Laserfiche WebLink
R <br /> —M4 Body Art Inspection Report Date(MM/DD/YY) <br /> '2 Z County of San Joaquin County,Environmental Health Department 5��31�5 <br /> a Permit Number <br /> �n .< 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 www.siaov.org/ehd <br /> \\� Y Permit Type <br /> \9 � <br /> %F p_Ri <br /> Facility Name Address City Zip Code CT <br /> QGll,t� Su1�n 1. �a� N. pac;i�c Avg. S+0r 1' Al1 7 S01 30�( <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> 1,nln <br /> OBSERVATIONS ANY CORRECTNE ACTIONS <br /> : t 14305 I I`1 0 K o r c t-- r qr 1,,, <br /> a ,� r� i l <br /> •. r <br /> t <br /> 4\ACIOS A T%- C 114: i �U1M (lS• mS <br /> d , 7e Z <br /> llg I 11�i31'7 a. i s 6A oa I cov ",r\ <br /> d Zc 11_ PjjC'J <br /> W ,.5 ' c. NPCP SIA <br /> . Fc�.c, ;fi h W() a 40 Cl •vc � v� a��� . au}o 1 <br /> Noes <br /> f t -q +- All 51 AJC-U-SJLi MUS 11 i5 0 <br /> G. <br /> fA Lt, <br /> A f-Y\W-V M 9 A I )r,14A <br /> IAO 4 's <br /> 0 ir\a., lucn� Sv <br /> 3_ r <br /> r <br /> ) J ia <br /> 1t S nza , c. 1 1-� <br /> nvfi �ti,,C, s�vi�� rnuinfi in on ow fes 'n <br /> Received b (Print): 1 V L_TVReceived b (Si nature): Phon • Q <br /> Specialist(Print): An->l11 65,tofto Specialist(Si nature): Phone: <br /> ❑ This report is an Official Notice of Violation.Corrections must be completed in the time specified. <br /> A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. Reinspection Date(on or about) <br /> Pagel of,!) <br />