Laserfiche WebLink
t` �` '4 r ih, "s7,?.�p'. <br /> r ,. "fi`u <br /> II� i i 4 I dl�l <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH EPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH x <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> N <br /> Permit ID# PT0022921 for Record ID# PRO537406 r <br /> Valid From 7/1/2012 To 6130/2013 <br /> W <br /> opl <br /> m <br /> Pf� �.7 ip ty � u�' k�:�' �b�'• J <br /> Ufa f2k8 <br /> h q <br /> 5 � <br /> fi <br /> '..t. e�.. .., ..'� �: �, �Ccti .r-� r t.f x=T. � .,.,..,. ,<>„ • ' �['�;r.. „ � ,�,. � vera^��+ <br /> �y PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CARMONA, ULICES <br /> DBA BLACK ROSE TATTOO <br /> W .. . . � <br /> .3» . ..,. <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK ROSE TATTOO Facility ID FA0021506Account ID AR0038914 <br /> 237 E MINER AVE <br /> Issued 10/16/2012 <br /> STOCKTON CA 95202 f 4 <br /> Billing Address: �y4` <br /> ATTN . CARMONA, ULICES& <br /> BLACK ROSE TATTOO + <br /> 237 E MINER AVE <br /> STOCKTON CA 95202 <br /> } , ., �, <br />