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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> tE tE 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420 , <br /> Wn, Donna Heran,R.E.H.S.,Director ger' „t ,. .. - • <br /> =fig � ENVIRONMENTAL HEALTH m .. <br /> � ,' , <br /> a fa ,u r3 v. ,ag 'a, z; i ,r ' a <br /> PERMIT TO OPERATE — 4120—BODY ART FACILITY—SINGLE USE �' <br /> 'rH �a^n(� - 'Y' y✓ ;`2.:' > >j�y),,, t�, .'zr {'g ,;.+ '... i ::. ,.., ,. iX,.k: ,r ., •r% <br /> 1 <br /> v� Permit ID# PT0022936 for Record ID# PR0530664 �• <br /> Valid From 711/2012 To 6/30/2013 <br /> b <br /> PERMIT TO OPERATE - 4110- BODY ART PRACTITIONER REGISTRATION , <br /> ,4 <br /> t 3'. <br /> Permit ID# PT0022978 for Record ID# PR0530665 x <br /> Valid From 7/1/2012 To 6/30/2013 <br /> r".,> f + ,� <br /> r ,?'' f y •4 y s'��� 5 az''' e ro yf>",�}s'€, -_��¢ y _ �:.aA�. + r:��ka�#�h�f � ��.� $�i,�.-� ".,- �r q:�� _ <br /> Ifw <br /> , <br /> oq', a <br /> f, <br /> k <br /> le <br /> a { a f X''€y �" `45iX' .d h y ' '�r .� a,ems. „ .{ fr .1 <br /> i } :y.f.!•' c 7t <br /> fat x a sal` a rn3� e - '� �+€. �*, �'"� ,• <br /> a, <br /> " i�.`r dP r fi y;" �l # k fi;•= € >✓'si"6 ",i,�F$,+ ' "Yr.A'' ° - 1F '� }e ahy;:� 5 €.. <br /> .'' <br /> ,0U-2,K '� ✓��. r'[�4 °� sf��Y'p� ta r. � �,��^� "��'fr,3��^.�a313� ',u � 1� Y� ,�` z ,� �- eq <br /> A �r <br /> <✓ e: r a y €y�' � �i a d3 � � �1 x* �r s €, -n},� a�* �^ �, ,�y If� �, <br /> n „r➢' i -i s `stk g v, f 4 w L y'v a M'11y x f .*i <br /> € �°'"i�r '°..,.'� .P>31" �" ` e� ?��L4�'� ���i�:r•a#"Yft�'���t .�.�'Se d a�',.� ��,:;.�. ex3�, �d �,q3 a h� r 6 "€�y .� <br /> :; via _ „•,�PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> ti PERMIT(s)Valid only for: REYES, EDDY&ARACELI � u�d €�R y r 3 <br /> Ya"' d,y .y 4 r?' •i ` A ."�Z'� 6 .;� § €S Tam 3 7,.r`rr <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> '• `m w I ', .f fr. Facility lD <br /> Regulated Facility: SECRET SIDEWALK TATTOO ' FA0019890 <br /> 6 W ELEVENTH ST d Account ID AR0035454 <br /> s issued 10/22/2012 <br /> TRACY CA 95376AA t 6tx� � sPri. , x <br /> � <br /> Billing Address: ATTN REYES, EDDY&ARACELI �'� ��� <br /> SECRET SIDEWALK TATTOO ; } r <br /> Awn I27867 GERHART LNk���� <br /> 1' X : <br /> TRACY CA 95304 " <br /> ' UP , <br /> u.,N111€'A- <br />