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0 <br />�pUIN. <br />/o • •� co Body Art Inspection Report <br />County of San Joaquin County, Environmental Health Department <br />Ew < 1868 E. Hazelton Ave., Stockton CA 95205 <br />(209) 468-3420 www.sigov.org/ehd <br />/`O R <br />Date (MM/DD/YY) <br />Permit Number <br />Permit Type <br />Facility Name Address City ATI Zip ode CT <br />e if y <br />Permit/Registration Holder Name Pe mit Exp. Date Total Time inspection Typej <br />Received by (Print): Received by (Signature) <br />Specialist (Print): �16w L Specialist (Signature};,.. <br />This report is an Official Notice of Violation. Corrections must be completed in the til <br />A reinspection fee may be charged if violations noted on this report are not correcte <br />D—. of <br />Phone: <br />Phone: - % <br />Iq:40r <br />spection date. Reinspects Date (on or about) <br />