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i°i' µ ,5 +vS.a 1' 1 Y ;k�1'•:� j�,}'1�i'A y"';y�!t:C�' d� *w�.fig•dy fit' �, 1 ...7 r .u a,� t� 1" ..P4, ^," <br /> Ah <br /> SAN JOAQUOUNTY ENVIRONMENTAL HEALT EPARTMENT h <br /> k <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209)468-3420 ' 4 <br /> Donna Heran,R.E.H.S.,Director011u <br /> .Y e ENVIRONMENTAL HEALTH ki ' <br /> , <br /> # { Y 3 <br /> a� PERMIT TO OPERATE 4110-BODY ART PRACTITIONER REGISTRATION v� <br /> tcrflr.�k�.�p '`r .'i S,.,. s� v."a �� � �a �;f.,•F:, .�5 sa'���`�,h� �, t f �, �� $ �����- <br /> ,. . ..,u <br /> Permit ID# PT0022589ty for Record ID#PR0536973 <br /> Valid From 7/1/2013 To 6/30/2014 <br /> Ali <br /> N . <br /> k r <br /> - <br /> fis�'er" xa�z ;#,.. •'�fi"< r r`` i ag kt a.`ts .'" .,<., 5 ? �'�Aa { p rt' < ,, . <br /> ✓ s a .,Sr <br /> r. <br /> F ` <br /> VA W r <br /> N' H' _ w fhb ' i F 4 �• <br /> R <br /> I <br /> .y a <br /> V", <br /> V <br /> k10, <br /> i <br /> t 4 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ZUNIGA, JOSE M <br /> ,P <br /> DBA: BLACK ROSE TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES ' <br /> Facility ID FA0021229 <br /> Regulated Facility: BLACK ROSE TATTOO (JOSE ZUNIGA) <br /> 237 E MINER AVE 4 aat y w Account ID AR0038342 � <br /> ' Issued 6/4/2013 <br /> r STOCKTON CA 95206 <br /> Billing Address: ATTN : ZUNIGA, JOSE M � <br /> ,.p"^ <br /> BLACK ROSE TATTOOJOSE ZUNIGA1 <br /> TATTOO (JOSE '-#S <br /> 237 E MINER AVEAi <br /> a 04--. STOCKTON CA 95202 <br /> Kk� .� k a� �y ;s �.. � ✓ ����� 1 a��� °`T `�i`�{rte t ^�wE� �r <br /> v � <br />