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SAN JOAQUTi&OUNTY ENV_�__JNl(ENTAL HEALSEPARTMENT
<br /> 95205-6232 7
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<br /> 1868 E.Hazelton Ave. • Stockton,CA • Phone(209) 468-34_0
<br /> f" `z Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
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<br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION
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<br /> ry Permit ID# PT0022595 for Record ID# PR0536982
<br /> Valid From 7/1/2014 To 6/30/2015
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<br /> PERMIT TO OPERATE 4121-BODY ART FACILITY STERILIZATION
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<br /> for Record ID# PR0537396
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and maybe SUSPENDED or REVOKED for cause.
<br /> x r a PERMIT(s)Valid only for: NGUYEN, BAO T
<br /> k , DBA HARD LUCK TATTOO
<br /> THIS FORD(MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: HARD LUCK TATTOO Facility ID FA0021234
<br /> 7 N SACRAMENTO ST i MY " j ' Account ID AR0038347
<br /> �; mgrk� xA issued 8/22/2014
<br /> r, LODI CA 95240 fifi r
<br /> Billing Address: ATTN : NGUYEN, BAO T � Nt
<br /> HARD LUCK TATTOO
<br /> 8271 SHAY CIR ,,£ F illy, hpYt x�
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<br /> * STOCKTON CA 95212 � �4
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