Laserfiche WebLink
101 1111 i i <br />i <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT` <br />1868 E. Hazelton.Ave. • Stockton, CA 95205-6232 Phone (209) 468-3420 -" <br />a <br />Donna Heran, R.E.H.S., Director { <br />�0, <br />ENVIRONMENTAL HEALTH x �a <br />v, <br />„fi,� <br />a �3 <br />1 ` PERMIT TO OPERATE 4110 BODY ART PRACTITIONER REGISTRATION. <br />Permit ID # PT0019780 for Record ID # PRO528386 � <br />Valid From 7/1/2012 To 6/30/2013 3 J <br />T _ a� s: <br />a <br />a f to- <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: IRVIN, JEREMY J <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />1,1 <br />41, 11 <br />k' Regulated Facility: BLUE MOON TATOO/PIERCING' Facility ID FA0019162 <br />2306 EAST ST ' � Account lD AR0034114 <br />Issued <br />10/1612012 <br />TRACY CA 95376 <br />x a+1w I �kaa f rr <br />,� ` of a <br />�f <br />Bitting Address: ATTN : IRVIN, JEREMYJ �� ' k' �Av4, <br />f BLUE MOON TAT00/PIERCING <br />ar �� 2306 EAST ST <br />r" TRACY CA 95376Yfl��C. <br />AVelta pz <br />� <br />�zR�a r5" ,} �Y <br />ew <br />a tib <br />