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of 3y ® Body Art Inspection Report Date(MM/DD/YY) / ®7—/ <br /> County of San Joaquin County,Environmental Health Department r— <br /> gq 35 <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number � � <br /> (209)468-3420 www.sigov.oralehd <br /> Permit Type <br /> Wia <br /> Facility Name Address City Zip Code CT <br /> G 7', j > Af {)11 + <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type L- <br /> 47 loss= <br /> 35. Plan Review p <br /> 36 Permits Obtained&Available* <br /> 37. Impoundment 0 <br /> 38. Hearing Scheduled <br /> 39. Closure; p <br /> Items marked with an asterisk*may also have specific requirements for temporary events <br /> pc,�,,4x N.-§`' "` ,„.,.... ..yy- 5., Ft:N3 Siea .�, ,: . ,'a .' g pgyz f w `. <br /> _.��104" ,e,, .a^iS i `2.. `,.. +x^ „ �? f"' t£ ..;,a A.„ 11 <br /> i �,� �'s"��tt"�' -4Esc >it. <br /> IE� ri <br /> IRIt TtT[t?N. 1�Rti�T PAWI t:. . ,. .x , , }; , rc$ .t .. .. a <br /> Y t <br /> 3'k �,} .`" .a`, ....ON- <br /> MWi. r,Yir+ <br /> , '? 'ta+'=i"'*�isrX�� :_ }. t_ NMI <br /> .. <br /> �1 ga <br /> ,. ?: ,"',e`�..,.`' '`'`'4 ,. '„�,� ;`st'�„t; :, "►0 .tii <br /> 9 <br /> t 1 <br /> L <br /> �. k <br /> y <br /> A �N <br /> Received b (Print): Received (Signature): Phone: <br /> J <br /> Specialist(Print): cialist(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 /> Paae <br />