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712-1 L <br /> q`uly: Date(MM/DD/YY) <br /> _,o ~ ,o Body Art Inspection Report <br /> y County of San Joaquin County,Environmental Health Department pe <br /> a Permit Number <br /> n .< 1868 E.Hazelton Ave.,Stockton CA 95205 U /l <br /> (209)468-3420 www.sigov.omlehd Permit Type <br /> 9C/FpRe� <br /> Facility Nam Address City Zip Code CT <br /> Q Mo 74ftoo SAA Io Alt( I rLA 953' b Sat N Sorg ,Wn <br /> PermitlRegistration)4older Name Permit Exp.Date Total Time Inspection Type <br /> on 11i�hlc,�t� <br /> =.""OBSERVATIONS AND'CORRECTIVEACTIONS L 1 l <br /> 1 0 l n 1\ ,, r P 11 'U 2f uS(( 'i t- al&k,f Sj l <br /> { f 0 fl !1 + A T, n 4 U 1 'b <br /> t4^, k t, - AEl�'l,�,r (,wr,c -+lvSC- h ;rs <br /> �-11Q i WQ- 61A13 <br /> 1 !5')o1 -4, rte' (C-CojJS 6061j\4 <br /> hS on i XPC9, t <br /> c ' -k n SuVnly� CA, f C.Lo s <br /> S (A i ft kww <br /> 1)n kS WaL9 1'L 13, <br /> * I,. 4o i cw iuC i lul cr u;��rc�t11 <br /> 1 A Opmck 0 ,, i� <br /> o1 iklA Vk5t", a.Sk7f SeIA.,M (rl S S G S, <br /> YLU iA'e. S w lu", Q liA (w;e.W <br /> e.cwe,` t �rlS SPCP4 iW�;tct� <br /> CA d?1044 <br /> N. 0 ou fCj In <<.WJCAS -(u-4 �• L. C e Ov iAL, qUt- <br /> 9A A Alk f ove lc. a <br /> Received by(Print): Mul Received by(Signature): 1 1 t Li► Phone: <br /> Specialist(Print): & 'I CAMI11 GS b[[.0 Specialist(Signature): �r(YWtiJ�t., Phone(J_�IUB-317� <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 /> Page Sof 3 <br />