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k <br />PERMIT(s) Valid only for: HULLAR, RICHARD <br />DBA: FOREVER YOURS TATTOO (HULLAR, RICHARD) <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />FOREVER YOURS TATTOO (HULLAR, RICHAI , <br />{}'S <br />1 <br />"HEALTT <br />PCOUNTY <br />Y <br />AN JOAQ A U ENVIRONMENTAL EPARTMENT` <br />�r <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 ; <br />Issued 12/17/2012 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />Billing Address: <br />ATTN : HULLAR, RICHARD <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION " ` <br />, <br />606 W ELEVENTH ST <br />" <br />Permit ID # PT0015783 for Record ID # PR0523186 <br />� r y <br />Valid From 7/1/2012 To 6/30/2013 <br />fx <br />` <br />PERMIT TO OPERATE - 4121- BODY ART FACILITY -STERILIZATION <br />Permit ID # PT0015784 for Record ID # PR0523187 <br />Valid From 7/1/2012 To 6/30/2013 <br />k <br />PERMIT(s) Valid only for: HULLAR, RICHARD <br />DBA: FOREVER YOURS TATTOO (HULLAR, RICHARD) <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />FOREVER YOURS TATTOO (HULLAR, RICHAI , <br />Facility ID FA0012651 <br />Account ID AR0020946 <br />606 W ELEVENTH ST <br />PERMIT(s) Valid only for: HULLAR, RICHARD <br />DBA: FOREVER YOURS TATTOO (HULLAR, RICHARD) <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: <br />FOREVER YOURS TATTOO (HULLAR, RICHAI , <br />Facility ID FA0012651 <br />Account ID AR0020946 <br />606 W ELEVENTH ST <br />Issued 12/17/2012 <br />TRACY CA 95376 <br />Billing Address: <br />ATTN : HULLAR, RICHARD <br />FOREVER YOURS TATTOO (HULLAR, RICHARD) <br />606 W ELEVENTH ST <br />TRACY CA 95376 <br />i,4 <br />- <br />c <br />