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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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u�" oBody Art Ins eCARe ort <br /> Date: l0��t5I[g <br /> y2' San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: p'Rp s y,2 <br /> (209)468-3420 <br /> • � , {-\P. Program <br /> 9<rF�iR? wvwv.slogv.orglehd Element: J.41.0 <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> John Hullar(BBP exp.6-20-20).BBP and permit <br /> PRO537522 posted. <br /> Observations and Corrective Actions: <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)—Sharp container was not disposed of for <br /> over a year. Dispose of sharp container by using a licensed waste hauler or approved mail back system. Provide a copy <br /> of the manifest to the EHD. <br /> The above mentioned correction is due by November 8, 2019. <br /> NOTES: <br /> 1. Barnett Medical Services Inc is the mail back system utilized. <br /> 2. Opticide is used for disinfectant,the contact time is 3 minutes. <br /> 3.John is the only practitioner at the shop. <br /> 4. Maintain all client consent forms at the site for 3 years and available to the EHD. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 /� <br />
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