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x <br /> 'o�qut o Body Art Inspection Report Date(MM/DD/YY) <br /> i County of San Joaquin County,Environmental Health Department <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number w <br /> (209)468-3420 www.si-gov.org/ehd <br /> Permit Type <br /> Facility Name Address City Zip Code CT <br /> fAA IT V' <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Insp ion Type <br /> "35. iew p <br /> Obtained&Available* ❑ <br /> 37. Impoundment ❑ <br /> 38. Hearing Scheduled p <br /> 39. Closure" p <br /> Items marked w th an asterisk'may also havespecific requirements for temporary events <br /> ._ ani.,, i +,� a ,a:t u-.:"` .. k Y "':",,. 1' .:t kw ` ". ri <br /> .`.r3aM?c.t4' ;.,,: 9 {.; s ::. v #a~<"; E r: �" ,., -s.»�. a^'< ygx t ,oe; ,.,... 2 ., .§. raz 2, AM, <br /> � .. .,. M' -4 <br /> RACtTIIftOP1�R111RT1Sp:M1�INS �,.. <br /> u5. 4`a,�, <br /> � <br /> .,<,. .., ..u. . <br /> is <br /> e,..u .:... sem: <br /> M. :?� v `� <br /> , : ,g. ."�`phs� �* �.*.� k, ,r.,:•`� & �:"- u*,t.�'a3... r� i {�u. �it 3 s x�S' a�t�� $�' <br /> s, 48 <br /> .: <br /> i L 4 <br /> i <br /> ? 4- <br /> 4-0 <br /> -7 <br /> MEA� aj0h m <br /> Received by(Print) Received by(Signature): Phone: <br /> Specialist(Print)' Specialist(Signature): 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 /> Paaa, of <br />