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iwflw r'�4y t <br /> SAN JOAQUIN l.OUNTY ENVIRONMENTAL HEALTH DEPARTMENT .:�,� � � <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> r <br /> ENVIRONMENTAL HEALTH <br /> 4 t * � r �i5�+ r- IWwv* <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> W', <br /> .�, <br /> ,>}>•PSW„„,.�:. #!'+T„Rz� "'� `t'Y•p. `. � } fi' (• d�`Ntag' 'e � }fB�:�. <br /> .kv <br /> Permit ID# PT0022927 for Record ID# PR0537414Y ��� <br /> �' Valid From 7/1/2012 To 6/30/2013 <br /> ” z s t F x� epi h t' rty,` <br /> k° r P✓ � z;� "t � � � lg 6• �.i� �' �s ”`1 as � y'"£ s���” a <br /> 9 t 3 a <br /> We <br /> r1t, 4 r <br /> ry t2Ar s a N � exiak ,fir {y <br /> .� as <br /> >r u�r,�, <br /> Wp <br /> r - �,S <br /> i <br /> a <br /> "' <br /> 7Pts s,* <br /> i <br /> �t�;y' a3 j`^" d+ ' c 'F' r� ;t J <br /> '$F � axe 4i`°``""`" rf i fid` rri H.P �t t* y`t <br /> d , 1 a § �" �'� �- '�� '4�Ma� � � � 'tip Y* ���� s S� �>, ��c ,�°• ��, " <br /> �+ x <br /> ar"�# ;, <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid onlyfor: <br /> VASQUEZ, PHILLIP <br /> DBA IN 2 SKIN TATTT00-VASQUEZ, PHILLIPa^ <br /> P <br /> ;,�, x � ,,., t,c ,F sx✓ +', x?!sm£}Q''$a�.' k. °'�s;� <br /> s x .• ,�r, , a <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021513 3 kr <br /> Regulated Facility: IN 2 SKIN TATTOO-VASQUEZ, PHILLIP �o <br /> Account ID AR0038921 <br /> 2738 PACIFIC AVE Issued 10/16/2012 <br /> STOCKTON CA 95204 ' £ � t k w . , <br /> �W <br /> *p <br /> : VASQUEZ, PHILLIP Address: ATTN <br /> IN 2 SKIN TATTOO-VASQUEZ, PHILLIP <br /> 905 COLD BROOK CT,.- <br /> GALT <br /> T1GALT CA 95632 <br />