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71 <br /> a a <br /> } SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT > { s <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 468-34 0 <br /> �.. � e � ,fin( r <br /> Donna Heran,R.E.H.S.,Director ; <br /> _ <br /> W <br /> V ' € " ENVIRONMENTAL HEALTH ; ' <br /> PERMIT TO OPERATE - 4110- BODY ART PRACTITIONER REGISTRATION <br /> Ads > t <br /> ,... ,x <br /> APermit ID# PT0022974 for Record ID# PRO537458 <br /> A <br /> Valid From 7/1/2013 To 6/3012014 ' <br /> : A <br /> a , s," :_r'`a q <br /> ,�£,. <br /> { " 5 b x t ,X �. �a y .#s # e 4f <br /> z n x �� s a r, A i <br /> '�r #>y - '� ,�a �yf'4.*, <br /> k ,�# 7y, t <br /> ` I/ 410, a <br /> zP <br /> t § - $d e `t' <br /> 3 <br /> M, nom- <br /> < r a <br /> xk <br /> t 3 «�a Y e s # t,d a a 7xds+;1",gf S .. <br /> 4 <br /> '?t p�f # try ,r_'"u-# �`� <br /> '� �§ x v� �`. .���',"',�t�. t£ t *x�Y� � -:a,# 3; Y ,•d <br /> y"�31 'c7 T <br /> i '. ,*..zy r w <br /> v <br /> I # # 4 <br /> rh <br /> , <br /> t <br /> t & r r ,v' C �'' � '� �, A <br /> 43 a r '9rY R }ab'* <br /> °- � �* c # .fir ,F' t F'F#t'a i" +,gs a f s r r eAa <br /> Y .1 zA ' $ i s <br /> rF <br /> Y p k rff <br /> #.�.'+<v' z <br /> Mad ', i t �s a':� £'�f! -1%' � F X }� f� ��' {�4P '�:.�,� ,+�T 6 ✓ -� A vk x,' e Y *�' t'�, <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> I PERMIT(s)Valid only for: HURTADO, GUSTAVO <br /> x r� DBA: FATZO <br /> al{ � <br /> u, � "�.:� Ar _�_# "-�Pv'`� *Xw <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: y � Facility ID FA0021546 y� <br /> FATZO (HURTADO, GUSTAVO) <br /> 127 W HARDING WAY# B � {*� dd <br /> Account ID AR0038993 <br /> yq Mr yz.i S, <br /> �stx X� ' �' of d' <br /> STOCKTON CA 95204 hE, Issued 7/11/2013 <br /> H+ 4 th� � <br /> ! <br /> Billing Address: ATTN . HURTADO, GUSTAVO <br /> FATZO (HURTADO, GUSTAVO) <br /> 9570 BANCROFT WAY <br /> STOCKTON CA 95209 <br /> NA <br />