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4100 – Safe Body Art
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PR0537384
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COMPLIANCE INFO
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Last modified
9/19/2024 12:30:39 PM
Creation date
7/3/2020 10:15:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537384
PE
4121
FACILITY_ID
FA0021488
FACILITY_NAME
ANCHORS AWAY TATTOO (WINANS, SHANE)
STREET_NUMBER
8
Direction
N
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04706018
CURRENT_STATUS
01
SITE_LOCATION
8 N SCHOOL ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537384_209 E KETTLEMAN_.tif
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EHD - Public
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Body Art Inspect*Report Date: 5'9 Q-)y <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 <br /> •c4<i' '"a`P•FOR- Program <br /> www.siogv.org/ehd <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> 537883 Alyssa Dunnet <br /> 522429 James Moral <br /> 537385 Shane Winans <br /> 537386 Daniel B rant <br /> Observations and Corrective Actions: <br /> 4. Sterilizer shall be spore-tested after initial installation, after major repair, and at least once per month. A written sterilization <br /> shall be maintained for 3 years. The log shall include spore-test results each sterilization cycle, date, contents, exposure time and <br /> temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the <br /> sterilizer after a failed spore-test. HSC 119315(b) <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 /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodbome Pathogen Training consistent with <br /> section 119307. <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 /> 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 <br /> Unless otherwised noted all violations above must be corrected in 30 days <br /> Reinspecion on/about: A reinspection fee of$125 per hour may charged. Page 2 of 2 <br /> EH-04/2014 <br />
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