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SAN JOAQUIlV OUNTYENVIRONMENTAL`MAILT DEPARTMENT <br /> 1868 E.Hazelton Ave.'s Stockton,-CA 95205-6232 !.Phone(209)`4 $-3420 <br /> Donna Heran•,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0022584 for Record ID# PRO536968 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> 3 PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> x Permit 1D# PT0022585 for Record ID# PR0536969 <br /> . Valid From 7/1/2013 To 6/30/2014 <br /> u <br /> 3 <br /> 7. <br /> r <br /> r <br />�e s <br /> w�G r <br /> x <br /> *' PERMITS TO OPERATE are NOT TRANSFERABLE <br /> $: and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: KOHL, SHELLEY M <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated acuity: ALL ABOUT YOU SCAR TREATMENT Facility I° FA0021227 <br /> Account ID AR0038337 <br /> 425 E CENTER ST <br /> issued 6/4/2013 <br /> MANTECA CA 95336 <br /> g . <br /> Billing Address: ATTN : KOHL, SHELLEY M <br /> ALL ABOUT YOU SCAR TREATMENT <br /> 1685 STANLEY DR <br /> RIPON CA 95366 <br />