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C)C1:�: <br /> c � ENVIRONMENTAL EALT E T <br /> t PERMIT HOLDER IS RESPONSIBLE FOR THIS <br /> 4 PERMIT: Renew on or before expiration date.If <br /> Permit Holder does not receive renewal notice present <br /> this Permit to the address below on or before the <br /> expiration date. Late payments are assessed penalty. <br /> PERMIT IS NOT TRANSFERABLE& <br /> MAY BE REVOKED FOR CAUSE Permit <br /> is void on change of owner. New owner <br /> PAK, SOPHOLLIE must apply and pay for permit(s) rior to <br /> 808 ASTOR DR operation or penalties will be assessed. <br /> STOCKTON, CA 95210 <br /> SANTA CLARA COU KITY-DEPARTMENT OF EEN.!rZONN:"EiVTAI H`:LT6 e <br /> 1555 BERGER DR, SUITE 300,SAN JOSE, CA 951122716 <br /> 408-918-3400 <br /> ENVIRONMENTAL HEALTH PERMIT <br /> REGULATED FACILITY: SOPHOLLIE PAK Facility ID: FA0275372 <br /> 30 N 3RD ST Account ID: AR1305118 <br /> SAN JOSE, CA 95112 Issued: 7/9/2014 <br /> OWNER NAME: PAK,SOPHOLLIE <br /> Permit# PT0483336 4710-BODY ART PRACTITIONER <br /> Program# PR0416121 SOPHOLLIE PAK(AMBITIOUS INK) <br /> Valid From 7/1/2014 to 6/30/2015 <br /> This permit is valid for practice in a permitted body art facility approved by this Department. In accordance with The <br /> Safe Body Art Act, California Health and Safety Code Section 119300 et seq, a body art practitioner with a valid <br /> registration/permit from Santa Clara County is allowed to practice at a permitted body art facility in any other <br /> jurisdiction within California for up to 5 consecutive days or 15 days total in a calendar year. It is the responsibility of <br /> the practitioner to demonstrate to the local enforcement agency that these timelines have not been exceeded. If the <br /> timelines are exceeded, the practitioner must obtain a valid permit in that jurisdiction. <br /> JIM BLAMEY,Director, Department of Environmental Health <br /> DISPLAY IN PUBLIC VIEW <br /> soot.rptt.o.l.os.00 <br />