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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0528382
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COMPLIANCE INFO
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Entry Properties
Last modified
5/1/2023 2:56:05 PM
Creation date
7/3/2020 10:15:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0528382
PE
4121
FACILITY_ID
FA0006378
FACILITY_NAME
BLUE MOON TATTOO & PIERCING (DHANOYA, AMANJIT)
STREET_NUMBER
2306
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23346002
CURRENT_STATUS
02
SITE_LOCATION
2306 EAST ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0528382_2306 EAST_.tif
Tags
EHD - Public
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Body Art Ins ec#Re ort Date: .5_19 -c <br />� [ <br />San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />(209) 468-3420 <br />Program <br />www.soqv.org/ehd <br />Element: <br />section 119307. <br />18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br />available for inspection. HSC 119303 <br />19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed in <br />Form B. HSC 119308(b) <br />35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br />Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 <br />41. Remove the power supply from the break room. The break room must not have any body art equipment, instruments, so as tc <br />appear like a procedure area. <br />3F co � �c6 <br />
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