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77 <br /> t <br /> SAN JOAQUPCOUNTY ENVIRONMENTAL HEAL' <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023054 for Record ID# PR0537548 <br /> Valid From 7/1/2015 To 6/30/2016 <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0024876 for Record ID# PR0540465 <br /> Valid From 7/1/2015 To 6/30/2016 <br /> r � ' <br /> t <br /> s <br /> Ham. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> H, and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CORONILLA, HENRY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: INK CITY TATTOO (CORONILLA, HENRY) Facility iD FA0021616 <br /> 3008 E HAMMER LN# 124 Account iD AR0039162 <br /> STOCKTON CA 95212 issued 10/13/2015 <br /> Billing Address: ATTN : CORONILLA, HENRY <br /> INK CITY TATTOO (CORONILLA, HENRY) <br /> 3008 E HAMMER LN#124 <br />�¢ STOCKTON CA 95212 <br /> 7027.rpt <br /> ,est,......_t.s..s....s.. :...._s._ .a....u..w,A,_.... <br />