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a� r #8; r r-s - 7 ,'tiTV <br /> t r# <br /> { ; - e <br /> ` �3 <r <br /> tr'ak.::ew ari�ar;.t1.3 <br /> i „r SAN JOAQU0 OUNTY ENVIRONMENTAL HEALAREPARTMENT r' <br /> z <br /> f 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 r" <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> F <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> # L <br /> �0. . <br /> Permit ID# PT0022947 for Record ID# PR0537428 <br /> Valid From 7/1/2012 To 6/30/2013 ( <br /> �at <br /> gV i <br /> vc 21 s <br /> ,at �+ s 3r1fi Ifo ' -:r�. �.: - h g' 33 <br /> ti a r l ar ps 1 t 1 ;g Y 3 <br /> �{ s <br /> a ' 'e # +x +` <br /> "d 3 fi F' 4 '•:: '� <br /> ro . 0 aJ p wpr s <br /> e,p� <br /> a j 5 <br /> 4 <br /> 4 5 i .r kx3, <br /> ;t a rE s <br /> .a <br /> r <br /> s fy� <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JACOBS, ISRAEL � h: Y <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TWISTED ADDICTIONS TATTOOS (ISRAEL JA Facility io FA0021524 <br /> ' Account io AR0038939 3 <br /> 2141 YOSEMITE AVE ` <br /> MANTECA CA 95336 }$ r tax §� � { , issued 0/18/ <br /> 1 2012 <br /> al <br /> x �� R <br /> Billing Address. TWISTED ADDICTIONS TATTOOS (ISRAEL JACOBS) <br /> 770 MORADA CTgq­ <br /> k <br /> a s+ + <br /> MANTECA CA 95336`,; � � � ��� � gx { <br /> -& � 5 <br /> �-' <br /> iWl <br /> ,. <br />