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FFM <br /> SAN JOA UU, t—OUNTY ENVIRONMENTAL HEALT PARTMENT 4= Y <br /> 1868 E.Hazelton Ave. • Stockton CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director .v <br /> x ', <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110- BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023492 for Record ID # PR0538063 <br /> Valid From 10/1412013 To 6/30/2014 <br /> a x �,gg rx r a <br /> x .o t � ` �° `� x' <br /> y, <br /> tt 5 r <br /> f <br /> �Y <br /> K3 <br /> F#4 <br /> xp - k <br /> a <br /> �ffiy ay# <br /> Ilk <br /> y,q <br /> 4 <br /> VA" <br /> V <br /> F, 4 <br /> ka <br /> q <br /> yw-4'4 <br /> 3" r <br /> N X11, <br /> i 4c <br /> � <br /> F4,1 <br /> Y PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: LANGLEY, JAMES M <br /> DBA BLUE MOON TATTOO & PIERCING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLUE MOON TATTOO & PIERCING (LANGLE) Facility ID FA00- <br /> •.'r2 <br /> c(a5 <br /> h" <br /> 5`a$g1J'e� <br /> r'h�kaa <br /> t{9t <br /> r�rx <br /> `8S'k�''.5d"Y <br /> 4 <br /> AccountID AR004008r�n6 <br /> 2306 EAST ST Issued 10121/2013 <br /> TRACY CA 95377 <br /> Biding Address: ATTN LANGLEY, JAMESr <br /> , <br /> � <br /> yui,dY' <br /> 'R'ry~t <br /> ; <br /> BLUE MOON TATTOO & PIERCING (LANGLEY, JAMES) <br /> 3203 HONEYDEW CT <br /> TRACY CA 95377 <br />