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, <br /> SAN JOAQUIN�OUNTY ENVIRONMENTAL HEALTI PART-WNT- <br /> 1868 E.,Hazelton Ave. •Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> t , Donna Heran,R.E.H.S.,Director <br /> 4 <br /> Y a ENVIRONMENTAL HEAL'T'H <br /> m <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION , <br /> Permit ID# PT0023053 for Record ID# PR0537547 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> � Y <br /> y <br /> , r <br /> 0 <br /> k <br /> x <br /> , <br /> ' PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> t PERMIT(s) Valid only for: VASQUEZ, SAMUEL <br /> `,_ ° DBA: THE BLACK ROSE TATTOO PARLOR <br />;y <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK ROSE TATTOO PARLOR, THE (VASQI Facility io FA0021614 <br /> Account iD AR0039160 <br /> 237 MINER AVE issued 6/4/2013 <br /> STOCKTON CA 95202 <br /> " <br /> Billing Address: BLACK ROSE TATTOO PARLOR, THE (VASQUEZ, S) <br /> 237 MINER AVE ; <br /> STOCKTON CA 95202 <br />