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/° &k9.?\C1' Body Art Inspection Report Dale: July 24,2024 <br /> a' San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: 4120 <br /> (209)468-3420 <br /> `mac � w .sioay.om/ehd Program <br /> <rFo Element: New PR# <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> New PR# Alekxis Mondra on BBP Exp. 1/18/25 <br /> Observations and Corrective Actions: <br /> No violations observed. <br /> Facility May Now Open <br /> Notes: <br /> 1. Inspection report emailed to owner,Alekxis Mondragon, at elusivepmu(g�gmail.com. <br /> 2. Facility owner plans to use electronic consent form(s), medical questionnaire(s)and aftercare instruction(s) in the future.All <br /> electronic forms must be approved by the EHD. <br /> 3. Sharps Assure mail-back system will be used for sharps disposal. <br /> 4. Ensure a photocopy of client ID and the needle lot number(s) are with the client record. <br /> Reinspection on/about: A reinspection fee of$172 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />