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J SAN JOAQU -OUNTY ENVIRONMENTAL HEEALT ' 'I'b l ` ` - <br /> } :695205-6232 <br /> . 1$6$E.Hazelton AYe. tockton CA <br /> ,_: • S , )E'haae4209)468-3;4�d, <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEAL'T'H <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION Ac <br /> Permit ID# PT0016321 for Record ID# PR0521785 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> • <br /> r Permit ID# PT0016322 for Record ID# PR0523951 <br /> Valid From 7/1/2012 To 6/30/2013 <br />' PERMIT TO OPERATE - 4121 - BODY ART FACILITY-STERILIZATION <br /> Permit ID# PT0016323 for Record ID# PR0523952 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> 9 <br /> 5 <br /> 5 F, <br /> gg ; <br /> ` PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> 3 PERMIT(s)Valid only for: SANTOS, MELISSA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CANVAS TATTOO (MELISSA SANTOS) Facility ID FA0014791 <br />' Account ID AR0025195 <br /> ` 304 W HARDING WAY# B <br /> STOCKTON CA 95204 issued 10/16/2012 <br /> Billing Address: ATTN : SANTOS, MELISSA <br /> CANVAS TATTOO (MELISSA SANTOS) <br />' 9306 LANDSDOWNE DR <br /> STOCKTON CA 95210 <br /> o <br /> k <br /> > _ . _ ..- _.... . _... _ ,.,'�._..v. :5b.m_.,e. ..:... :,.'.,. '.t w..mi{a..4 ...r.i. ., .'. ..'. �f•-r ..:.. <br />