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t r t s. <br /> SAN JOAQU�T-COUNTY ENVIRONMENTAL HEALTH-DEPARTMENT <br /> rt ism E,Ilazelton Ave: •Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> K• 8 �' '� ` Donna Heran R.E.H.S: Director - <br /> � ]�I�iNI1�W�il�rl1 � <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023259 for Record ID# PR0537796 <br /> Valid From 6/3/2013 To 6/30/2014 <br /> t N <br /> IG <br /> y <br /> 4 <br /> ,N <br /> f� <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> 7 <br /> PERMIT(s)Valid only for: GARCIA, MAURICE R <br /> s DBA: FOREVER YOURS TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> a Facility ID FA0021800 <br /> Y Regulated Facility: FOREVER YOURS TATTOO (GARCIA, MAURI( Account ID AR0039650 <br /> } ti 606 W ELEVENTH ST Issued , <br /> TRACY CA 95376 6/7/2013 <br /> { Basing Address: ATTN : GARCIA, MAURICE <br /> FOREVER YOURS TATTOO (GARCIA, MAURICE) <br /> 695 HORSESHOE LOOP <br /> TRACY CA 95376 <br /> rf? _ <br /> <<.�.'M/, 1, y _ E i.r,_ r., n......Ta. aTit� . .. -.. ..... .�� ".�r.h,.4s .� e ...b✓. <br />