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4SAN JOAQUI3UNTY ENVIRONMENTAI,$EPA12TN1 <br /> 1868 E.Hazelton Ave:o-Stockton,,CA 95205-6232 Phone(209)468-3420 <br /> Donna Heran,XE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110 BODY ART PRACTITIONER REGISTRATION <br /> x, k Permit ID# PT0022927 for Record ID# PR0537414 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> K - <br />� f 5 <br /> S ) - - <br /> r , <br /> .} C <br /> t <br /> 4 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> F PERMIT(s)Valid only for: VASQUEZ, PHILLIP <br /> DBA: IN 2 SKIN TATTT00-VASQUEZ, PHILLIP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility lD FA0021513 <br /> Regulated Facility: IN 2 SKIN TATTOO (VASQUEZ, PHILLIP) Account ID AR0038921 <br /> 2738 PACIFIC AVE Issued <br /> Y STOCKTON CA 95204 6/4/2013 <br /> .,x <br /> Billing Address: ATTN : VASQUEZ, PHILLIP <br /> IN 2 SKIN TATTOO (VASQUEZ, PHILLIP) <br /> 4 905 COLD BROOK CT <br /> " GALT CA 95632 <br />