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Body Art Inspection epo <br />County of San Joaquin County, Environmental Health Department <br />1868 E. Hazelton Ave., Stockton CA 95205 <br />(209) 468-3420 www.sigcv.org/ehd <br />Date (MM/DD/YY) /0 1 <br />Permit Number <br />Permit Type <br />Facility Name Address City Zip Code CT <br />PermitlRegistration Holder Name Permit Exp. Date Total Time ` Inspection Type <br />Received <br />F1This report is an official Notice of Violation. Corrections must be completed in the time spedified. <br />A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. <br />Paae5,of 6 <br />Phone: <br />Phone: <br />Reinspection Date (on or about) <br />