Laserfiche WebLink
Body Art Inspection Report Dale: June 8, 2022 <br />y, < San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0547735 <br />(209) 468-3420 <br />P v .sioay.om/ehd Program <br />l r.F0 Element: 4120 <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PR0537527 <br />Paul Marquez (BBP ex 1/27/23 <br />were provided to the EHD. <br />4. <br />It <br />is recommended to include the artist's name to the consent <br />forms. <br />Observations and Corrective Actions: <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PR0540496 <br />Bron Francis (BBP exp. 5/12/23 <br />were provided to the EHD. <br />4. <br />It <br />is recommended to include the artist's name to the consent <br />forms. <br />9. No food, drink, tobacco product, or personal effects are permitted in the procedure area. HSC 119309 — A bottle of Pepsi, <br />water bottle and pack of gum were observed in the procedure area. Food and drinks are not permitted in the procedure <br />area. <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 —A client record was not signed by the client and it was incomplete. Ensure all <br />information on the client records are completely filled out. <br />Notes: <br />1. Inspection report was emailed to shop owner, Paul Marquez, at pmaroueztattoos209C"womail com. <br />2. GRP & Associates will be utilized for sharps waste disposal. Ensure sharps waste is disposed when sharps container is full or <br />once per year. <br />3. <br />A <br />clean copy of the consent form, medical questionnaire and <br />post procedure instructions <br />were provided to the EHD. <br />4. <br />It <br />is recommended to include the artist's name to the consent <br />forms. <br />5. <br />In <br />cases where more than one form of ID is required, ensure <br />the name of the client is on <br />both types of IDs. <br />Reinspection onlabout: <br />A reinspection <br />fee of $752 <br />per hour <br />may be charged. <br />EH -11/17 <br />Page 2 of 2 <br />