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�puiff, Date(MM/DD/YY) <br /> �o • oo Body Art Inspection Report <br /> /��• County of San Joaquin County,Environmental Health Department <br /> Permit Number <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 www.sigov.org/ehd f <br /> • Permit Type <br /> Facility Name Address City Zip Code CT <br /> ermi egistration Holder Name Permit Exp.Date Total Time Inspection Type <br /> 412�1 <br /> Jot C—fiv-e— <br /> Sol <br /> OBSERVATIONS AND C64RECTIVEACTl0'NS <br /> ® C <br /> b' ,ty <br /> 4-1 <br /> PAA. UA <br /> 4 r <br /> Lit <br /> 1 <br /> t <br /> �- <br /> e� <br /> ALL al 20435 <br /> nc k �-IeM��vi 7 <br /> Received b Print): Received b (Si nature): hone: 209 3-3 <br /> 1—121353- <br /> Specialist Print): Ak6a&oSpecialist(Signature: Phone: <br /> F1This report is an Official Notice of Violation.Corrections must be completed in the ti s ' d. <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 /> PaRP o <br />