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i pUlty. <br />/o�•-• ••ro Body Art Inspection Report <br />/i County of San Joaquin County, Environmental Health Department <br />1868 E. Hazelton Ave., Stockton CA 95205 <br />(209) 468-3420 www.sigov.orglehd <br />Date (MM/DD/YY) <br />Permit Number SAL)o - <br />Permit Type 4//,V,3 <br />Facility Name Address City Zip Code CT <br />'Tc? k42 yr. Inri'I,i7� t- - &CY, a �`7 Jt Li�1 `%tyl <br />Permit/Registration Holder Name Permit Exp. Date Total Time Inspection Type <br />_Tl'u-/Vi, ( L <br />�_.•.,` "' <br />.a: a ,?....;�*rZE tib" g 10 <br />: . <br />= OBSERVATIONS'AND'CORRECIIVE'ACT NS <br />C <br />C - <br />-s Vie, <br />titi <br />�,. - <br />T <br />S <br />_� e <br />,$ t <br />, l <br />isn <br />-fi <br />M . <br />, <br />ill LJ <br />a.- <br />one <br />L <br />. <br />-'AAA <br />cd <br />rr <br />t-- <br />IM \ <br />J <br />1AA <br />CJ iti .: <br />'�P <br />C <br />LS tr <br />-fi <br />t tri G-3 <br />1 L <br />v11 Lzjf. <br />.k yx�Y <br />ri <br />I vi <br />e, <br />t`rh" <br />` <br />l <br />1� <br />c7 1 i <br />C+ z <br />�C <br />,l.h4 <br />V <br />�X <br />h ` <br />�.-y <br />c.. I i <br />rvl t <br />I1 " <br />f - <br />I <br />,Vit <br />t -r -h <br />__l— <br />,,-LAJTrNj,`,4tjr <br />y <br />66kL, f <br />Il <br />D <br />ln dq e P1 <br />\ <br />-. <br />Received <br />Received A (Signature): <br />Specialist (Print): Specialist (Signature): Phone: <br />F1This 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. <br />Paae3 of <br />Reinspection Date (on or about) <br />