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A. <br /> Body Art Ins eco Report Date: �Z tv/ <br /> c� Y P P <br /> = a San Joaquin County Environmental Health Department <br /> Program i U 7 <br /> 1868 E.Hazefton Ave.,Stockton,CA 95205 Record: e�� y y7 �� <br /> (209)468-3420 Program U <br /> <%FORi°`' www.siogv.orp/ehd 1( 2_0 <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PRO543783 Ludda Her <br /> Observations and Corrective Actions: <br /> 31. A body art facility shall be separated from any residential areas used for sleeping, bathing, or meal preparation and shall not <br /> share a common entrance or toilet facility with residence. The toilet facility must have a sink with hot and cold water, <br /> containerized liquid soap, and single-use paper towels that are dispensed from a wall-mounted, touchless dispenser. HSC <br /> 119314—Paper towel dispenser should be covered to prevent contamination from occurring.Once a new paper towel <br /> dispenser has been installed send proof to the EHD. r'cIhv;, G r c) I . <br /> Notes: <br /> 1. Provide a map of the facility to the EHD. <br /> 2. Facility is ok to open. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />