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,**a* !14 �o Body Art Inspection Report Date(MM/DDNY) "1 r3 <br /> y County of San Joaquin County,Environmental Health Department S�Ob�9 PR�s3p`(� <br /> < 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 mYw.sioov.om/ehd <br /> \� c`• Permit Type KIo3 �la+� <br /> Facili Name Address City Zip Code CT <br /> S�cn 1 i 1 u W-O gS , s 9s3�L Sun 30 <br /> Permit/Registration Holder Name Permit Exp. ate Total Time Inspection Type <br /> C Ara 2k % Final ConW 1W1'tan (2VM P np., <br /> Ml CINIMPROM <br /> 35. Plan Review ❑ <br /> 36 Permits Obtained&Available" ❑ <br /> 37. Impoundment <br /> 38. Hearing Scheduled ❑ <br /> 39. Closure' ❑ <br /> Items marked with an aslerisk`may also haves ecific requirements for temporary events <br /> .REQ# PRACTITIONERIA I T NAME,",', ',, TREG# PRACTITIONERIARTIST NAME <br /> S <br /> d d <br /> o„ <br /> OBSERVATIONS'AND"CORRECTNE ACTIONS • a ` ,' t <br /> Alts 1 S LA >i 13 <br /> jq& <br /> � i0 0-P c4V On <br /> Received by(Print): S�U �n ``� Received by(Signature): Phone: <br /> Specialist(Print): Specialist(Signature): Phone: <br /> F1This 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 of 3 <br />