|
• ,, 0*S�", -� ; x n,. a 7 it! s,�, °x', :st, t4 X`
<br /> r
<br /> .
<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209) 468-3420
<br /> t a �
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION `
<br /> Permit ID# PT0022594 for Record ID#PR0536981 �,, �
<br /> Valid From 7/1/2012 To 6/30/2013 >
<br /> v+ ra ^,�a
<br /> , `1F S Y
<br /> + �,�, ;•. !t 1 j s r3"' ,, is 7a� `^t�'+a..:s� T Sa'a t ���' ^ �
<br /> i-"� sxwtu wSk',�`�� i,.'±:'-yFs,�}*'' r yt 's,e i .f'" t x > to
<br /> s „r. ' a xg� ,
<br /> lax yrs ( �:rk 'ra a
<br /> A Y
<br /> A1 '
<br /> y7 "si
<br /> w s a 2 > h VU
<br /> ' j"s� , ;: x 6, - _
<br /> ('➢ 'F r > c f`y � & r x ` �'J �,. r �1 '� r-k a zt'i'a YSS �-,k "
<br /> `' #.� y2$r ,"-t t .t4
<br /> d #'f a a r x<°+;`� �^ i` -` X �' x, � Y," ��a `a a r.
<br /> ° 3' ? + �h § '"a• 'xr `'
<br /> z q -.i
<br /> >
<br /> �a 's r a'•'- t a r $N -41
<br /> # r t , Y: ,q'wp p tiry
<br /> t'�a'r *a ✓ ate` ,i ,w :x w* r ,�. a a 'yaws s. ; x} 'i { ' �.
<br /> ,2
<br /> �
<br /> :Xf
<br /> j a
<br /> y t d¥o-a it 'xg Y P
<br /> 'xt r .t 3� '� r `�!'� Si'
<br /> ;sVNTM" 'sv"' /Fs.a
<br /> 01,M"
<br /> =: rax qx � s e ra I4 a
<br /> j
<br /> "��.L�x ,
<br /> ti L'ar s a A }t w } y �
<br /> a nam d 6g s £ qIV
<br /> s4
<br /> X
<br /> yc?•d r r & T ,Y, y „� r; rQ11
<br /> 4 r
<br /> 7y
<br /> ti41 i r � t
<br /> r�' at
<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause .
<br /> PERMIT(s)Valid only for: SAECHAO, KAO
<br /> DBA: TOBACCO CITY
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> � ty � FA0021233acy.Regulated Facility: TOBACCO CITY
<br /> ID
<br /> Account ID AR0038346
<br /> 550 S CHEROKEE LN # G
<br /> ! # , * 4 Issued 10/16/2012
<br /> LODI CA 95240 ..r � f, x
<br /> � `� s t ex ts'`db d x
<br /> q
<br /> s
<br /> '�"-k. <•. 't tM N�, e r( 5.r ti r '"a.y t.n 'x.: 9 s airs ax r it J
<br /> Billin Address:
<br /> s ATTN . SAECHAO, KAO
<br /> TOBACCO CITY
<br /> 550 S CHEROKEE LN STE G
<br /> LODI CA 95240 � '�
<br /> 3�g}$� �•�§ tea �tJil �y ,
<br /> � arcy R{Y. �R •�'"� { �.7 �a WE:_
<br /> Y„z
<br /> w't..,.. � ? .ca,.s..=aa9:
<br />
|