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SAN JOA Q COUNTY ENVIRONMENTAL HEA DEPARTMENT <br /> 1868 E: Iazeiton Aver•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# PT0023007 for Record ID# PR0537490 <br /> 4�. <br /> Valid From 7/1/2013 To 6/30/2014 <br /> y <br /> h <br /> i <br /> Y <br /> >x <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> 1 PERMIT(s)Valid only for: FLORES, CHRISTOPHER R <br /> i <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0021572 <br /> Regulated Facility: BLACK ROSE TATTOO PARLOR(CHRISTOPI Account ID AR0039050 <br /> 237 E MINER <br /> r = <br /> STOCKTON CA 95207 Issued $/4/2013 <br /> BillingAddress: ATTN : FLORES, CHRISTOPHER R <br /> BLACK ROSE TATTOO PARLOR (CHRISTOPHER FLORES) <br /> 237 E MINER <br /> d STOCKTON CA 95207 <br />