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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTHOEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 a Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023407 for Record ID# PR0538002 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HARDCASTLE,JEFF L <br /> DBA: 2 THE GRAVE TATTOOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: 3 THE GRAVE TATTOOS (HARDCASTLE,JEFI Facility.Ic FA0041838 <br /> 127 W HARDINOWAY#,B' Account iv AR00399$3_ <br /> STCS .KT <br /> QN CA 25204 issued 5/23/2014 <br /> Billing Address: ATT'H; HARDCASTLE, JEFF <br /> 2 THS GRAM TATTOOS (HARDCASTLE, JEFF) .. <br /> X240 N HUNTER ST APT#8: <br /> STOICKTON CA 95202 <br /> w' . <br />