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�, 1t c �.� <br /> 61,57 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton CA 95205-6232 • Phone <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH �3 <br /> r� <br /> PERMIT TO OPERATE - 4110- BODY ART PRACTITIONER REGISTRATION <br /> if"14W <br /> WA <br /> Permit ID#�PT0022179 for Record ID#PR0536197` �� <br /> Valid From 7/1/2012 To 6/30/2013 <br /> f ' <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE : <br /> LAK, 4 Permit ID# PT0022922 for Record ID# PR0537407. <br /> ` Valid From 7/1/2012 To 6/30/2013 ._ <br /> � <br /> � <br /> ; Y2 <br /> �� `3'{7' ..S.�F1 's 7 <br /> 4 <br /> ' `�,�' 'e t x ' ��-4w�< �,�?: t•���a �� .,,� ,SS f �,a�� �� �°-: est s,1 f, s tj >-r �� ��° <br /> + <br /> ^sf <br /> sw <br /> r,{r� r <br /> xlit <br /> a 9q a t <br /> fi"� s r�5 r } #r � ,� ' z#fy'rr.� 1 t�y, rz�a +'� �'."c t "�TAb <br /> 7r b sus , * i �5kW , G @ f r fat <br /> i � S � M3yCu"s-e _ + <br /> `� <br /> J ,fb � >.' y L <br /> a <br /> o r t ✓ r* <br /> } <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LUNA SHIRLEY 6 � �� <br /> �`. <br /> DBA BELLA LUNA SALON ETC <br /> E L s <br /> �''�'s`�, v <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> t, a , arm x >Facilit <br /> # v FA0020796 <br /> Regulated Facility. BELLA LUNA SALON ETC 3 �� w <br /> g Account ID AR0037327 <br /> ID ;. <br /> 702 PORTER AVE#AtE <br /> 1'115 <br /> STOCKTON CA 95207 W <br /> ass ` Issued 10/16/2012 <br /> a <br /> �5 'Billing Address: ATTN . LUNA, SHIRLEY <br /> BELLA LUNA SALON ETC <br /> 23 EVERGREEN DR ` � � f <br /> ' { N <br /> LODI CA 95242 <br /> z <br />