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o Body Art Inspection Report Date(MNUDD/YY) —, <br /> �y County of San Joaquin County,Environmental Health Department <br /> Z16 sa-3 <br /> 1888 E.Hazelton Ave.,Stockton CA 95205 Permit Number <br /> (209)468-3420 www.sjgov.ora/ehd <br /> Permit Type <br /> c�• c� <br /> Facility Name Address City Zip Code CT <br /> PermittRegistration Holder Name Permit Exp.Date Total Time Inspection Type <br /> Emmommoom <br /> ONE= IFAMM <br /> 35. Plan Review p <br /> 36 Permits Obtained&Available* ❑ <br /> Ej37. Impoundment p <br /> 38. Hearing Scheduled ❑ <br /> 39. Closure* ❑ <br /> Items marked with an asterisk*may also havespecUft requirements fortemporary events <br /> �. - <br /> TO <br /> AW"Wilz MR- <br /> C - r N—%6zA-7: -- <br /> 01- <br /> i <br /> G <br /> y IL <br /> (� <br /> Y <br /> R <br /> Received by(Print): Received by(Signatu Phone: <br /> Specialist(Print): Specialist(Signature): Phone: <br /> This 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. Reinspection Date(on or about) <br /> Pact ^ of <br />