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4N <br /> crt sh <br /> O <br /> r4x <br /> a <br /> 34 <br /> SAN JOAQU COUNTY ENVIRONMENTAL HEALT EPARTMENT " <br /> t a a nt4 it <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> 1 � A <br /> Donna Heran,R.E.H.S.,Director <br /> ` ENVIRONMENTAL HEALTH � � � <br /> PERMIT TO OPERATE - 4120-BODY ART FACILITY-SINGLE USE + ,k�t>�.1.., <br /> i Permit ID# PT0023008 for Record ID# PR0537491 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023009 for Record ID# PR0537492c <br /> Valid From 7/1/2012 To 6/30/2013 ` " <br /> r <br /> ; t r <br /> d,3 ii ', r ea i4 uh n <Y iT f{ yyyy �iFyy <br /> � 1 <br /> 1,v , <br /> t� yr a , <br /> y µy <br /> i ^ <br /> i <br /> {r , . <br /> 4y <br /> 511- <br /> 4 <br /> --. <br /> � z <br /> a K x r k . y w ,_ <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SILVA, SARA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021573 * <br /> Regulated Facility: PERMANENT MAKEUP BY SARA(SARA SILVI <br /> Account ID AR0039051 <br /> 318 E YOSEMITE AVE Issued 12/10/2012 <br /> MANTECA CA 95336 <br /> BillingAddress: 1 t <br /> ATTN : SILVA, SARA v ws <br /> PERMANENT MAKEUP BY SARA(SARA SILVA) <br /> 3056 LARAMIE DRi 4,4 <br /> 4 <br /> MODESTO CA 95336 <br />