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ar = s <br /> SAN JOAQUIlVOUNTY ENVIRONMENTAL HEALT EPARTMENT <br /> 1W-L Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209)468-3420 <br /> ',. Donna Heran,R.E.H.S.,Director x <br /> ENVIRONMENTAL HEALTH ' rr w ; <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> t <br /> tea' Permit ID* PT0010843 for Record ID# PR0515392 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> `" s <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> f^Yr h <br /> Permit ID# PT0010844 for Record ID# PR0515391 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> 64- <br /> x <br /> 1 <br /> a <br /> h PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LUKE, ERNESTINE S <br /> DBA: DESIGNER EYES <br /> a� <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> 43 Facility lD FA0012118 <br /> ;4 ,Regulated Facility: DESIGNER EYESP_ BELLA GENTE SALON (EI account io AR0019432 <br /> z 4343 E PACIFIC AVE##A-12 issued 6/4/2013 <br /> STOCKTON CA 95204 <br /> a ' <br /> rd BillingAddress: ATTN : ERNESTINE LUKE <br /> Vz <br /> DESIGNER EYES@ BELLA GENTE SALON (ERNESTINE LUKE <br /> 1768 W SONOMA AVE <br /> STOCKTON CA 95204 ' ' <br /> d " <br />