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r <br /> i <br /> SAN JOAQUPW— WTY IN'.7IRONMENTAL HEALTASPARTMENT <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 - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0022935 for Record ID# PRO537420 <br /> Valid From 10/14/2014 To 6/30/2015 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0024150 for Record ID# PR0539116 <br /> Valid From 10/1412014 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MENDOZA, ESAU <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021409 <br /> Regulated Facility: LUCKY YOU TAT`TQQ;(MENDOZA, ESAU) account is AR0041023 <br /> t <br /> 1811iW.AtAMEDA ST� issued 11/4/2014 <br /> IViflkfiECA:eA 95336 <br /> BillingAddrasa: 'MENDOZA, ESAU <br /> 16199 TUMBLEWEED LN <br /> LATHROP. CA 95330 <br /> 7020 rot <br />