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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0528382
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COMPLIANCE INFO
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Last modified
5/1/2023 2:56:05 PM
Creation date
7/3/2020 10:15:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0528382
PE
4121
FACILITY_ID
FA0006378
FACILITY_NAME
BLUE MOON TATTOO & PIERCING (DHANOYA, AMANJIT)
STREET_NUMBER
2306
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23346002
CURRENT_STATUS
02
SITE_LOCATION
2306 EAST ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0528382_2306 EAST_.tif
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EHD - Public
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Page 1 of 1 <br /> Alfonso Arambula [EH] <br /> From: Alfonso Arambula [EH] <br /> Sent: Wednesday, May 21, 2014 8:22 AM <br /> To: '42bret@gmail.com' <br /> Subject: Consent Form and AfterCare instructions <br /> Good Morning Bret, <br /> Aftercare instructions that are approved contain the name of the body art facility so I won't be able to provide <br /> those. I don't have a boilerplate aftercare instruction form you may use similar to the consent form and medical <br /> questionnaire form I provided last year. What I can do for you is provide the statements your aftercare forms and <br /> consent forms need. Below add the statements to the forms listed and they will be in compliance. Any questions <br /> you may have contact me. <br /> Dermal Care, Tattoo Care, Piercing Care <br /> -Signs and symptoms of infection, including, but not limited to, redness, <br /> swelling, tenderness of the procedure site, red streaks going from the procedure <br /> site towards the heart, elevated body temperature, or purulent drainage from the <br /> procedure site. <br /> - Signs and symptoms that indicate the need to seek medical care. <br /> For statement#2 Blue Moon must indicate signs and symptoms that indicate the need to seek medical care. <br /> Tattoo Consent Form and Piercing Consent Form <br /> - Notice that tattoo inks, dyes, and pigments have not been approved by the <br /> federal Food and Drug Administration and that the health consequences of using <br /> these products are unknown. <br /> Alfonso Arambula, Sr REHS <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Ave Stockton, CA 95205 <br /> Email: aarambula(a)sicehd.com (209)468-9673 <br /> EHD Website:.hftp://www.sb-qov.or-q/ehd Fax(209)468-8392 <br /> 5/21/2014 <br />
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