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a,ll Date(MM/DD/YY) 3 <br /> o -• �o Body Art Inspection Report <br /> y County of San Joaquin County,Environmental Health Department <br /> (w 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number P.ToC;)/J 7c 3 <br /> 1 (209)468-3420 www.siciov.org/ehd Permit Type 41),91 <br /> \LF p Ra <br /> Facility Name Address City Zip Code CT <br /> 'Permit/Registration Holder Name Permit Exp.Date Total Time Inspection T <br /> 08$ERVATIONTANDC0RRECTIVEi4H6N8 <br /> Z4 <br /> iL <br /> L 7�5bqvm ens C <br /> 'lt <br /> ._ th <br /> 6 ` I � � le- _ <br /> c Z c� <br /> �- l\ <br /> e— &A C g. <br /> l � tjl-� © Ue, A <br /> t_ <br /> tv� — c,rrx t Iu )3 <br /> Received by(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 /> Paoe/ of 7 <br />