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SAN JOAQUI11 OUNTY ENVIRONMENTAL HEALT*EPARTMENT 3" <br /> y <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 fr yA <br /> gra n <br /> Donna Heran,R.E.H.S.,Director z4 , t <br /> � <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110 BODY ART PRACTITIONER REGISTRATION <br /> �F�.� � 34. ;., . Y�"n;=:w « . ..}d};';�' "3 ? 1 J ~{�S Y3"✓f"�1 ' N?' .+"' a% d 5y yY 39.A4 3,,;`} <br /> Permit ID#PT0023053 for Record ID#PR0537547 <br /> o, <br /> Valid From 7/1/2014 To 6/30/2015 <br /> 70,4 ya <br /> , x ;� sRS t e fiz& Cli x� <br /> 4iN, <br /> " 3� A`k r a"��' b>" +' §. `a�!. "� � ,.'`a " t t'+ 2 ✓`' '4 i ,�,� a '" s'�'"� z far'1� '�N <br /> � a ", <br /> b4 <br /> N. <br /> t' .'..V�S'3* r <br /> Xi <br /> 44, <br /> r 4�v <br /> { x q <br /> � `.�,�. 'y,4y��.>fi r g�.rR���."+�i. <br /> e ". . �`,� ''m <br /> �a <br /> i Y p S <br /> t w k � �} � �� $ <br /> �4 '£' <br /> `{ '; v iTie7�; "a' �✓� - a� ,n k �1 -¢ir #i rry;'6-a„.�f ,� <br /> p , + <br /> ' <br /> fs <br /> ,�y '• �` �a ' r ro ..�� __� s -�{r?�r tyi r � *^�k� ��e+ �'',tir3� F��af d <br /> sok a <br /> a y ign <br /> a� <br /> r <br /> i a �' <br /> f F if 4 t 3" gx a a v <br /> ,. : PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: VASQUEZ, SAMUEL ' 1 �trk� "" <br /> DBA THE BLACK ROSE TATTOO PARLOR <br /> e , <br /> =s :, <br /> a x <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK ROSE TATTOO PARLOR,THE(VASQI Facility 10 FA0021614 <br /> Account io AR0039160 <br /> 237 MINER AVE <br /> �. �� <br /> Issued 5/23/2014 !i <br /> STOCKTON CA 95202 .�.` . „ � � r� <br /> O <br /> BmingAddress: BLACK ROSE TATTOO PARLOR, THE (VASQUEZ, S) <br /> 237 MINER AVE <br /> I'n <br /> STOCKTON CA 95202 � ' <br />