Laserfiche WebLink
r � <br />t <br />YN. <br />J M1' <br />SAN JOAQUINOUNTY ENVIRONMENTAL HEALTEPARTMENT <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 />`k <br />t <br />st, <br />PERMIT TO OPERATE - 4110 - BODY ART PRACTITIONER REGISTRATION <br />k <br />Permit ID # PT0022912 for Record ID # PR0537395. <br />Valid From 7/1/2013 To 6/30/2014 <br />WX <br />q i <br />s <br />a t <br />_I'WA{ <br />4z n <br />a; <br />C' a <br />t ` <br />' <br />a <br />� <br />� <br />h <br />{SIA <br />1 } <br />V <br />d x r <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />+ PERMIT(s) Valid only for: RUIZ, JESSE Jl _ <br />��t ! DBA: BLACK ROSE TATTOO PARLOR (JESSE RUIZ) <br />t <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: BLACK ROSE TATTOO PARLOR (JESSE RUIZ gy Facility ID FA0021496 <br />14' { <br />i Account iD AR0038891 <br />237 E MINER ST <br />Issued 6/4/2013 <br />STOCKTON CA 95202 <br />10 <br />04, <br />Billing Address: ATTN : RUIZ, JESSE ` t <br />BLACK ROSE TATTOO PARLOR (JESSE RUIZ) xy4 �^�p`,{$+', <br />2905 WHITTIER CTS <br />STOCKTON CA 95207 t' <br />t1 <br />z.i,.,x?.x',.:.,,..... z-.I.fs'.^+��.':�'i.:.:.. [..a,.9;,°"S✓xratt*ya.Y.'x-, _:..;t"... .:, <br />