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4100 – Safe Body Art
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PR0546555
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COMPLIANCE INFO
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Last modified
3/5/2025 2:35:41 PM
Creation date
7/3/2020 10:14:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546555
PE
4120
FACILITY_ID
FA0026404
FACILITY_NAME
ONE TIME TATTOO STUDIO (GARIBAY, JESUS)
STREET_NUMBER
407
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
407 N MAIN ST
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0544223_1818 LUCERNE_.tif
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EHD - Public
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Body Art Insetion Report • Date: Z 12Z ' M <br /> W Z San Joaquin County Environmental Health Department Program <br /> , 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: S F O 0V U 12-13 <br /> (209)468-3420 <br /> N' www.siogv.orQ ena Program <br /> Element: 03 <br /> The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br /> floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art <br /> facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br /> procedure area shall have lined waste containers. HSC 119314& 119317—Wall should be free of holes.Add a plate to the <br /> electrical outlet. Repair the wall.Add light bulb and provide soap to the handwash station. <br /> 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br /> repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br /> durable, and nonabsorbent finish. HSC 119314—Repair armrest to be in good repair. <br /> 34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 119312—Practitioner <br /> should maintain a valid permit and post it in a conspicuous place. <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP)shall be maintained, followed and updated. HSC 119313—The IPCP should be <br /> signed and dated and maintain on the facility at all time. Review the IPCP at least once a year. If there is a new <br /> practitioner, review the IPCP with them and have them sign and date it. <br /> Notes: <br /> 1. Provide a copy of the sterilization certificate for the blades to the EHD. <br /> 2. Provide a copy of the updated medical questionnaire to the EHD. <br /> 3. Provide a copy of the written agreement/contract with a licensed water hauler/mail-back company to the EHD. <br /> 4. Keep all invoices of purchase for blades/needles at the facility for review by the EHD. <br /> 5. Include a copy of clients' driver's license/identification with their records at the facility for review by the EHD. <br /> 6. If you have any question please contact me at(209)4683284 or mvue@sjcehd.com <br /> Unless otherwise noted, correct all violations prior to final/routine inspection and pay all applicable fees. <br />
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