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SA N 10 AQ U I N Environmental Health Department <br /> C0U 'N f Y <br /> Body Art Inspection Report <br /> Facility Name: Facility Address: Date: <br /> DREAMSCAPE BROWS(YANG, FONG) 3422 W HAMMER LN, STOCKTON July 12,2021 <br /> No violations observed. <br /> Notes: <br /> 1. The inspection report was emailed to owner, Fong Vang, at fong.vang15@gmail.com. <br /> 2. Sharps waste was mailed back to Sharps Assure on 5/10/21. <br /> 3. A sterilization certificate was provided for the PhiBrows blade with lot# U3 0455. <br /> 4. The IPCP and training records were available for review. <br /> 5. Cherryl Subia is currently on maternity leave and will return to facility. <br /> 6. Michelle Vang is practicing body art at the facility part time. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: 7-12-21 Inspector: Inspector Phone: <br /> Printed Name and Title: SANDIP SINGH, EH Specialist (209)468-3526 <br /> FA0025032 PRO544020 SCO01 07/12/2021 <br /> EHD Rev.6/15/2021 Page 3 of 3 Body An OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />