Laserfiche WebLink
SAN JOAQUIN ..OUNTY ENVIRONMENTAL HEALTIOEPARTMENT <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 /> r <br /> PERMIT TO OPERATE- , <br /> - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023134 for Record ID# PR0537651 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMIT TO OPERATE - 4121 -BODY ART FACILITY-STERILIZATION <br /> Permit ID# PT0023135 for Record ID# PR0537652 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HENSON,ANTHONY G <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FORSAKEN TATTOO Facility ID FA0021687Account ID AR0039345 <br /> 13463 HWY 88 <br /> LOCKEFORD CA 95237 Issued 6/4/2013 <br /> . <br /> Billing Address: ATTN : HENSON, ANTHONY G <br /> FORSAKEN TATTOO <br /> 14441 PROSPECT PL <br /> LOCKEFORD CA 95237 <br />