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Body Art Inspection Report Date(MM/DD/YY) <br /> y County of San Joaquin County,Environmental Health Department <br /> t 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 www.sigov.orotehd Permit Type <br /> Wit.F Q..- <br /> Facility Name Address City Zip Code CT <br /> Per itfRege tration Holder Name Permit Exp.Date Total Time Inspection Type <br /> WHEN= <br /> 35. Plan Review ❑ <br /> 36 Permits Obtained&Available ❑ <br /> 37. Impoundment ❑ <br /> 38. Hearing Scheduled ❑ <br /> 39. Closure' ❑ <br /> Items marked with an asterisk'may also have specific requirerri for tem events <br /> WIN., ry:.. ��,,� �v r:#3 .�....s .;z '" qac.'.. ,. .... .. �`..':,w: e n?"..'" �.. ,� � x, ��,."'` �� 'z F <br /> ,,......,a u?.-.*,E�.2.4 =sr. `� �F�zz?�?' °as:c: .�Y.. �`"s°L±`+"'7"„jj }�...a s:- :.�y��y..: "�,�:}.,"�,�,."�; �:'.-'" �.::.;. <"^! <br /> t` '�f ,' ,,, t ;*, Gt7i:� fy� Irtd ERIdRTt�J;�NI► � li*"y'uttwxt,,u.t4"t".c`r" ,rk <br /> . . crlrrARr�sr .. r � �. <br /> ,.,r r,-:a r -�£xr, -: .. t2r•.,1` x�s fd <, ,.., c4r -. �,' ;° .,a ..�ir` k jT# gr <br /> r <br /> 1 �i } <br /> It <br /> '.� <br /> 'l <br /> -, <br /> Received b Print: j Received b Si tura: 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 /> Page f - <br />