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r •. <br /> Body Art Inspection Report Date(MIWDDIYY) 3j-►3 <br /> County of San Joaquin County,Environmental Health Department <br /> w 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number yproo;?3 l h� <br /> (209)468-3420 www.sioov.org/ehd <br /> Permit Type_ <br /> �Facility Name Address l city � Zip Code CT <br /> L� <br /> 2 i n i,Ar ALeg—, q""5-IQ z <br /> Perm it/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> ��U•- .3 � C �� <br /> OBSERVATIONS AND CORRECTIVE ACT(ONS <br /> 41,6 1 1 k— <br /> f <br /> Al2 ftrdILMM --AAI fzl� <br /> I. <br /> J. <br /> -kl js { c- r <br /> t <br /> a <br /> s <br /> Received b Print): Received b (Signature):W /,, Phone: 702-- q -- 3 <br /> Specialist Print): kkV'MSSpecialist(Signature" Phone:J0q-G/{6% 7 <br /> F1This report is an Official Notice of Violation.Corrections must be completed in the ti ec' ed. <br /> A reinspection fee may be charged if violations noted on this report are not corrected by reinspection date. Reinspection Date(on or about) <br /> Pane oj:�; <br />