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2 _ � <br /> SAN JOAQUA-0UNTY ENVIRONMENTAL HEALT PARTMENT <br /> 1868 E. Hazelton Ave. 9 Stockton, CA 95205-6232 • Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> p� - <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION , <br /> ` Permit ID#PT0023007 for Record ID#PR0537490 ' <br /> r <br /> Valid From 7/1/2014 To 6/30/2015 <br /> e <br /> Itr <br /> 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 /> Regulated Facility: BLACK ROSE TATTOO PARLOR(CHRISTOPI- Facility ID FA0021572 <br /> i Account ID AR0039050 <br /> 237 E MINER Issued <br /> 5/23/2014 <br /> STOCKTON CA 95207 <br /> Billing Address: ATTN : FLORES, CHRISTOPHER R <br /> BLACK ROSE TATTOO PARLOR (CHRISTOPHER FLORES) <br /> 237 E MINER <br /> s. STOCKTON CA 95207 <br />