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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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13500
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4100 – Safe Body Art
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PR0541030
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COMPLIANCE INFO
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Entry Properties
Last modified
11/20/2024 9:23:24 AM
Creation date
7/3/2020 10:13:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541030
PE
4120
FACILITY_ID
FA0023514
FACILITY_NAME
THE RAVEN TATTOO & ART GALLERY (FREDERICKSEN, ROBERT)
STREET_NUMBER
13500
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
13500 HWY 88
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0541030_13500 HWY 88_.tif
Tags
EHD - Public
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Singh, Sandie [EH] <br /> From: Robert Frededericksen <rfredericksen82@yahoo.com> <br /> Sent: Friday, November 8, 2019 2:10 PM <br /> To: Singh, Sandip [EH] <br /> Subject: Re: Corrections <br /> Will do!Thank you. <br /> Sent from my iPhone <br /> On Nov 8, 2019, at 2:00 PM,Singh, Sandip [EH] <ssingheh@sjgov.org>wrote: <br /> That will work.When you do receive the blade(s) make sure to take a picture of the lot number of the <br /> blade (either the box or the package will work) and send me a copy of the sterilization certificate and <br /> invoice. <br /> From: Robert Frededericksen [mailto:rfredericksen82@yahoo.com] <br /> Sent: Friday, November 8, 2019 1:53 PM <br /> To:Singh, Sandip [EH] <ssingheh@sjgov.org> <br /> Subject: Re: Corrections <br /> I'll put that statement in, and we couldn't get sterilization forms for the blades,she's tossed them out. <br /> When I place an order for her I will make sure they have sterilization forms.She works a full time job <br /> outside of the shop, so I only order when she books an appointment if that's ok. I think the next time <br /> she's microblading is one appointment at the end of the month. If that appointment holds up I'll order <br /> her new blades and send over the proof, If that's ok. <br /> Sent from my iPhone <br /> On Nov 8, 2019,at 1:36 PM, Singh,Sandip [EH] <ssinRheh@siRov.orR>wrote: <br /> Hi Robert, <br /> All the documents look fine, except your consent form does not have the statement inks <br /> are not FDA approved "and health consequences are unknown." Please add that <br /> statement to the consent form and resubmit. Besides that I only need a sterilization <br /> certificate for Shaunnessey's blades. If one is not available then please provide proof <br /> that you have switched blades and provide a copy of the sterilization certificate and <br /> invoice.After those two items are submitted then you are good to go til next year. <br /> Best Regards, <br /> 1 <br />
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