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Body Art Inspect Report 3�zS�Z� S <br /> _ 02 Date: <br /> San Joaquin County Environmental Health Department Program n <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: ?p�Q.QS 7 J r16- <br /> c p (209)468-3420 <br /> Program <br /> gc;FORa` www.slogv.org/ehd g IL� <br /> Element: /4 1 <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PRO536982 Bao T.Nguyen <br /> PR0537697 Joe H.Swanson <br /> PR0537528 Joel Ruiz <br /> PRO537373 Jonathan H.Santos <br /> Observations and Corrective Actions: <br /> No violations noted during this inspection. <br /> Notes: <br /> -Observed incomplete consent/medical questionnaire forms onsite. Ensure consent forms are properly filled out before performinc <br /> body on clients. <br /> -Practioner permit and bloodborne pathogen training for Joe Swanson was not posted. Post and provide evidence of posting <br /> to EHD. <br /> -Submit updated IPCP and training records to EHD. <br /> - Paul Marquez is not longer with this facility(PR0537527) <br /> Reinspecion on/about: A reinspection fee of$125 per hour may charged. Page 2 of 2 <br /> EH-04/2014 <br />