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Notify the Env ental Management Department of any change of <br /> ��,,�IFA0048105 <br /> A III I III I I III VIII I II III II II I II II I II II I f I III III IIIA IIIIII III ISI I III bownership,typWusiness y calling 916-875-8440. Failure tt notify Environmental Management <br /> may result in late penalties,Permit denial or revocation,and business <br /> closure.PERMITS TO OPERATE AND ANNUAL FEE PAYMENTS ARE <br /> NOT TRANSFERABLE. Permits become void on change of ownership. <br /> New owners must apply and pay for a new Permit(s)prior to beginning <br /> operation. <br /> SCOTT ANTHONY BENDER YOUR PERMIT MUST BE <br /> 9417 MIRANDY DRIVE RETAINED ON THE PREMISES <br /> SACRAMENTO CA 95826 <br /> DETACH FORM HERE <br /> of SqC 4 COUNTY OF SACRAMENTO <br /> ENVIRONMENTAL MANAGEMENT DEPARTMENT <br /> ."o10590 ARMSTRONG AVENUE <br /> MATHER CA 95655 <br /> 1✓d°. i` (916) 875-8440 <br /> C,q r`.F O%Vi <br /> PRACTITIONER SCOTT ANTHONY BENDER Facility ID: FA0048105 <br /> 6317 FOLSOM BLVD Account ID: AR0070380 <br /> SACRAMENTO, CA 95819 Issued: 5/13/2016 <br /> PERMITTED OPERATION(a. <br /> PRO102689 4572 BODY ART PRACTITIONER REGISTRATION <br /> VALID FROM MARCH 30, 2016 TO APRIL 30, 2017 <br /> Permits to operate and Annual Fee Payments are NOT TRANSFERABLE.Those referenced above are valid ONLY for this owner SCOTT ANTHONY BENDER. Permits <br /> become VOID on change of ownership.New owners must apply and pay for a new Permit(s)PRIOR to beginning operation or penalties will be assessed. <br /> i <br /> r <br /> i <br /> it hereby I-wtted to <br /> i <br /> to cetii�tlr�dt�>Ire com�ed t6�f�ctiarr dre rtuesw�regzrirernetrtrfr.- <br /> 016GrGranted Apfi110, 2016- <br /> Granted <br /> anted br �ares�, <br /> Erecutive Director k <br /> titute° 501 Worm Bay BCvd,Morro Bay, Ca 93442 805-772-2902 <br /> Tv ww.66ptraia6%cora <br /> Course meets all OSHA requirements and includes material for Infection Control and Ste lization and As <br /> Records are maintained for d years per OSHA Meets Calif AB 300 Standards <br /> CertNPcale EzpLers ONE YEAR from grassed chat above. <br />