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` BodyArt Ins ectoRe ort <br /> P P nate: (pIN 11'6San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: ?"Is u 003 <br /> (209)468-3420 <br /> ...... '`P• www.sioov.oro/ehd Program L4 j 2, <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0540033 Angel U arte <br /> PRO537406 Ulices Carmona <br /> PR0540775 Michelle Arvallo <br /> Observations and Corrective Actions: <br /> A body art re-inspection was attempted but the business has closed down at this location. <br /> Notes: 1. Reminder that in order to open up another shop at another location, the following must be done first: <br /> A. Complete a Service Request form. <br /> B. Pay the$260 fee associated with the service request. <br /> C. Have the SJC EHD conduct an initial and final consultation. <br /> D. Pay for the shop permit($250)and body art registration ($130). <br /> E. Obtain approval from the SJC EHD to open up the shop. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />