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� <br /> SAN JOA UPIi OUNTY ENVIRONMENTAL HEALT> PARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 9 Phone(209)468-3420 r <br /> Donna Heran,R.E.H.S.,Director <br /> t4 t v z ENVIRONMENTAL HEALTH <br /> 6 1. <br /> fi. <br /> {� <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> k Permit ID# PT0023578 for Record ID#PR0538150 <br /> F Valid From 7/1/2014 To 6/30/2015 {, <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> Permit ID# PT0023581 for Record ID#PR0538155 <br /> Valid From 7/1/2014 To 6/30/2015 . - <br /> r i <br /> 4 <br /> r <br /> 1 <br /> I , <br /> q <br /> y _ <br /> j <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> pl PERMIT(s)Valid only for: MCGOVERN,JAMIE R <br /> I� <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0022034 <br /> Regulated Facility: CLASSIC TORCH TATTOO STUDIO Account ID AR0040184 <br /> 638 N GRANT ST <br /> issued 5/23/2014 <br /> STOCKTON CA 95202 <br />" € <br /> Billing Address: ATTN : MCGOVERN, JAMIE R <br /> x CLASSIC TORCH TATTOO STUDIO <br /> 638 N GRANT ST <br /> r STOCKTON CA 95202 <br /> ` tya B g . s+, a t, <br />