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SAN JOAQUIl�'OUNTY ENVIRONMENTAL�3EALT1EPARTMENT' K <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022974 for Record ID# PR0537458 <br />�� ` , •: Valid From 7/1/2014 To 613012015 <br /> b@ <br />�{ r <br /> } y v <br /> 7 <br /> } <br /> N <br /> 9 <br /> IN }gStH <br /> apt n <br /> tax <br /> k i t i <br /> k PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> a `f„ PERMIT(s)Valid only for: HURTADO, GUSTAVO <br /> DBA: FATZO <br /> o- <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021546 <br /> Yt <br /> Yt <br /> Yt <br /> Yt <br /> Yt <br /> Yt <br /> Yt <br /> Yt <br /> Yt <br /> Yt <br /> Yt <br /> Regulated Facility: FATZO (HURTADO GUSTAVO) <br /> 127 W HARDING WAY#B Account ID AR0038993 <br /> STOCKTON CA 95204 Issued <br /> 5/23/2014 <br /> ° Billing Address: <br /> r ATTN : HURTADO, GUSTAVO <br /> " FATZO (HURTADO, GUSTAVO) <br /> 9570 BANCROFT WAY <br /> STOCKTON CA 952091 ' <br /> a ., <br /> Y <br /> t <br />