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SAN JOAQUI-i COUNTY ENVIRONMENTAL HEALTH_ .DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 955205-6232 9 Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 -BODY ART PRACTITIONER REGISTRATION <br />Permit ID # PT0024298 for Record ID # PR0539504 <br />Valid From 7/1/2014 To 6/30/2015 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and maybe SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: HERNANDEZ, JOSE F <br />THIS FORM DIUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: 2 THE GRAVE TATTOO (HERNANDEZ, JOSE F <br />127 W HARDING WAY B <br />STOCKTON CA 95204 <br />aill <br />ingAddress: ATTN : HERNANDEZ, JOSE F <br />2 THE GRAVE TATTOO (HERNANDEZ, JOSE F) <br />3164 JULILET RD <br />STOCKTON CA 95205 <br />Facility ID FA0022593 <br />Account iD AR0041323 <br />issued g/1712014 <br />