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4100 – Safe Body Art
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PR0544944
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COMPLIANCE INFO
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Entry Properties
Last modified
9/24/2024 3:19:58 PM
Creation date
7/3/2020 10:16:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544944
PE
4121
FACILITY_ID
FA0025552
FACILITY_NAME
PORT CITY INK (CORREA-AMAYA, MARISA)
STREET_NUMBER
1412
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
1412 ROSEMARIE LN #A
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0544944_1412 ROSEMARIE_.tif
Tags
EHD - Public
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Body Art Inspect* Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.siogv.org/ehd <br />PR Number PRACTITIONER/ARTIST NAME <br />PRO539729 Humberto Granados <br />Observations and Corrective Actions: <br />No violations noted during this inspection. <br />Notes: <br />Date: '/ills <br />Program <br />Record: <br />Program <br />�' Zo <br />Element: <br />PR Number PRACTITIONER/ARTIST NAME <br />-Submit modified IPCP to EHD within 30 Days. <br />-Verify case numbers listed on sterilization records match case numbers of needles that will be used onsite. <br />-Facility is using Barnett Medical Services, Inc. as its medical waste hauler for sharps waste. <br />-Upon receipt, post facility permit. <br />-Upon receipt, post practioner permit along with bloodborne pathogen training certificate. <br />Reinspecion on/about: A reinspection fee of $125 per hour may charged. Page 2 of 2 <br />EH -04/2014 <br />
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