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0 <br />Body Art Inspection Report <br />County of San Joaquin County, Environmental Health Department <br />jrN :<j 1868 E. Hazelton Ave., Stockton CA 95205 <br />(209) 468-3420 www.siciov.oro/ehd <br />Facility Name Address <br />Peimit/Re4stration Halder Name <br />/)r,,1,....--1., 7-1'�M <br />Date (MM/DD/YY) 'q1f <br />Permit Number Yi <br />Permit Type <br />City Zip Code CT <br />Permit Exp. Date Total Time InspeMon Type <br />U <br />Received <br />Specialist (Print): [46mso 6L/ Specialist (Si nature)- <br />This report is an Official Notice of Violation. Corrections must be completed in the time atified. <br />F1 <br />A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. <br />Paae3 of J <br />Phone:egpq-qF' • <br />Phone:,70q-' f d' 7i7 <br />Reinspection Date (on or about) <br />.: <br />t <br />I <br />Iam- <br />wt am I <br />MwM1 "M III ?rdirpl <br />uMil <br />� `- � <br />'� <br />/ Lit Il <br />��� <br />�.��r`•Z <br />_ <br />i <br />IC <br />MW <br />> <br />l L <br />511110 11 <br />i <br />r _WIR <br />jr n <br />UZ�T W INu MFEW <br />—. <br />AU rl <br />_ r ,�P <br />L� ►'._ _ ` rill �1% <br />t . <br />L <br />V L <br />► �.. _ <br />d ■ <br />U <br />Received <br />Specialist (Print): [46mso 6L/ Specialist (Si nature)- <br />This report is an Official Notice of Violation. Corrections must be completed in the time atified. <br />F1 <br />A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. <br />Paae3 of J <br />Phone:egpq-qF' • <br />Phone:,70q-' f d' 7i7 <br />Reinspection Date (on or about) <br />