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SAN JOAQUINi:OUNTY ENVIRONMENTAL HEALTh DEPARTMENT <br /> 1868 E.Hazelton Ave. 9 Stockton, CA 95205-6232 Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTHr ° <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0016044 for Record ID# PR0523590 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> i 7 J:. Y s."`✓ d J3 r t� 'f A�. # F3 k�-``.7` k <br /> �`f„p` � <br /> Lv <br /> P '�y� !r - x sf lar. zy ', <br /> R € 4Rll b 7” 9 f 4 `4. A <br /> t WX555 <br /> " 1ar, n ux f+ �, §n ""r,< tir ` c, '� x• <br /> i <br /> e,, .f, t •�} vtt +"yt "r ? .�'r�'r``,�3'tr�.$i.e°s� �S " Y`r 4'-�r`i� r _,H � e i <br /> r r ,k "• ° x r ,. r s,l. fps {�-xT..b,}a,. .' „ �'.r''€ ?;I p-ti '<"## a ss^; <br /> 4 7 a �' • .1` a ! � 6 '.R � ! _ <br />� 4 ! Z -. da 4���✓r3 �£�. f `Y,� > �e?� "A^f�"� �da+tn��1i �rG�+ yk'S5' ft2 "}� �..a T9 �E° �a r <br /> s ` vyz.Y w1 5�:. <br /> �. <br /> 00, <br /> N' k <br /> `lt <br /> Y. ghr J store "#` <br /> t 4 a• a Y'M� _ > `�y'� 'a fi. <br /> ��}} <br /> T <br /> .S�*� i e r; t: r 1 r v r ,� t+ ``, •',''"''g,' <br /> 4 € n� <br /> 4 <br /> rioY } K' ".?" <br /> tt d*+�'srtv ��•�' Y ;t 7.' <2s'�`� �.. ��^6 m f ,y �,'�Y�w4 :; t Ir $�'�? <br /> P <br /> r <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BELLINGER, PAUL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: UP TOWN INK (BELLINGER,.PAUL) Facility lD FA0015922Account ID AR0027712 <br /> 3206 PACIFIC AVE <br /> STOCKTON CA 95207 Issued 6/412013 <br /> Billing Address: ATTN : BELLINGER, PAUL <br /> UP TOWN INK(BELLINGER, PAUL) <br /> 3206 PACIFIC AVE <br /> STOCKTON CA 95207 <br />