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Body Art Inspection Report Date(MM/DD/YY) <br /> z County of San Joaquin County,Environmental Health Department Permit Number '?gas <br /> w. 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 www.sigov.orglehd <br /> Permit Type <br /> Facility Name Address City Zip Code CT <br /> i , <br /> PermitlRegistration Holder Name Permit Exp.Date Total Time Inspection Typed <br /> } € :'k ��� �}y€Y i ! 4 A: �" i� "2 R,"✓i a. � .... {,. . _. � � t ; {, Y } ( '+`k £fix, # y, <br /> 1 <br /> 1 11- <br /> t <br /> ' Com' <br /> AFI <br /> !l <br /> 1 �— <br /> P � <br /> r <br /> e <br /> Received by(Print): Received by(Signature): Phone: <br /> Specialist(Print): l eialist(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 /> P803 of <br /> 7 <br />