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SAN:J�AQUIN COUNTY ENVIItONMENTAT:BEALTH DEPARTMENT <br /> 1$b$'L Hazelton An.* Stockton, CA 95205-6232.4 P.ione,(209) 468-34 0 <br /> t.' Donna Heran,R.E.H.S.,Director <br /> '=1 rig • . ;., - - .. <br /> ENVIRONMENTAL HEALTH <br /> M " <br /> ' PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022904 for Record ID# PRO537387 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> t PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE <br /> {k <br /> k - <br /> Permit ID# PT0022950 for Record ID# PR0537431 <br /> f Valid From 7/1/2013 To 6/30/2014 <br /> i <br />�r <br /> tY i� <br /> " PERMITS TO OPERATE are NOT TRANSFERABLE <br />€ ,. and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: HERNANDEZ, NICHOLAS S <br /> DBA: GYPSY LANTERN TATTOO PARLOR <br /> r r, <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: GYPSY LANTERN TATTOO (NICHOLAS HERN Facility ID FA0021490 <br /> Account ID AR0038885 <br /> 8909 S THORNTON RD# 10 <br /> STOCKTON CA 95207 issued 6/4/2013 <br /> w Billing Address: ATTN : HERNANDEZ NICHOLAS <br /> GYPSY LANTERN TATTOO (NICHOLAS HERNANDEZ) <br /> 7030 BRIDGEPORT CIR <br /> STOCKTON CA 95207 <br /> r B <br />