Laserfiche WebLink
'" c°L Body Art InspectiReport F �' <br />z - San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />cr_, ,FORai www-siogv.org/ehd <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PR0537490 <br />Christopher Flores, BBP CM 2/2/20 <br />'PR0537640 <br />Fernando Hurtado, BBP CM 11/10/20 <br />PRO540259 <br />Bryan Lares, BBP AT 2/4/20 <br />PR0538099 <br />Mario Morales, BBP CM 1/5/20 <br />Observations and Corrective Actions: <br />Date: I I 11LI1 I <br />Program P10' <br />Record: 53t 6 /d <br />Program qj& <br />Element: (( <br />PR Number <br />PRACTITIONERIARTIST NAME <br />PRO542483 <br />Michael Silva, AT 7/26/2020 <br />PR0536973 <br />Jose Zuni a, CM 2/2/2020 <br />18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br />available for inspection. HSC 119303 <br />1. Client consent forms require updating with a statement that inks are not approved by the FDA and the <br />health consequences are unknown. Corrected during the inspection. <br />34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 119312 <br />Jose Zuniga's current permit was not posted. A copy was provided from the department file. Corrected during <br />the inspection. <br />Notes: <br />1. The facility should have the permit changed to 4121 to reflect the autoclave in use in the facility. <br />2. Sterilization certificates were provided and matched to three lots in use in the facility. <br />3. Client records were available. <br />4. Paper towel dispensers were restocked. <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 2 of 2 <br />EH -11 /17 <br />