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> oBod Art Inspection Report Date(MMDDYY) <br /> County of San Joaquin County,Environmental Health Department <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 www.s,igov.ora/ehd <br /> Permit Type ��► <br /> Facility Name Address ity Zip Code CT <br /> Scr 51 ���� 1 S�. rac s3% �4,A J00-414k <br /> Permit/Registration Holder Name Permit EA.Date Total Time Inspection Type <br /> vu )1 <br /> 736 35. Plan Review El ` <br /> Permits Obtained&Available" ❑ <br /> 37. Impoundment ❑ <br /> 38. Hearing Scheduled ❑ <br /> 39. Closure' ❑ <br /> Items marked with an asterisk"may also have specific requirements for temporary events <br /> DREG P, ,CT, t) ERI 1 DREG: ,, I IT ONE ART <br /> S <br /> 4-)CAL <br /> t1 LU n'n"— <br /> h � Y <br /> _ ;OBSEIi. T S ANitGo C CTIt) , <br /> jxArWA 01cUo �1 rG a s <br /> j Jit sNA (A , If n <br /> u IM <br /> Z1 k1 S v {(,-to i S )". n <br /> oV �C t _ C o c(, J i' GiA <br /> 0 Q <br /> \9311A --� I`--w is e, <br /> Received b Print): Received b Si nature. Phone: -toot <br /> S ecialist(Print): &n)).147-, > Specialist(Sipa,ire: Phone <br /> ll <br /> This report is an Official Notice of Violation.Corrections must be completed in the time specked. <br /> A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. Reinspe ion Date(on or about) <br /> PageJ—of <br />