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EPARTMENT <br /> Q SAN JOA UE OUNTY ENVIRONMENTAL HEALTi ' <br /> F 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 - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0023119 for Record ID#PR0537639 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Ks <br /> Permit ID#PT0023120 for Record ID# PR0537640 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> x <br /> V,, <br /> b _ <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> k <br /> r - PERMIT(s)Valid only for: HURTADO, FERNANDO <br /> a <br /> sit <br /> c <br /> N , <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 2 THE GRAVE (HURTADO, FERNANDO) Facility I° FA0021680 <br /> w Account ID AR0039326 <br /> 127 W HARDING WAY# B <br /> t <br /> STOCKTON CA 95204 Issued 5/23/2014 <br /> a a <br /> Billing Address: ATTN : HURTADO, FERNANDO <br /> 2 THE GRAVE (HURTADO, FERNANDO) <br /> 2901 MONTICELLO DR <br /> STOCKTON CA 95209 <br /> - '.a.,,...._.: x x x:u � �1I -=�:•.� a..+.r 5. .max' _. _.,._ ._.. ,.. .. . .. .. ......... .._ ._.. �. ... .�:._,.�; <br />