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.$SANJOAQUII�OUNTY ENVIRONMENTAL HEALT DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />r ft's: Donna Heran, R.E.H.S., Director <br />�x <br />r <br />ENVIRONMENTAL HEALTH <br />r <br />I <br />t <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />I <br />� <br />Permit ID # PT0022944 for Record ID # PRO537425 <br />Valid From 7/1/2013 To 6/30/2014 <br />�x <br />r <br />I <br />f, <br />9 t'ry <br />s� <br />� <br />G <br />r <br />L <br />1 <br />{ <br />W <br />i <br />f N <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />r PERMIT(s) Valid only for: YOUNG, CODY <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: LUCKY YOU TATTOO (CODY YOUNG) Facility ID FA0021521Account ID AR0038935 <br />181 W ALAMEDA ST Issued 6/4/2013 <br />MANTECA CA 95336 " <br />Billing Address: LUCKY YOU TATTOO (CODY YOUNG) <br />181 W ALAMEDA ST: <br />MANTECA CA 95336 <br />