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4100 – Safe Body Art
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PR0541158
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Entry Properties
Last modified
1/28/2025 2:35:46 PM
Creation date
7/3/2020 10:13:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541158
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0023568
FACILITY_NAME
LIVING WATER STUDIOS (SHEA, THOMAS)
STREET_NUMBER
210
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0541158_210 N MAIN_.tif
Site Address
210 N MAIN ST MANTECA 95336
Tags
EHD - Public
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Body Art Inspec I& Report Date: <br /> �. San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 Program <br /> www.sioqv.wg/ehd <br /> Element: <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PRO537718 Thomas Shea PRO541390 Roman Mackenzie <br /> PRO540634 Ramon Barrera PRO540005 William Edgington-1313P certificate from Gypsy Soul <br /> PRO541162 Jacqueline Leach-no longer working here <br /> PR0540594 Kyle Thaw-no longer working here <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br /> sterilization. The record of purchase, evidence of sterilization,type and number of instruments used shall be maintained for a <br /> minimum of 90 days after use. HSC 119315(f) <br /> 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br /> paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b)- <br /> Long stemmed handles <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. <br /> Unless Otherwise Noted, Corrective Action Due in 30 days. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />
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