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1 <br />,oQa" "' 4 Body Art Inspection Report <br />County of San Joaquin County, Environmental Health Department <br />1868 E. Hazelton Ave., Stockton CA 95205 <br />(209) 468-3420 www.sigov.oro/ehd <br />OR - <br />n <br />Date (MM/DD/YY)'Z- <br />Permit Number <br />Permit Type <br />Facility Name Address City Zip Code CT <br />Permit/Registration Holder Name Permit Exp. Date Total Time Inspection Type <br />�� a �i.rlU� .v -lam►' V'f'��. � <br />35. Plan Review ❑ <br />36 Permits Obtained & Available g ❑ <br />37. Impoundment p <br />38. Hearing Scheduled ❑ <br />39. Closure " ❑ <br />arked with an asterisk ` may also have specific requirements for temporary events <br />t2E ., <br />��. GTfI 4.1,51 i1 <br />�.n �. <br />11 101,011 1 1,6 <br />oto AI2 <br />Specialist (Print): Specialist (Signature): Phone: <br />F1This report is an Official Notice of Violation. Corrections must be completed in the time specked. <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 />Pase of Id <br />