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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0539655
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COMPLIANCE INFO
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Entry Properties
Last modified
11/13/2025 9:36:11 AM
Creation date
7/19/2023 10:57:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539655
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0022695
FACILITY_NAME
DEATH RAY TATTOO (FAREAS, WES)
STREET_NUMBER
181
Direction
S
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
APN
22208027
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
181 105 S UNION RD MANTECA 95337
Suite #
105
Tags
EHD - Public
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<br /> <br /> <br /> <br />Reinspection on/about:__________________. A reinspection fee of $172 per hour may be charged. Page 3 of 4 <br />EH-11/17 <br /> Body Art Inspection Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.sjogv.org/ehd <br /> <br />Date: May 6, 2025 <br />Program <br />Record: PR0539655 <br />Program <br />Element: 4120 <br /> <br />CORRECTIVE ACTIONS: <br />The facility’s client consent form and medical questionnaire must include all of the information listed in Form B and are available <br />for inspection. Ensure all client records are complete and photo ID of the client is attached. <br /> <br />33. HSC 119314 - Workstation, surfaces, including chairs, armrests, etc. in good repair <br />OBSERVATIONS: <br />1. Damaged chairs and stools were observed at Jose Hernandez’s workstation, Vernon Ring’s workstation, Petra Farea’s <br />workstation, at the drawing station and at the reception desk. <br />2. Absorbent items observed at Jose Hernandez’s old workstation, next to the restroom (hanging shirts) and on a cabinet <br />between the handwashing sinks. <br /> <br />CORRECTIVE ACTIONS: <br />1. 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. Repair or replace all chairs and stools that are damaged. Provide EHD with <br />photographic evidence. <br />2. 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. Remove all absorbent items from the procedure area and provide photographic <br />evidence to the EHD. <br /> <br />35. HSC 119313 - Operation and employee training records present <br />OBSERVATIONS: <br />The training record provided was from April 2022. <br /> <br />CORRECTIVE ACTIONS: <br />Operation and employee training records shall be maintained for 3 years and made available for inspection. A written Infecti on <br />Prevention and Control Plan (IPCP) shall be maintained, followed and updated. Practitioners are to be trained on the IPCP <br />annually or when changes are made to the IPCP. Train all practitioners on the IPCP and provide EHD with a current training <br />record. <br /> <br />37. HSC 119312 - Permits obtained and available <br />OBSERVATIONS: <br />Facility owner is not informing the LEA of new practitioners joining the facility or of practitioners leaving the facility. <br /> <br />CORRECTIVE ACTIONS: <br />A body art facility shall notify the LEA in writing within 30 days of resignation and/or termination of a practitioner. A new hire or <br />apprentice must be registered with the EHD prior to performing body art at the facility. <br /> <br /> <br /> <br /> <br /> <br /> <br />Correct all violations and provide evidence of corrections to the EHD <br />IMMEDIATELY! <br /> <br /> <br />
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