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oAatlin: rQ Body Art Inspection Report <br />R County of San Joaquin County, Environmental Health Department <br />< 1668 E. Hazelton Ave., Stockton CA 95205 <br />(209) 468-3420 www.siaov.oro/ehd <br />Facility Name Address <br />Permit/Reggii�strationn Holder Name <br />C <br />Date (MMlDDNY) /l?- l � 1 Z <br />Permit Number <br />Permit Type <br />City 9Zip Code CT <br />Permit Exp. Date Total ime Inspection Type <br />a 4 ► rr ' e <br />'1rr��r��a�r��►��arrTr•rfir.�i.rri�ar�r�+.riiRra�[. <br />��rr+_�►ria.�i:-► r <br />A ♦ _, ' ri <br />CUM <br />_ <br />r 1i ; <br />�\' i ►� <br />l <br />STAINn- <br />► c <br />�► < <br />i it: it t r <br />ar ' 1 <br />I <br />HOUR <br />rr <br />I i` <br />, J.. ' ',l l' <br />FAM <br />1r <br />c <br />r <br />VAMWAIK <br />I <br />•y • r IJ <br />G <br />E WMA <br />t. <br />Received <br />Specialist (Print): &6Specialist (Signature): <br />This report is an Official Notice of Violation. Corrections must be completed in the rim spe! <br />A reinspection fee may be charged if violations noted on this report are not corrected by the <br />Pane -3 of <br />#"�M <br />date. Reinspection Date (on or about) <br />