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SAN JOAQUAbOUNTY ENVIRONMENTAL HEAL EPARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda 11irkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4110-BODY ART PRACTITIONER REGISTRATION <br /> Permit ID# PT0024776 for Record ID# PR0540259 <br /> Valid From 7/1/2016 To 6/30/2017 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LARES, BRAYAN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BLACK ROSE TATTOO (LARES, BRAYAN) Facility ID FA0023019 <br /> 237 E MINER AVE Account ID AR0042227 <br /> STOCKTON CA 95202 Issued 5/27/2016 <br /> Billing Address: ATTN : LARES, BRAYAN <br /> BLACK ROSE TATTOO (LARES, BRAYAN) <br /> 15185 SIXTH ST <br /> LATHROP CA 95330 <br /> is <br /> 7027.rpt <br /> ' P <br />