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1 } <br /> L <br /> JOAQU COUNTY ENVIRONMENTAL HEALTH DEPARTMENT ti <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209)468-3420 <br /> F 4. <br /> Donna Heran,R.E.H.S.,Director < � <br /> -� ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0010845 for Record ID# PR0515393 k" <br /> Valid From 7/1/2012 To 613012013 <br /> 1 fk <br /> k <br /> Jt <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0010846 for Record ID# PRO515394 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> ,x <br /> . _ V, 'W <br /> 4 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE _ <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HIGHLAND,JON E <br /> DBA: 12 MONKEYS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 12 MONKEYS TATTOO STUDIO Facility ID FA0012119 <br /> 911 CENTRAL AVE <br /> Account ID AR0019433 <br /> TRACY CA 95376 Issued 10/25/2012 <br /> Billing Address: ATTN : JON HIGHLAND <br /> 12 MONKEYS TATTOO STUDIO k <br /> 878 KATRINA ST <br /> LIVERMORE CA 94550 <br />