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SR0085619
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4100 – Safe Body Art
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SR0085619
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Entry Properties
Last modified
11/19/2024 10:19:58 AM
Creation date
8/11/2023 4:23:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085619
PE
4103
FACILITY_NAME
IN BLOOM TATTOO & PIERCING STUDIO
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95377
APN
23517130
ENTERED_DATE
8/4/2022 12:00:00 AM
SITE_LOCATION
18 E ELEVENTH ST STE B
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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--ii i <br />°OZ Body Art Inspection Report Date: <br />N. San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95265 Record: <br />�! <br />(269)468-3426 <br />w .sionv.om/ehd Program <br />\FM Element: <br />Notes: <br />1. Inspection report emailed to facility owner, Amanjit Dhanoya, at amansdhanoya@gmail.com. <br />August 10, 2022 <br />SR0085619 <br />4103. <br />2. Class V Integrators are not required to be in pouches and should be attached to the sterilization log. <br />3. Practitioner, Jose Carballo, has an outstanding balance of $304 that is overdue. The balance must be paid to remain <br />registered with the EHD. <br />4. Amanda Brown's permit is currently inactive. To reactivate permit, the practitioner must be with a permitted facility and pay a <br />registration fee of $156. <br />5. A routine inspection will be scheduled after all observations are corrected and all applicable fees are paid. <br />Reinspection on/about: A reinspection fee of $156 per hour may be charged. Page 4 of 4 <br />EH -11/17 <br />
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