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;S Rpt",boy Body Art Inspeco Report Date: <br /> { z` San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 <br /> �iFdR�'�P WWW'sogv.org/ehd Program <br /> -- Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONERIARTIST NAME <br /> PR0537521 Sonny J. Brown-Permit delivered, BBP posted <br /> Observations and Corrective Actions: <br /> 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste"or with the biohazard symbol <br /> and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br /> Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) <br /> 16. Client shall be at least 18 years of age to receive a tattoo, permanent cosmetics, or branding. Body piercing, unless <br /> performed in the presence of parent or guardian, the client, must be 18 years of age. HSC 119302 <br /> -A consent form dated 4/25/15 shows that procedure was performed on a client who was a minor(DOB 9/30/1997). Client did not <br /> check off statement on consent form confirming legal age. <br /> *Ensure consent forms are filled out completely and accurately. Carefully inspect IDs and consent forms to ensure clients are at <br /> least 18 years old. <br /> Unless otherwise noted, all violations noted above must be corrected within 30 days. <br /> Notes: 1.) Facility has emailed needle manufacturer to obtain presterilization certificates. Upon receipt of certificates, submit to <br /> EHD. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />