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r u r raDate(MM/DD/YY) '—! <br /> Body Art Inspection Report <br /> County of San Joaquin County,Environmental Health Department <br /> w Permit Number <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 www.sioov.oro/ehd <br /> Permit Type <br /> Facility Name Address City Zip Code CT <br /> Pays, r T 1,5>7 —5-- Vl_ <br /> Perm it/R_egistrationp Holder Name Permh Exp.Date Total Time In ection Type <br /> OBSERV A NSAN�CORREC kACTIONS <br /> is O <br /> C G <br /> 17 1 <br /> 4nv pall <br /> o v� i <br /> S <br /> I9 -� <br /> vh L11 4k c G <br /> e Oristi ✓! G�.✓� ✓ U <br /> )11:51ff3 <br /> PW4-4�n t r q <br /> Received b (Print): Received b (Si nat Ph e: 2'0C1 �53 ` <br /> Specialist Print): Specialist(Si natureLIL�"/ Phone )-, .yxj ` <br /> This report is an Official Notice of Violation.Corrections must be completed in th�fis/cjfied. <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 /> Paae3 of <br />