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- _ - ------ - <br /> 0 <br /> Date MM/DDN <br /> a �o Body Art Inspection Report <br /> fCounty of San Joaquin County,Environmental Health Department <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number C� �y <br /> t (209)468-3420 v✓wv✓.sigov.org/ehd ,Al <br /> st�o�Ra� <br /> Permit Type <br /> Facility Name AddressCity Zip Code CT <br /> w e rot o4mvu -TOIAM �g ler 3i C qrot�t, ("' q S14 CNO n"S aV • <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> S J U 111 1dil B4d rh (vn3u u�,t,,� <br /> OBSERVATIONS AND'CORRECTNE ACTIONS <br /> S U <br /> C OlJ <br /> t 1)n o Gz d 1a1 {'1'1u e, f <br /> S� Irl <br /> 61 A <br /> 11 <br /> Mc� ,� 1,t will P, , <br /> 9 <br /> Received b (Print):SQ In L4 & Received b (Signature): Phon :(/°' ?6-7 �./01 <br /> Specialist(Print): jl� GS Specialist(Signature): + Phone: ()1 3121 <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 ofJ <br />