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-X <br />W <br />A <br />;r <br />"g W <br />r'T <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTI1 DEPARTMENT <br />y' <br />1868 E. Hazelton Ave. o Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SMITH ZACHARY <br />4M <br />zi <br />V�- <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />—vi <br />Facility ID FA0021764 <br />Regulated Facility: <br />BLUE MOON TATTOO (SMITH, ZACHARY) R,, <br />Account ID AR0039559 <br />v <br />P0, <br />2306 EAST ST <br />TRACY CA 95376 <br />Issued 6/4/2013 <br />a'4 <br />'5Si°' <br />& <br />Billing Address: <br />ATTN. SMITH, ZACHARY <br />BLUE MOON TATTOO (SMITH, ZACHARY) <br />4 <br />A <br />"T <br />341 ACACIA ST <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SMITH ZACHARY <br />4M <br />zi <br />V�- <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />—vi <br />Facility ID FA0021764 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SMITH ZACHARY <br />4M <br />zi <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />—vi <br />Facility ID FA0021764 <br />Regulated Facility: <br />BLUE MOON TATTOO (SMITH, ZACHARY) R,, <br />Account ID AR0039559 <br />v <br />P0, <br />2306 EAST ST <br />TRACY CA 95376 <br />Issued 6/4/2013 <br />a'4 <br />'5Si°' <br />& <br />Billing Address: <br />ATTN. SMITH, ZACHARY <br />BLUE MOON TATTOO (SMITH, ZACHARY) <br />A <br />"T <br />341 ACACIA ST <br />TRACY CA 95376 <br />t fp <br />A <br />y <br />yyN <br />'s <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SMITH ZACHARY <br />4M <br />zi <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />MA, 1411 <br />Facility ID FA0021764 <br />Regulated Facility: <br />BLUE MOON TATTOO (SMITH, ZACHARY) R,, <br />Account ID AR0039559 <br />2306 EAST ST <br />TRACY CA 95376 <br />Issued 6/4/2013 <br />a'4 <br />'5Si°' <br />& <br />Billing Address: <br />ATTN. SMITH, ZACHARY <br />BLUE MOON TATTOO (SMITH, ZACHARY) <br />A <br />"T <br />341 ACACIA ST <br />TRACY CA 95376 <br />y <br />:j <br />