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t 4 ` SAN JOAOU OUNTY ENVIRONMENTAL HEAd EPARTMENT <br /> 1868 E.Hazeltop Ave. • Stockton, CA 95205-6232 phone(209)468-3420 <br /> oxr <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH r; , <br /> f, t <br /> k j PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0023007 for Record ID# PR0537490 <br /> 4 Valid From 7/1/2012 To 6/30/2013 <br /> tt'q i �.n�j�iill�•�1Y4ir 'y <br /> c _ <br /> r 't <br />( r <br /> a <br /> x <br /> x <br /> a <br /> ♦ <br /> s <br /> K ' <br /> a PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FLORES, CHRISTOPHER R <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> ' Facility iD FA0021572 <br /> Regulated Facility: BLACK ROSE TATTOO PARLOR(CHRISTOPI Account io AR0039050 <br /> 237 E MINER <br /> k STOCKTON CA 95207 issued 12/512012 <br /> `" Biding Address: ATTN : FLORES, CHRISTOPHER R <br /> BLACK ROSE TATTOO PARLOR (CHRISTOPHER FLORES) <br /> 237 E MINER <br /> STOCKTON CA 95207 <br /> h <br />