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w <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTPARTMENT <br /> r i <br /> w 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 /> l <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> ( Permit ID# PT0022584 for Record ID# PRO536968 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> fi Permit ID# PT0022585 for Record ID#PR0536969 <br /> t <br /> Valid From 7/1/2014 To 6/30/2015 <br /> k , <br /> x£' <br />'xr r4 rx Rn <br /> - _ <br /> ti'a x <br /> 11 <br /> , <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> s <br /> PERMIT(s)Valid only for: KOHL, SHELLEY M <br /> E <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility lD FA0021227 <br /> i- ; <br /> Regulated Facility: ALL ABOUT YOU SCAR TREATMENT Account ID AR0038337 <br /> 425 E CENTER ST Issued 5/23/2014 x <br /> MANTECA CA 95336 <br /> Bp <br /> } BiuingAddresa: ATTN : KOHL, SHELLEY M <br /> ALL ABOUT YOU SCAR TREATMENT <br /> 1685 STANLEY DR <br /> RIPON CA 95366 <br />� 4 <br /> i. <br />