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ouiN �'LG - L <br /> Body Art Inspection Report Date(MM/DD/YY) <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.orglehd <br /> ' Permit Type !! <br /> Facility Name Address City Zip Code CT <br /> L 3 FZ. -tom a�O <br /> Perm' egistration Holder Name Permit Exp.Date Total Time Inspection Type <br /> '��, '"� --,��-J ✓ �=�C�-�Lf �t,t�-� .pis c}�� <br /> 14 <br /> �'g OBSERVATIONSANDCORRECTNEACTtONS ;9Fi.,rri, <br /> c � <br /> r <br /> -� <br /> Received b (Print): Received b Sint Phone. <br /> Specialist(Pring: - Specialist(Signature): Phone:ck/7- -1 <br /> F] This report is an Official Notice of Violation.Corrections must be completed in the tirrt spe ifi <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 /> Paoe'4 of9 <br />