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Body Art Inspeon Report • Date: <br /> 3/2G/!8 <br /> �c y � San Joaquin County Environmental Health Department Program pen <br /> y`' :< T F+�✓��ZC� <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 <br /> 4o-• www.siogv_pjg/ehd Program <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Joan Sneed <br /> Observations and Corrective Actions: <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303-Corrected on site. <br /> Notes: <br /> 1) Facility is cleared for operation, upon receival of facility and practitioner permit post in a conspicuous place. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of <br /> EH-11/17 <br />