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SR0085863
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4100 – Safe Body Art
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SR0085863
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Last modified
3/8/2024 11:51:19 AM
Creation date
3/5/2024 9:31:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085863
PE
4103
FACILITY_NAME
LOST DREAMS TATTOO AND PIERCING
STREET_NUMBER
5920
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08142103
ENTERED_DATE
10/4/2022 12:00:00 AM
SITE_LOCATION
5920 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Otry.... <br />Body Art Inspection Report Date: <br />y` <1 San Joaquin County Environmental Health Department Program <br />�) 1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />(209) 468-3420 <br />wvnv.sioay.org/ehd Program <br />Element: <br />10/4/22 <br />SR0085863 <br />4103 <br />34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 11931 - Certificate <br />of registration was not posted for Lisa Leann Lopez, Eric Rumaldo Marquez, avi John Javier Jr., lCich0l Todd Carter <br />Jr., and Romel Jacobs Bustamante at the time of inspection. Provide EHD with no otographic proof ofWalth permit <br />posted, after they are obtained from the department. <br />35. Operation and employee training records shall be maintained for 3 years and r iade available for inspection. A written <br />Infection Prevention and Control Plan (IPCP) shall be maintained, followed and up ated. HSC 119313 - Training record was <br />not up to date with employee signatures. IPCP stated that disinfectant sho be left on surface for several minutes. <br />Update IPCP to reflect actual time of disinfectant contact time or until disinfectant is dry. Provide EHD with training <br />records signed by all employees and update IPCP disinfectant time. <br />37. A body art facility shall not conduct business without a valid health permVfing <br />person shall not perform body art without a valid <br />registration and a permitted facility. A body art facility shall notify the LEA in within 30 days of resignation, termination of a <br />practitioner. A new hire or apprentice must be registered the EHD prior to peing body art at the facility. HSC 119312 & <br />119306 — Practitioner's Lisa Leann Lopez, Eric Rumaldo Marquez, David John Javier Jr., Michael Todd Carter Jr., and <br />Romel Jacobs Bustamante are conducting business without a valid health permit. Ensure that all practitioners are <br />registered practitioners before conducting business. <br />,Jain <br />VP, <br />- bio k 4 _ Tu*k <br />-C IG _ tAl,AUE <br />Unless otherwise noted, correct all violations and provide evidence of corrections to <br />the EHD by,October 20, 2022. <br />Reinspection on/about: A reinspection fee of $156 per hour may be charged. Page 3 of 4 <br />EH -11/17 <br />
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