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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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PQu/N <br />Body Art Inspection Report <br />Date: <br />a{1 San Joaquin County Environmental Health Department Program <br />1368 E. Hazelton Ave., Stockton, CA 95205 Recorc: <br />"i (209) 468-3420 <br />\� •.- o,' wvna.sioay.oro/ehd Program <br />Q.Ci F pRa� Eleme it: <br />Notes: <br />I c //-/22 <br />3R0085863 <br />#103 <br />1. Inspection report given to Michael Carter. <br />2. Facility owner plans on using Stericycle for sharp's waste disposal. Provide invoice or contract for Ste-icycle services. <br />3. All employees need to sign Infection Prevention Control Plan annually. <br />4. No more than 4 practitioners are allowed to be practicing at any given time. <br />5. Tattoo procedure sink will be shared with Piercer, approved by EHD. <br />6. Do not use instruments without sterilization certificate and invoice. <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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