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a , <br /> SAN JOAQU OUNTY ENVIRONMENTAL HEALTOEPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022589 for Record ID# PR0536973 <br /> Valid From 7/1/2014 To 6/30/2015 <br /> �M <br /> k = <br /> mr <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 /> DBA: BLACK ROSE TATTOO <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK ROSE TATTOO (JOSE ZUNIGA) Facility ID FA0021229 <br /> Account ID AR0038342 <br /> 237 E MINER AVE issued 5/23/2014 <br /> STOCKTON CA 95206 <br /> Billing Address: ATTN : ZUNIGA, JOSE M <br /> BLACK ROSE TATTOO (JOSE ZUNIGA) <br /> 237 E MINER AVE <br /> t STOCKTON CA 95202 <br />