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1 Body Art Inspection Report Date(MM/DD/YY) <br /> County of San Joaquin County,Environmental Health Department <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 www.siaov.oro/ehd <br /> Permit Type <br /> •v j.R v`' <br /> (� Facility Name // Address City Zip Code CT <br /> Y�4�i� �*''•�\� b� t t�. �� 7241[- w 6 clan Joa'4 L1� <br /> Permit/Registration Holder Name P rmit Exp.Date Total Time Inspectio Type <br /> VA1`10WANDCORRECTIVEACTIONS <br /> - <br /> z" <br /> i� <br /> c <br /> .L_. <br /> �1 vi I <br /> t Ceti --Vv ti 4v'- <br /> v — <br /> reA <br /> NJ kn4 AAS <br /> J- r� c3 <br /> v <br /> 3 <br /> J l <br /> �+' v r <br /> .[LLT tJ• GvvnA— Gi—. sil Vill kf • w G&1 swt hf,rk*-L G r <br /> Received b Print): Received b (Signature): A Phone: <br /> Specialist Print: t Specialist(Signature Phone----.IV'?- <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 /> Pana3 of <br />