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Body Art Inspection Report <br />y County of San Joaquin County, Environmental Health Department <br />II 1868 E. Hazelton Ave., Stockton CA 95205 <br />1. (209) 468-3420 www.sigov.ora/ehd <br />Date (MM/DD/YY) L `� <br />Permit Number r107-Lc- <br />Permit <br />I pOPermit Type 141 <br />Facility Name Address City Zip Code CT <br />I jr� i nS <br />J-SrLL�rua.o4 �y��� 9 <br />` So1-if Ca kL <br />4 <br />Permit/Registration Holder Name Permit Exp. Date Total Time Inspection Type <br />Fmr,,.1 <br />35. Plan Review p <br />36 Permits Obtained & Available0 <br />37. Impoundment p <br />38. Hearing Scheduled p <br />39. Closure * p <br />an asterisk' may also have <br />FRAC 17T10iERlARTIST NAME <br />""' REG' s ..., PRA�iTITtONER1dRTISx NAME . _ .'g Wig. <° ` <br />'' h , <br />��u�1 a�'I�J e.�•iiRrl��f/�ir�'�,�w�c�������iH .rira�I�.� - <br />u r MIT ■ a 14 moi. . _ �_ .. tV • _ . �. . <br />i • I. L rpt _ • � ..t� � I.. <br />1- IMIC%J_ <br />This report is an Official Notice of Violation. Corrections must be completed in the tienbr Ifecified. <br />A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. <br />Paae..2. of <br />Reinspection Date (on or about) <br />