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1 ' Body Art Inspection Report Date(MMlDDNY) <br /> County of San Joaquin County,Environmental Health Department / <br /> 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 www.sigov.org/ehd L <br /> Permit Type r a <br /> go <br /> !Facility Name Address City Zip Code CT <br /> 11ar`r.� IGrTi7JLIt1 .,y . ycJltlU t'iri..� �1 � �1 kk%t-ley, ��1[•lit LJVt <br /> Permit/Registration Holder Name Permit Exp.Date Total Time Inspection TYK <br /> Sc /� i <br /> OBSERVATIONS AND CORRECTIVE'ACT <br /> 1 J O <br /> L1 VIX <br /> l � -p4 <br /> fi �! <br /> 1910 A -s' i <br /> s slt/0 C4 <br /> s b- f <br /> s I>� <br /> i, ,L <br /> L <br /> 3 - J <br /> �f - z <br /> :l t z' <br /> Received b (Print): Received b Sin ure: "� Phone: <br /> Specialist(Print): l Gti Specialist Si nature - Phone:L7V7"M 73 <br /> This report is an Official Notice of Violation.Corrections must be completed in the ti a sp cifi <br /> F] A reinspection fee may be charged if violations noted on this report are not <br /> ttjcorrected by the reinspection date. Reinspection Date(on or about) <br /> Pace ` of-Y <br />