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�s s'K &d8tt k rbc. i "x,.,e <br /> 4 <br /> r _ SAN JOA UI OUNTY ENVIRONMENTAL HEALT EPARTY11N <br /> i# 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> 777 � r <br /> a � ENVIRONMENTAL HEALTH �;' � Y <br /> d j PERMIT TO OPERATE — 4110—BODY ART PRACTITIONER REGISTRATION <br /> y 4M <br /> ' Permit ID#PT0022928 for Record ID#PRO537415 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> ' <br /> 0 k <br /> �i <br /> A­ <br /> fpq'r d d l%�a <br /> Rc } 5 <br /> 0-0 { <br /> f-,� <br /> � W 5-,f <br /> I t <br /> rk1;. <br /> Pt <br /> 01 <br /> t <br /> C h N <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and maybe SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CARTER, MICHAEL . . ; <br /> DBA: IN 2 SKIN -CARTER, MICHAEL Tom: . <br /> r, <br /> �.. .moi .. ._, •. /�+. -' !..> 1 .: .r ' <br /> sn <br /> .a <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES h" <br /> Facility ID FA0021514 <br /> Regulated Facility: IN 2 SKIN (CARTER, MICHAEL T) <br /> } r _ Account ID AR0038922 <br /> 2738 PACIFIC AVE r A k f Y r Issued 8/12/2013 <br /> STOCKTON CA 95204 <br /> -44 <br /> Billing Address: ATTN : CARTER, MICHAEL T w ; <br /> -°r x s sr "ks'r'4Y�F r'. 3" + � <br /> ,t z <br /> IN 2 SKIN (CARTER, MICHAEL T) x� rr � < ° ww� <br /> 2738 PACIFIC AVE <br /> STOCKTON CA 95204 <br /> a� <br /> k k 4pr f�e y!p4 A.G *�` �" ti'� sJ <br /> 'b.i� ti d�`�ptt{�� 2 ' c�P.�ty �' 9� g ".Y <br />