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w r <br /> cyk <br /> 7 > <br /> { SAN JOAQUPCOUNTY ENVIRONMENTAL HEALT DEPARTMENT ' <br /> } j`mt <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> 4 L <br /> Donna Heran,R.E.H.S.,Director <br /> g, t� rr S• <br /> ENVIRONMENTAL HEALTH Wa kyr .: r <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION fly, tAI =fit <br /> �"Mg 01111�� <br /> Permit ID# PT0016044 for Record ID# PR0523590 <br /> Valid From 7/1/2012 To 6/30/2013 � , � <br /> n <br /> F :t <br /> _ 1 <br /> f k z f Y i <br /> i E d dy9 l $ 4i <br /> 2 <br /> d <br /> 1 x + k � � <br /> YUZ <br /> :w <br /> w .f <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 /> v FA0015922 ' <br /> .- Facilit ID <br /> Regulated Facility: UP TOWN INK(BELLINGER, PAUL) Account ID AR0027712 N r <br /> 3206 PACIFIC AVE <br /> STOCKTON CA 95207 w. Issued 1/29/2013 s3 <br /> s <br /> Billing Address ATTN : BELLINGER, PAUL > ¢* z. <br /> UP TOWN INK (BELLINGER, PAUL) <br /> 3206 PACIFIC AVE <br /> s- <br /> STOCKTON CA 95207 , <br /> SAO- <br /> A. <br /> r , <br /> n <br />