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Body Art Inspection Report Date (MM/DD/YY) <br />i County of San Joaquin County, Environmental Health Department 1 J� <br />f Permit Number <br />.< 1868 E. Hazelton Ave., Stockton CA 95205 <br />(209) 468-3420 www.siaov.org/ehd Permit Type u�� <br />FaGMv Nam Address ty Zip Code CT <br />�r rSaU,n TU, L)j) FIX863 toy ASa3I <br />Permit/Registration Holder Name Permit Exp. Date Total Time Inspection Type <br />/ 1 f ] 1 n <br />1 n r% -1A I A P n� h, R -'a l �0�1 s U ���► i i tr• 11�L-�1�11 � I �u AL1 ��/1�. <br />N<,OBSERVATIONSAND'CORRECTIVEACTIONS <br />5 — IntS Sin <br />C t. <br />n <br />r -S <br />,fJ n <br />I' k�P o <br />(c,to( <br />c�660Anhcn <br />i�tA�ivn <br />+' <br />r <br />c V1 0. <br />tts �.,•�►' <br />S6.0 <br />J I AS <br />'U <br />q3i <br />h��rl <br />Ont, <br />A <br />�110 An 4CeQ1J <br />Old j <br />16 <br />r <br />sib7, <br />-, ' <br />o s <br />6 r l� �►� <br />SIU <br />(00� n �'S <br />a.. <br />W-, <br />O r <br />t,t a <br />d <br />v ri, 4c rll 14-/v <br />% <br />is G <br />W; � <br />6 LA r1 Wjfl <br />Im <br />o(w/ <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 />Page 3 of:3 <br />