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4100 – Safe Body Art
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PR0537378
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Entry Properties
Last modified
3/21/2024 1:37:57 PM
Creation date
7/3/2020 10:15:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537378
PE
4121
FACILITY_ID
FA0021482
FACILITY_NAME
WICKED WAYZ (MOHAMED ABDULLAH)
STREET_NUMBER
920
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742011
CURRENT_STATUS
01
SITE_LOCATION
920 S CHEROKEE LN #A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537378_920 S CHEROKEE_.tif
Tags
EHD - Public
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pUiry .. <br />fZ'P°Z Body Art Inspects Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.sioa.org/ehd <br />PR Number <br />PRACTITIONERIARTIST NAME <br />PRO537381 <br />Terry Minatre <br />PRO537379 <br />Sultan Abdullah-BBP certificate expired <br />Observations and Corrective Actions: <br />Date: "11 -7 l 1 <br />Program <br />Record: n s 3 3 � 8 <br />Program <br />Element: Z 1 <br />PR Number PRACTITIONER/ARTIST NAME <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) -Submit a copy of a purchase record and sterilization certificate. <br />13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br />section 119307. <br />16. Client shall be at least 18 years of age to receive a tattoo, permanent cosmetics, or branding. Body piercing, unless <br />performed in the presence of parent or guardian, the client, must be 18 years of age. HSC 119302 -This is a repeat violation. <br />Prior to any tattooing or piercing, a copy must be made of the customer's (or guardian) identification to prove age. If <br />this violation continues for the next routine inspection, an automatic re -inspection will be conducted at a rate of $130 <br />per hour. <br />Notes: 1. All dressings used must be sterile. <br />2. Document (signature and date) when the IPCP is discussed annually. <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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