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4100 – Safe Body Art
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PR0548626
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COMPLIANCE INFO
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Entry Properties
Last modified
5/7/2026 2:42:03 PM
Creation date
4/3/2025 11:46:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548626
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0026472
FACILITY_NAME
ADORN ME TATTOO (BOU, JENNIFER)
STREET_NUMBER
5759
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
5759 B145 PACIFIC AVE STOCKTON 95207
Suite #
B145
Tags
EHD - Public
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Singh, Sandip [EHD] <br /> From: Jennifer Bou <adornmetattoo@gmail.com> <br /> Sent: Tuesday, May 5, 2026 8:19 AM <br /> To: Singh, Sandip [EHD] <br /> Subject: Re: Body Art - Inspection Report <br /> Attachments: IMG_3896 jpeg; IMG_2303jpeg <br /> Goodmorning Sandip, <br /> Thank you for the report. I am going to send two attachments in this email. <br /> As I was reviewing my consents on my laptop, I realized that the missing items were located on the <br /> original consent form on the last page. It is listed and the client would have to check it off if they do have <br /> any of the conditions. Since my clients did not have any of the listed conditions, it did not appear on their <br /> form. Please let me know if this is an issue that I would need to resolve. I will attach a copy of what it <br /> Looks like on my end. <br /> As for the lots, I have reverted to the original forms and will be able to type in lots on their forms. No <br /> longer moving forward with HIPPA(which locked the forms to where I couldn't go back to add the lots). <br /> I am going to continue using Jotform. <br /> I also attached a copy of the manifest that was missing during our inspection. <br /> On Fri, May 1, 2026 at 3:06 PM Singh, Sandip [EHD] <ssingheh65bs.Jgov.org>wrote: <br /> Good afternoon Jennifer, <br /> Attached is the inspection report for today's inspection. <br /> I spoke with my supervisor about your spreadsheet documentation of the instruments that are used on <br /> the clients, and she is not permitting it. So, either you will have to figure out a way to add the lot <br /> numbers of the instruments to Jot Form, use a different electronic platform for client records or revert to <br /> using paper forms. Let me know what you decide. <br /> Feel free to contact me with any questions. <br /> i <br />
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