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oo Body Art Inspection Report Date(MM/DD/YY) { 1$! 3 <br /> a County of San Joaquin County,Environmental Health Department <br /> y Permit Number <br /> x 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 www.siaov.om/ehd 1 ll <br /> \_... �P•. Permit Type u <br /> Facility Name Address City Zip Code CT <br /> L, �St��2. QA. -tA T� Q6A 'T1ac,4 15-n Sun'Ta,i,i, <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> GlU In <br /> �, jgd <br /> OBSERVATIONS AND CORRECTIVE ACTIONS WIN k � x <br /> - Iv1 C lti tl _ f(Xtll.k .s >D�,� ';no s (,- <br /> FAk��t� s� u� wit �-o S�I v 1 11 <br /> c.Jh v <br /> W c. MSS k 'c. • wtA I,r r r MND - b <br /> i e-� ' i� � <br /> WcrN Uf &01TC444 5bG s I \ t�w Cu ' fc..t <br /> All 6.a t� nn u� nn 54lA1 4A <br /> b ew sc, . C_UK )n u� bn <br /> j-A, - d- (.OVA LAJiJIN PlIA41C. S 1 m�w1n; �C <br /> Al ICs <br /> ei g a, — PS- cv n h r%A Szt n��' ars n i S <br /> 1Allt ' �U/) ,ai ��veJ" 1'1't�3 S� U►�� 1r <br /> 91 �S b b a G� — I-1 L Vv� uc ? <br /> ( .1 t v5"U 61yl w .7�RJ1t /1 a n t in ov a <br /> o b 0Ok(,T;14 CIA <br /> `q-mk Uss ;4 a ' <br /> (� .('II r 5, s P o fq M tr\ t l� <br /> fqe/Jar <br /> QL AU n -'bi ci i ho- uc u' 4 Ue,(crew um r al S. <br /> r <br /> Received b Print): W► Received b (Signature): Phone:.S 831 ('010 <br /> (� ' Specialist = 17 <br /> Specialist(Print): l.J!✓ 04 tr\ �jS t;,D � (Si nature): Phone: <br /> ❑ This report is an Official Notice of Violation.Corrections must be completed in the time specified. <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 /> Page3 of 3 <br />