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r <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023118 for Record ID# PR0537638 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> t <br /> 1 <br /> f <br /> x <br /> , r <br /> it <br /> y <br /> '} <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> k PERMIT(s)Valid only for: PAK, SOPHOLLIE <br /> r ' <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LOYALTY TAT>r0'OS-(PAK,SOPHOLLIE) Facility ID FA002161t <br /> Account lD AR0039$21 , <br /> 707 E MARdirl LN <br /> k ' STQCKTQIV CA,;95Q7issued 212812013- <br /> ' <br /> Billing Address: AT" P1 . -PAK, SOPHOLLIE <br /> LOYALTY TATTOOS (PAK, SOPHOLLIE) z ' <br /> 814 ASTOR DR <br /> STOCKTON CA 95210 ` . <br /> i <br /> . x <br /> r', <br />