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r^ .3' _ _ ,..., <br /> -$ <br /> k'6 <br /> SAN JOAQUE. BOUNTY ENVIRONMENTAL 1EEALTh Y,EPARTMENT <br /> 1868 E.Hazelton Ave: 0 Stockton, CA 95205-6232 • Phone(209)468-3.420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH f , <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0010845 for Record ID# PR0515393 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0010846 for Record ID# PR0515394 <br /> Valid From 7/1/2014 To 6/30/2015 <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 io FA0012119Account lD AR0019433 <br /> 911 CENTRAL AVE issued 5/23/2014 <br /> TRACY CA 95376 <br /> Billing Address: ATTN : JON HIGHLAND <br /> 12 MONKEYS TATTOO STUDIO <br /> 878 KATRINA ST <br /> LIVERMORE CA 94550 <br />