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`,''ix`t3-.`"'%' <br /> � _ N rPj�„ tdc. �s K4 _ ham, <br /> K SAN JOAQUIN COUNTY ENVIRONMENTAL4HEALTAPARTMENT A r <br /> *fi} 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209)468-3420 � !V t. <br /> t <br /> Donna Heran,R.E.H.S.,Director <br /> 3 ENVIRONMENTAL HEALTH Y , <br /> a <br /> PERMIT TO OPERATE - 4120- BODY ART FACILITY-SINGLE USE ;{ <br /> Permit ID# PT0023077 for Record ID# PR0537584 <br /> Valid From 7/1/2013 To 6/30/2014 `` <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION ` <br /> Permit ID# PT0023080 for Record ID# PR0537587 r. � <br /> Valid From 7/1/2013 To 6/30/2014 <br /> IW 4,2 <br /> >j <br /> t; <br /> { <br /> t art <br /> F <br /> 3 x � wry a <br /> uR § rf U' <br /> x � I' n 3 <br /> '^ t 4 y y k <br /> F s •p <br /> * € a <br /> k � �,•_ j <br /> 9;k <br /> v 1�3�Ik <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DIAZ, JOSE A <br /> 4 Y <br /> , <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021637 <br /> Regulated Facility: GRAPE CITY TATTOOS account ID AR0039230 <br /> 830 S CENTRAL AVE <br /> LODI CA 95240 Issued 6/4/2013 <br /> n <br /> { <br /> S � 2- <br /> 1 <br /> Billing Address: ATTN : DIAZ, JOSE A <br /> GRAPE CITY TATTOOS , <br /> 2711 JASMINE AVE :E <br /> STOCKTON CA 95207r <br /> Y I <br />