Laserfiche WebLink
f - <br /> �o.!°`'I"•�o Body Art Inspection Report Date(MM/DD/YY) <br /> i County of San Joaquin County,Environmental Health Department R nr. yQt1 <br /> < 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number c��V U <br /> (209)468-3420 mvw.sioov.orq/ehd 14103��� <br /> Permit Type <br /> Facility Name Address City Zip Code CT <br /> StCTJ S' wak-Totho a I� <br /> Permit/Registration Holder Name Permit .Date Total Time Inspection Type <br /> GN,(/17 Pis $nl�l'A' ��1151/�1711 Id� <br /> 35. Plan Review ❑ <br /> 36 Permits Obtained&Available` ❑ <br /> 37. Impoundment ❑ <br /> 38. Hearing Scheduled ❑ <br /> 39. Closure" ❑ <br /> Items marked with an asteriskmay also havespecific requirements for temporary events <br /> REG# -._ : PRACTITIONERIARTIST NAME REG# PRACTITIONERIARTIST NAME <br /> ,.".?` ;i ''.:`,.`,`'OBSERVATIONS'AND CORRECTIVE'ACTIONS <br /> All 4-Jea MU.S� be,, LOlrtAtA pliop 0 nin <br /> 1.3 i ni) 51 n o 0 1 <br /> ,. <br /> s inin1 <br /> ss, An T &c-ss <br /> b . <br /> Received by(Print): J\Cly 11 Q/� �. Received by(Signature): Phone: <br /> Specialist(Print): Specialist(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 /> Paged of 3 <br />