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SAN JOAQUI*OUNTY ENVIRONMENTAL HEALTOEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID#PT0023001 for Record ID# PR0537482 <br /> Valid From 7/1/2018 To 6/30/2019 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ESCALANTE, DENNIS M <br /> DBA: BLACK ROSE TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK ROSE TATTOO (ESCALANTE, DENNH Facility ID FA0021564 <br /> 237E MINER AVE . Account ID AR0039036 <br /> STOCKTON CA 95202 Issued 5/2/2018 <br /> Billing Address: ATTN : ESCALANTE, DENNIS M <br /> BLACK ROSE TATTOO <br /> 237 E MINER AVE <br /> STOCKTON CA 95202 <br /> 7027.rpt <br />