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A A <br /> Body Art Inspection Report Date: 11/22/2024 <br /> a San Joaquin County Environmental Health Department Program <br /> 1888 E.HazeHon Ave.,Stockton,CA 95205 Record: AP2401305 <br /> (209)468-3420 <br /> •''¢' N sioayor4/ehd Program <br /> "0cigoa� Element: <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Jennie Rodriguez Above Training exp June 18,2025 <br /> Observations and Corrective Actions: <br /> 9. HSC 119309 -No eating,drinking or smoking -clean clothes. <br /> OBSERVATION: <br /> Observed a mini refrigerator in the procedure area. <br /> CORRECTIVE ACTION: <br /> Comply with HSC 119309(i) No food, drink, tobacco product, or personal effects are permitted in the procedure area. <br /> Corrected onsite. Food items have been removed from the mini refrigerator and only numbing cream and serums are stored in <br /> the unit. <br /> 41. HSC 119309 The practitioner shall maintain a clean and sanitary environment. <br /> OBSERVATION: <br /> Observed a mop stored in the practitioner area. <br /> CORRECTIVE ACTION <br /> Store mop in a different location (not in the practitioner area) <br /> Corrected onsite. Mop removed from the practitioner area and stored in a different location. <br /> Notes: <br /> 1. Report emailed to Jennie Rodriguez Skinshadesstudio(c),outlook.comMe <br /> 2. Medical waste hauler is Stericycle Mail Back 2355 Waukegan Rd. Bannock, IL 6005 <br /> 3. Facility has moved from 37 W. Yokuts Ave#B Studio 5 to Studio 21. Permit and practitioner fee paid. <br /> OK to open facility <br /> Reinspection onlabout: A reinspection fee of$172 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />