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SAN JOAQUv OUNTY ENVIRONMENTAL HEALAEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,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 7/1/2015 To 6/30/2016 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023120 for Record ID# PR0537640 <br /> Valid From 7/1/2015 To 6/30/2016 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HURTADO, FERNANDO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: <br /> 2 THE GRAVE (HURTADO, FERNANDO) Facility ID FA0021680 <br /> 127 W HARDING WAY# B Account ID AR0039326 <br /> STOCKTON CA 95204 Issued 5/28/2015 <br /> Billing Address: ATTN : HURTADO, FERNANDO <br /> 2 THE GRAVE (HURTADO, FERNANDO) <br /> 2901 MONTICELLO DR <br /> STOCKTON CA 95209 <br /> 7027.rpt <br />