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,o Ut Body Art Inspection Report Date(MM/DD/YY) " l' <br /> y County of San Joaquin County,Environmental Health Department <br /> ? 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 www.sjgov.orafehd <br /> \ Permit Type <br /> Facility Name Address City Zip Code CT <br /> Y�� a r'! <br /> Permit/Registration Holder Name Permit Exp.Date Total Time inspection Type <br /> 35. Plan Review ❑ <br /> 36 Permits Obtained&Available" ❑ <br /> 37. Impoundment ❑ <br /> 38. Hearing Scheduled ❑ <br /> 39. Closure" ❑ <br /> Items marked with an asterisk*may also havespecific requirements forternporary events <br /> .,..,.. 2 a,f`+ t i r ,gin r7 �.y :W.M 4 t a ger _ r *9, ,`fn. 3, Ri`2°r4,; <br /> v• ... A � a vim. .,. .; x � ,xt ,, .a,, . x , <br /> a1 :. t L ila a l r t�� m,N FS � <br /> RG� t PRQG f[TIOff=RfQRTIST`idQI�E .,. .. . _ $tC RRATI�t0 I t2! T1ST,;tiAQME��� <br /> ':;. .„3.J �§k <br /> '77,775 <br /> tiJ., <br /> ."�'a"� �i��,',4�;=. ... <br /> d p:.,s`l j1'" v,�'>•m.Y i >t-�,i ��a-..�� ,::�1 �§� 4z �, T a,��".�,4�ua k... '��s�"' t =t`�i�s�d�+' �J .c.. a'�o-t � ee w.. .�. h' <br /> MM A <br /> L <br /> i <br /> m � �.- <br /> r <br /> a1 <br /> Y I <br /> �, — /—s <br /> Received b Print: 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 /> Page f <br />