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SAN JOAQU#OUNTY ENVIRONMENTAL HEALSDEPARTMENT" <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone (209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director j <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0022589 for Record ID# PRO536973 <br /> Valid From 6/22/2015 To 6/30/2016 <br /> PERMIT TO OPERATE 4121 -BODY ART FACILITY-STERILIZATION <br /> Permit ID#PT0022910 for Record ID# PR0537393 <br /> Valid From 6/22/2015 To 6/30/2016 <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 PRENHSES <br /> Regulated Facility: BLACK ROSE TATTOO (JOSE ZUNIGA) Facility ID FA0021229 <br /> p 237 E MINER AVE Account ID AR0038342 <br /> rm: <br /> STOCKTON CA 95206 issued 7/15/2015 <br /> Billing Address: ATTN : ZUNIGA, JOSE M <br /> BLACK ROSE TATTOO (JOSE ZUNIGA) <br /> 237 E MINER AVE <br /> STOCKTON CA 95202 <br /> 7020.rpt <br /> Y <br />