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Date(MWDDNY) <br /> Body Art Inspection Report <br /> County of San Joaquin County,Environmental Health Department <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 www.sioov.oro/ehd <br /> 0 <br /> Permit Type 11" <br /> Facility Name Address City Zip Code CT <br /> At� IL� ' _A ��>6S il5y a) L)�nzaln L= 2 Ayp LI A glJo-7 -)cc ri <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> YNb:.:xr Ale,v&ti G --z '*z, I <br /> �` s�' s a a� +>sf ',"� i.3.. a p 3_ _;• t�:. '�"�-` ��a .,�'*a's, F <br /> 'OBSERVATIONS'AND CO RRECTNEACTtONS <br /> /t5 ' 1-7 l ._3 0S, L t, -f- <br /> ✓l e` � l � � � � ' r rites rx � fi�J <br /> bee-yL <br /> y f- c <br /> nn 1 � z <br /> I'� GrC�Y' <br /> y Y <br /> c <br /> t <br /> �; _ f�l�: f LA <br /> ,tit <br /> fin <br /> Received b Print: — %i�';7 ' Received b Si nature.- Pho <br /> Specialist(Print): l f w Specialist(Sign ure: Phone: <br /> This report is an Official Notice of Violation.Corrections must be completed in the time spec ed. <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.3of <br />