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t 4 a <br /> 'SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> x 1868 E. Hazelton Ave. • Stockton CA 95205-6232 • Phone(209)468-3420 <br /> F N <br /> ,,Donna HeranR.E.H.S. Director <br /> k o <br /> ENVIRONMENTAL HEALTH <br /> �' tx A0 ` <br /> h#` PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> s R' 1� <br /> Permit 2IDt# PT0022584 for Record ID# PRO536968 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> PERMIT TO OPERATE - 4110- BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022585 for Record ID# PRO536969 ;! <br /> - - . ,- Valid From 7/1/2012 To 6/30/2013 <br /> r <br /> esa <br /> qq <br /> 3 4 <br /> f x <br /> v <br /> gp' <br /> =f <br /> k # o. <br /> t <br /> f c g <br /> b F { <br /> �r l y <br /> _ 8 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> ri <br /> PERMIT(s)Valid only for: KOHL, SHELLEY M <br /> 1 W, 7' t <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> _ s Facility ID FA0021227 <br /> Regulated Facility: ALL ABOUT YOU SCAR TREATMENT <br /> ` 425 E CENTER ST Account ID AR0038337 <br /> a Issued <br /> 10/1612012 <br /> MANTECA CA 95336 <br /> r <br /> VVI <br /> Billing Address: ATTN : KOHL, SHELLEY M <br /> ALL ABOUT YOU SCAR TREATMENT ) , � `� '� , _ <br /> s s xs a a <br /> 1685 STANLEY DR a <br /> RIPON CA 95366 <br /> i `srt10X31 <br /> t t <br /> 0 <br /> 4�,� � ''�k 'k <br />