Laserfiche WebLink
F_ SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT' <br />1 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />S3£ <br />ID # PT0023181 for Record ID # PR0537709 �� <br />Valid From 4/11/2013 To 6/30/2013 t v +� ,F <br />"1h, <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: ,FORSAKEN TATTOO (FORST, MICHAEL) <br />Facility ID FA0021732 <br />f x� 13463 HWY 88 Account ID AR0039475 <br />LOCKEFORD CA 95237 issued 4/24/2013 <br />Billing Address: ATTN FORST, MICHAELu� <br />FORSAKEN TATTOO (FORST, MICHAEL)a <br />PO BOX 211 <br />LOCKEFORD CA 95237� <br />%, W-: <br />7020fPt <br />