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Body Alit Ins ec Re <br /> o Y P Port <br /> Date: <br /> San Joaquin County Environmental Health Department <br /> Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 p2Os3gp(n <br /> \•c P j (209)468-3420 Program 1 ry� <br /> www.siogv.org/ehd Element: L4 V <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0515391 Ernestine Luke <br /> Observations and Corrective Actions: <br /> Notes: 1. Business no longer in operation. <br /> 2. Owner, Ernestine Luke, has retired. <br /> 3. Facility will be inactivated. <br /> Reinspecion onlabout: A reinspection fee of$125 per hour may charged. Page 2 of 2 <br /> EH-04/2014 <br />