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0 0 <br /> /o •• co Body Art Inspection Report Date(MM/DDNY) <br /> County of San Joaquin County,Environmental Health Department <br /> Permit Number <br /> w < 1868 E.Hazelton Ave.,Stockton CA 95205 <br /> (209)468-3420 www.sigov.org/ehd <br /> \ •. Permit Type Z11 OL) <br /> /`O R <br /> Facility Name Address city Zip ode CT <br /> Permit/Registration Holder Name Pe mit Exp.Date Total Time Inspection Typej <br /> OBSERVATIONS AND'CORRECTIVEACTIONS <br /> A6 1-77 1V l <br /> -gnoC <br /> AK <br /> a <br /> C)l J?_, �x -� z P-,!2,1 r,- 4 <br /> do�-Ieh At go <br /> w <br /> �- <br /> c �- til 4- <br /> t <br /> 3p AeLfZ-�e� <br /> t10 <br /> Received b (Print): _ Received b (Sinature) Phone: -101-Iql <br /> Specialist Print): �16W Specialist(Signature Phone: <br /> D ► <br /> This report is an Official Notice of Violation.Corrections must be completed in the ti pe fi <br /> A reinspection fee may be charged if violations noted on this report are not corrected y t e inspection date. Reinspects Date(on or about) <br /> ���m of <br />