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1--77 <br /> r � <br /> SAN JOAQUIN COUNTY ENVIltONMENTAL HEALTH DEPARTMENT <br /> k 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 468-3420 , <br /> tK <br /> Donna Heran,R.E.H.S.,Director I <br /> ENVIRONMENTAL HEALTH . <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0024232 for Record ID# PR0539346 <br /> Valid From 8/13/2014 To 6/30/2015 <br /> x . <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BENTANCOURT, KRISTAL <br /> .j <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 12 MONKEYS TATTOO (BENTANCOURT, KRI; Facility ID FA0022495 <br /> Account ID AR0041174 <br /> 911 N CENTRAL BLVD Issued 8/14/2014 <br /> TRACY CA 95376 <br /> BiiiingAddress: ATTN : BENTANCOURT, KRISTAL E <br /> 12 MONKEYS TATTOO (BENTANCOURT, KRISTAL E) <br /> 221 W ARCADIA ST <br /> MOUNTAIN HOUSE CA 95391 <br />