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r <br /> /°`'•• o Body Art Inspection Report Date(MM/DD/YY) J <br /> -- i County of San Joaquin County,Environmental Health Department <br /> (K. Permit Number <br /> ff� � 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 www.sioov.ora/ehd <br /> Permit Type _ <br /> FaciliVarna Address + j City I Zip Code CT <br /> 0 �i SSS _ G nee Ln- (,vN i � au S <br /> Permit/Registration Holder Nme Permit Exp.Date Total Time Inspection Type <br /> wv +5r Vti . a <br /> � <br /> 'OBSERVATIONS AN <br /> , . ., . .. ��:..n <br /> cwse- <br /> f P, alrp 0 1 U <br /> m ►'a vl . <br /> to L"Zv MIAii �n <br /> L► Uldh 1l I) l5 11nZ 1f6114 <br /> AL 4001, ww' 00 �n s <br /> M no Uu( c, <br /> 71 <br /> b <br /> J C� -s zrl IQ ' u� ]rOt� bift <br /> �n1h <br /> Su i v2 i f <br /> Received b (Print): h�S Received b (Signature: Pho �- <br /> 1 G <br /> Specialist(Print): 1 ' ZZ) Specialist(Si nature): kPhone(QZA 8 <br /> This report is an Official Notice of Violation.Corrections must be completed in the time specified. <br /> (�I A reinspection fee maybe charged if violations noted on this report are not corrected by the reinspection date. Reinspection Date(on or about) <br /> Pag�3 of 3 <br />