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SR0083667
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PINE
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4100 – Safe Body Art
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SR0083667
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Entry Properties
Last modified
8/2/2024 11:34:32 AM
Creation date
7/31/2024 2:45:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0083667
PE
4103
FACILITY_NAME
PERFECT BALANCE SALON
STREET_NUMBER
401
Direction
W
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03728008
ENTERED_DATE
5/5/2021 12:00:00 AM
SITE_LOCATION
401 W PINE ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
Tags
EHD - Public
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Singh, Sandip [EHD] <br /> From: Liana Hoang <lianahoang209@gmail.com> <br /> Sent: Tuesday, April 20, 2021 8:32 AM <br /> To: Singh, Sandip [EHD] <br /> Subject: Re: Body Art Consultation <br /> Attachments: image001.png; 20210420_083035 jpg; 20210420_083013.jpg <br /> F <br /> N:This email is originated from outside of the organization. Do not click links or open attachments unless you recognize the <br /> nd know the content is safe. <br /> On Tue, Apr 20, 2021, 8:04 AM Singh, Sandip [EHD] <ssinghehgsj og v.org>wrote: <br /> I Hi Liana, <br /> i <br /> I <br /> To begin the body art permittingprocess a consultation of the shop is required. A service request form <br /> (attached), a diagram of the shop (drawn is ok) and a fee of$152 is required to schedule an appointment for the <br /> consultation. Below you will find a list of what we will look for during the consultation: <br /> 1. One hand-wash sink per two practitioners located in the procedure area. <br /> i <br /> f 2. Hand-wash sink must be permanently fixed and able to supply hot and cold running water. <br /> 3. Hand-wash sinks in the procedure room and restroom must have containerized liquid soap and mounted <br /> touchless paper towel dispenser. <br /> 4. The wall must be free of holes, smooth and easily cleanable. A wall or partition from floor to ceiling is <br /> required for procedure rooms that are located within facilities that provide hair or nail services. <br /> 5. Floor must be non-porous and easily cleanable. <br /> 6. Sterilization certificates and invoices for all purchased single-use needles/blades must be available for <br /> review by the EHD. <br /> 7. A receipt or contract from a licensed waste hauler/mail-back company for the sharps waste container <br /> must be available for review by the EHD. The sharps container must be within arrr_'s reach. <br /> 8. Client consent form, medical questionnaire, and after-care instructions must contain all the requirements <br /> in Form B (attached). <br /> 9. Infection Prevention and Control Plan must be complete and available for the EHD to review. An <br /> Infection Prevention and Control Plan template is attached, you can either use the provided template or any <br /> other form of your choice. <br /> 10. Explain how you set-up and break-down during the procedure. <br /> 1 <br />
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