Laserfiche WebLink
Body Art Inspection Report Date(MM/DD/YY) - <br /> = i County of San Joaquin County,Environmental Health Department jC <br /> 1888 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)488-3420 www.sjgov.oro/ehd <br /> Permit Type <br /> c1FQ, <br /> Facility Name Address City Zip Code CT <br /> All Alba,+- t-LcA s WjV 10, y�H � \ Alt- 44 �t-A 'q5-10-2 --'tl n j r earoc �1- <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspp}ection Type <br /> ,Lc, /�ti lOz. 6-� �� ;Y3 <br /> 35. Plan Review ❑ <br /> 36 Permits Obtained&Available ❑ <br /> 37. Impoundment ❑ <br /> 38. Hearing Scheduled p <br /> 39. Closure' ❑ <br /> Items marked with an asterisk'may also have specific requirements for temporary events <br /> ��g^ <br /> :REG s f Prr epiARTIST <br /> RACTtiiAME ,. � "_ tt� ^.,t. PRACTITIONERI TIST NAME g `' ..xr TM <br /> c za I •, "1a*eke & >t, °,t -...e.?..x;,... y:'..a: tz �tk. 7 <br /> r :� <br /> CL <br /> tVA I <br /> a. <br /> r� ✓ \ .! <br /> �. rm !tf <br /> Y <br /> 1rn �- <br /> irCa <br /> y \ <br /> - i Sse <br /> 1 � <br /> i <br /> i 'Yl k <br /> ci <br /> Received b (Print): Gxt---C Received by(Signature): Phone: <br /> Specialist(Print): Specialist(Signature): 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 /> Pape Z of 3 <br />