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SAN JQAQUINCOUNTY ENVIRONMENTAL HEALTH DEPARTIYNT .Y <br /> '. 4 :1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209)468-3420 <br /> f <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110- BODY ART PRACTITIONER REGISTRATION <br /> r <br /> I.• <br /> Permit ID# PT0022948 for Record ID# PR0537429 <br /> Valid From 7/1/2013 To 6/30/2014 <br />�q <br /> 5 <br /> s <br /> i <br /> sk <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: JACOBSON, DAVID <br /> t <br /> u Y <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />,x Regulated Facility: GYPSY LANTERN TATTOO PARLOR(DAVID J Facility ID FA0021525 <br /> 8909 THORNTON RD# 10 Account ID AR0038941 <br /> issued 6/4/2013 <br /> STOCKTON CA 95207 <br /> Billing Address: GYPSY LANTERN TATTOO PARLOR (DAVID JACOBSON) <br /> 1030 DOUGLAS RD <br /> STOCKTON CA 95207 <br /> .e <br />