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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton CA 95205-6232 • Phone (209) 468-3420
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<br /> Donna Heran,R.E.H.S., Directors `^ "r
<br /> ENVIRONMENTAL HEALTH
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<br /> 3 { PERMIT TO OPERATE 4121 BODY ART FACILITY STERILIZATIONX.
<br /> Permit ID# PT0022901 for Record ID# PR0537384
<br /> Valid From 7/1/2012 To 6/30/2013 ,,
<br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: WINANS SHANE
<br /> DBA: ANCHORS AWAY TATTOO
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: ANCHORS AWAY TATTOO (SHANE WINANS `� �'t `'' FacilityID FA002148vp8
<br /> Account ID AR0038883
<br /> 209 E KETTLEMAN LNC K
<br /> issued 10/16/2012
<br /> . , LODI CA 95240
<br /> ME BiliingAddress! ATTN , WINANS, SHANE
<br /> ANCHORS AWAY TATTOO (SHANE WINANS)
<br /> 209 E KETTLEMAN LN
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<br /> LODI CA 95240 ��w � F '
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