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4100 – Safe Body Art
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PR0539015
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Last modified
11/19/2024 10:21:04 AM
Creation date
6/13/2023 1:18:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539015
PE
4120
FACILITY_ID
FA0021597
FACILITY_NAME
FOREVER YOURS TATTOO (HULLAR, JOHN J)
STREET_NUMBER
606
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23502302
CURRENT_STATUS
02
SITE_LOCATION
606 W 11TH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Body Art Inspeco Report 40 Date: 41S h <br /> a San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 g P <br /> ,•: Record: fl <br /> (los)46e-3420 �S3� tiS <br /> www,siogv.org/end Program L41-Lb <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0537522 John Hullar <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br /> sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br /> minimum of 90 days after use. HSC 119315(f) <br /> 26. Any part of a tattooing machine that may touch the practitioner during procedure shall be covered with a disposable plastic <br /> sheath. HSC 119311(h) <br /> 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br /> repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br /> durable, and nonabsorbent finish. HSC 119314 <br /> Notes: 1. According to the owner, John Hullar, there will be a new practitioner working in the shop in the near future. John was <br /> instructed to have the practitioner come to the EHD and register. Also the area where the new practitioner will be working at need: <br /> to have the walls repaired so that they are smooth and cleanable. Submit photographic evidence of compliance prior to the new <br /> practitioner working. <br /> Unless Otherwise Noted, Corrective Action Due in 30 days. <br /> Reinspecion oniabout: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />
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