Laserfiche WebLink
F` SAN JOAQUI41OUNTY ENVIRONMENTAL HEAL EPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Linda Thrkatte,RE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br />:i. <br /> PERMIT TO OPERATE - 4110 BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0024613 for Record ID# PR0540005 <br /> Valid From 4/10/2015 To 6/30/2015 <br /> t <br /> 7Y <br /> t <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: EDGINGTON,WILLIAM J <br /> DBA: GYPSY SOUL TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: GYPSY SOUL TATTOO (WILLIAM EDGINGTON) Facility ID FA0022860 <br /> 118 W YOSEMITE AVE Account ID AR0041930 <br /> MANTECA, CA 95336 Issued 4/13/2015 <br />(r <br /> 71 <br /> Billing ATTN : EDGINGTON WILLIAM J <br /> GYPSY SOUL TATTOO (WILLIAM EDGINGTON) <br /> ' 118 W YOSEMITE AVE <br /> MANTECA, CA 95336 <br /> j 'c , <br />