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Body Art Inspection Report Date(MM/DD/YY) ', <br /> y County of San Joaquin County,Environmental Health Department 2 <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number pZ J <br /> (209)468-3420 arwna.sJ og vor rq ehd <br /> a� Permit Type <br /> C)F <br /> Facility Name Address City Zip Code CT <br /> q f22 <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> 35. Plan Review p <br /> 36 Permits Obtained&Available* 13 <br /> 37. Impoundment O <br /> 38. Hearing Scheduled <br /> 39. Closure" p <br /> Items marked with an asterisk`may also have specific requirenmts for tem events <br /> !? I , MAIN <br /> EV" M1 " ,� MAIC�s£ G .# . I T,SP1t ,�:; r1aEliW ON <br /> ph ppy�ip'�qa, u at <br /> t431 ^aSM <br /> ak .:.,,.k.. .. �. :iR ISCt:Y. "•l'.. W3".... <br /> ® / <br /> tQ 12 <br /> Y <br /> CA <br /> i <br /> Received b (Print): Received by(Signature): Phone: <br /> Specialist(Print): A Specialist(Signature): Phone: cgpcl 4 -14 -7-3 <br /> This report is an Official Notice of Violation.Corrections must be completed in the tim sp cifi <br /> A reinspection fee may be charged if violations noted on this report are not corrected by the r ' spection date. Reinspection Date(on or about) <br /> Paqe0q o <br />