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88 (STATE ROUTE 88)
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4100 – Safe Body Art
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PR0537651
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COMPLIANCE INFO
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Entry Properties
Last modified
11/20/2024 9:23:08 AM
Creation date
5/18/2023 10:58:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537651
PE
4110
FACILITY_ID
FA0023492
FACILITY_NAME
FORSAKEN TATTOO (HENSON, ANTHONY)
STREET_NUMBER
13500
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
13500 HWY 88
QC Status
Approved
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EHD - Public
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Body Art Inspect Report <br />N San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209)4 68-3420 <br />C ;P <br />4<�F�Ra www.siogv.orq/ehd <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PR0537651 <br />Tony Henson <br />PR0540070 <br />Jarod Estrada <br />PR0539735 <br />John Garcia -no longer working here <br />PR0539693 <br />Thomas Garrison <br />Observations and Corrective Actions: <br />PR Number <br />Date: 5 f 1111S <br />Program <br />Record: P2o S3Z &S 7 <br />Program <br />Element: 4 ILI <br />4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization <br />shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and <br />temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the <br />sterilizer after a failed spore -test. HSC 119315(b) <br />7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol <br />and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br />Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) <br />Notes: 1. Annual IPCP training for all practitioners must be conducted and documented. Retain the IPCP training <br />doumentation. <br />Unless otherwise noted, Corrective Action Due in 30 dans. <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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