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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0539015
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COMPLIANCE INFO
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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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.oG Body Art InspeA Report � Date: slal 11$ <br /> Q San Joaquin County Environmental Health Department <br /> Program p I� <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: ftp A d1!' <br /> (209)468-3420 <br /> °q -•_•••••a`P• www.slogv orq/ehd <br /> � Foa ProgramElement: U u p <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PRO537522 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 /> 41. At the completion of the procedure, the practitioner shall do all of the following: <br /> (1)Answer questions regarding the procedure site. <br /> (2) Provide postprocedure instructions. <br /> (3)When covering a procedure site, use a sterile dressing. <br /> (4) Place all used or discarded sharps waste in a sharps waste container. <br /> (5)Wash and disinfect reusable instruments as provided in subdivisions (d) and (e) of Section 119309. <br /> (6) Package and sterilize reusable instruments that may have come in contact with nonintact skin or mucosal surfaces. <br /> (7) Clean and decontaminate the workstation and procedure area. HSC 119308 (b) <br /> Unless otherwise noted, Corrective Action Due in 30 days. <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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