My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CENTRAL
>
1010
>
4100 – Safe Body Art
>
PR0541621
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/10/2025 10:17:48 AM
Creation date
4/12/2023 3:50:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541621
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0023856
FACILITY_NAME
VERSAILLES SALON (GREEN-FRESE, ERICA)
STREET_NUMBER
1010
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
1010 CENTRAL AVE TRACY 95376
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
93
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
eo Body Art Inspecti(Weport Date: Z/1 Z l q <br /> ? San Joaquin County Environmental Health Department Program pp US �� <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: f <br /> (209)468-3420 Program (� <br /> .\c'CiFORa`P www.sioay.org/ehd Element: — 1'ZO <br /> PR Number PRACTITIONERtARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PRO541622 Erica Green-Frese <br /> Observations and Corrective Actions: <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—Add the statement"or other bleeding disorders"to hemophilia.Correct this prior <br /> to February 26, 2019. <br /> Note: <br /> 1. If you have any question, please contact me at(209)468-3284 or mvue@sjcehd.com <br /> 2. Send a copy of the updated medical questionnaire to the EHD. <br /> 3. Review the Infection Prevention and Control Plan once a year. <br /> 4. Make sure to leave the surfaces wet for a minimum of three minutes for adequate time to disinfect the surfaces. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />
The URL can be used to link to this page
Your browser does not support the video tag.