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r t <br /> `.s p Q to • z� � Y - rw % � � '� �i��,�+F r {�r � � �t��},�a <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT ( ' ° U <br /> 1868 E. Hazelton Ave. a Stockton, CA 95205-6232 Phone 209 468-3420 <br /> ) . <br /> X14 + ar: ✓,c ...�:? � -�..4' "�_, i ,.,� � �'A } � ,-� a. �: " <br /> Donna Heran,R.E.H.S.,Director ? k*> <br /> ' ENVIRONMENTAL HEALTH - <br /> PERMIT TO OPERATE 4110 BODY ART PRACTITIONER REGISTRATION mi � � � f <br /> WWm W'46 <br /> Permit ID# PT0023053 for Record ID# PR0537547 tt 4: <br /> µ Valid From 7/1/2012 To 6/30/20132 <br /> 3 <br /> 11 P <br /> DA <br /> ( i 'c %z � � ° �.;, yah" Sy "• sr:a' _ a ��n t_, �. <br /> r, <br /> AS. r <br /> } <br /> t trya d� <br /> �-. r x sa �'X fx ��.`'i # T 's -# � {�pk �'� '�9. # r.•.M�y �4 t d.r� y .i` , <br /> �.s. <br /> �t <br /> {,' y%Tc, hds..+,#, s"SS.r ^a a �'� <br /> r }} + ae � # k <br /> A �{ yea <br /> n�,r;'�,, <br /> ,r�,"'X. § �--a '.'_a' ti� <br /> I $n '" -i ' s p r,#'� <br /> Wa� ` <br /> S' 5` ak.s 1' T <br /> � a t <br /> -,... ,.� . .,.. r.,�....;• •` `-. � ;�. - - '^ s`�.� i end ��_�' .,r.„��� ;�*;, -� �� -.�€ ,� r k <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: VASQUEZ, SAMUEL <br /> DBA: THE BLACK ROSE TATTOO PARLOR }tai ” <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: " , Facility ID FA0021614 ��t*� <br /> v BLACK ROSE TATTOO PARLOR, THE (VASQI � <br /> Account ID AR0039160 ` <br /> 237 MINER AVE <br /> STOCKTON CA 95202 ] .+ ' ,a{°;� � {A issued <br /> ^fin 3/14/2013 <br /> 31 <br /> Billing Address: BLACK ROSE TATTOO PARLOR, THE (VASQUEZ, SnRl <br /> ) <br /> 237 MINER AVE � i <br /> STOCKTON CA 95202 �� t ' <br /> 7 � <br /> haw d �{ ��� _ p• � u <br />