> 916 YOSEMITE ST Account ID AR0039036
<br /> STOCKTON CA 95203 Issued 8/27/2014
<br /> Billing Address: ATTN : ESCALANTE, DENNIS M
<br /> QUARTER HORSE (ESCALANTE, DENNIS)
<br /> 2187 KEVIN CT
<br /> STOCKTON CA 95205
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