Laserfiche WebLink
SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT i : �k <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 { w <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> t <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> � Permit ID# PT0023136 for Record ID# PR0537653 <br /> Valid From 7/1/2012 To 6/30/2013 <br /> h <br /> t P <br /> 9. � + <br /> f <br /> jk <br /> t <br /> u <br /> s" <br /> Ml's <br /> 4 M - <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: QUEZADA,JESSE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK ROSE TATTOO (QUEZADA,JESSE) <br /> Facility ID FA0021688 <br /> r x Account ID AR0039346 <br /> " x x 237 E MINER AVE <br /> y Issued 3/14/2013 <br /> STOCKTON CA 95202-2328 <br /> F ; <br /> 01 <br /> Ila <br /> Billing Address: ATTN : QUEZADA, JESSE r 3? <br /> BLACK ROSE TATTOO (QUEZADA, JESSE) <br /> .- 334 E 21 ST ST <br /> TRACY CA 95376 a ' ' � , <br /> -e4A, <br /> .§MY A ,•"w .� t' �a,- i i ra�' � � ILa`Fr � s ?v , '�`;" �, �C w s <br /> r ct f x 6I; <br />