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COMPLIANCE INFO_TAYLOR MULROONEY
EnvironmentalHealth
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KETTLEMAN
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1110
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4100 – Safe Body Art
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PR0544830
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COMPLIANCE INFO_TAYLOR MULROONEY
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Entry Properties
Last modified
6/13/2023 3:02:28 PM
Creation date
7/3/2020 10:14:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544830
PE
4120
FACILITY_ID
FA0025477
FACILITY_NAME
THE LOFT (MULROONEY, TAYLOR)
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
1110 W KETTLEMAN LN STE 41
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0544830_1110 W KETTLEMAN_.tif
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EHD - Public
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oIns ectle Report • <br /> jf ...,• .� y P Date: <br /> Body Art <br /> San Joaquin County Environmental Health Department Program Seo i (y <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 Program U <br /> ' <)F6'R°'� www.siogv.org/ehd Element: 1��� <br /> Notes: <br /> 1. Maintain a copy of the clients' Driver's License with the client consent form. <br /> 2. Include the lot number and expiration date of the bladesineedles use on the client with the client consent form. <br /> 3. When there is a new practitioner working at the facility, review the Infection Prevention and Control Plan with <br /> them. Have them sign and date the IPCP. <br /> CORRECT ALL VIOLATIONS PRIOR TO FINAL INSPECTION. <br />
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