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n <br /> r' <br /> SAN JOAQUINI—AUNTY ENV.11 ONMENTAL HEALTTIE PARTNIENT <br /> r 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 463-3420 <br />,,,-•f� Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022904 for Record ID# PRO537387 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> s. <br /> { <br /> d i <br /> y <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> q .. <br /> PERMIT(s)Valid only for: HERNANDEZ, NICHOLAS S <br /> DBA: GYPSY LANTERN TATTOO PARLOR <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> t <br /> r, Facility ID FA0021490 ' <br /> Regulated Facility: Gp3yNTERN;TATTOO(NICHOLAS HERN Account ID AR0038885 <br /> 4 D S TH.ORTFTflM'RD 10 <br /> Issued 1 <br /> 'STOGITNA.-95207 <br /> 0/3/2014, <br /> Billing Address:` ATTN : HERNANDEZ,'NICHOLAS <br /> GYPSY LANTERN TATTOO (NICHOLAS HERNANDEZ) <br /> 7030 BRIDGEPORT CIR ' <br /> >. STOCKTON _CA 95207 a <br /> L u <br /> � -i .�,.� •' is -. i <br /> 4 <br />