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/.oulN„ Date(MIWDDNY) <br /> Body Art Inspection Report <br /> County of San Joaquin County,Environmental Health Department <br /> rN 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 www.sigov.orglehd <br /> cg <br /> Permit Type <br /> ti- <br /> Facility Name Address City Zip Code CT <br /> CA t14 1 <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection Type <br /> �. <br /> QBSERVATIONS AN®CORRECTIVEACTIONS <br /> C v <br /> y1/19 le: r <br /> L <br /> GM VvLeztiane�� <br /> L-A <br /> v <br /> ti l v t ?2 <br /> c, ✓' <br /> vie e� <br /> �- <br /> C07Kn L4 3A 6l <br /> \� <br /> S <br /> C <br /> e- <br /> v <br /> l <br /> 7— <br /> r <br /> L6� 1 I� <br /> f - <br /> j' &V\ — <br /> w " .5 <br /> Received b (Print): SeeReceived b (Signature): Phone: <br /> Specialist Print): 42�z-m"- Specialist(Signature Phone: " <br /> ❑ This report is an Official Notice of Violation.Corrections must be completed in th ' e ec d. <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 /> Pane/-/of <br />