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0 <br /> Body Art Inspection Report Date(MRNDD/YYj3 ;/ <br /> y County of San Joaquin County,Environmental Health Department <br /> < 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number /_ l <br /> (209)468-3420 www.siaov.oroiehd <br /> Permit Type 4f o-j <br /> Facility Name Address City Zip Code CT <br /> .re 3 J S�7 <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> ":�NsA�u�co <br /> 14 <br /> 1113;0-1 144, <br /> Ir,re!'me, fvx <br /> ►� <br /> c <br /> v <br /> AA <br /> Y Li <br /> Received b (Print): Received by(Signature): A Phone: <br /> Specialist Print): ,kLSpecialist(Signature), Phone: '7 <br /> This report is an Official Notice of Violation.Corrections must be completed in the164 ecified. moi. �Z. I <br /> A reinspection fee maybe charged if violations noted on this report are not corrected the reinspection date. Reinspection (on or about) <br /> Pao---?of <br />