Laserfiche WebLink
���,4,��,�,'��tR.# ,• rri ; ^'� u �,.�'. � � � ; s���k ira��jP4: A"t"i4 Y.��.5�.`"�. <br /> ' SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> srt , 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> x ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION t 'max <br /> r <br /> Permit ID# PT0023134 for Record ID#PRO <br /> 537651 ' <br /> 5 Valid From 7/1/2012 To 6/30/2013 <br /> PERMIT TO OPERATE - 4121 -BODY ART FACILITY-STERILIZATION <br /> Permit ID# PT0023135 for Record ID# PR0537652 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> 14. <br /> , <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 FA0021687 <br /> Account ID AR0039345 <br /> 13463 HWY 88Issued 3/19/2013 <br /> LOCKEFORD CA 95237 <br /> Billing Address: ATTN : HENSON, ANTHONY G <br /> FORSAKEN TATTOO <br /> 14441 PROSPECT PL <br /> LOCKEFORD CA 95237 <br />