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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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PR0544944
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COMPLIANCE INFO
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Entry Properties
Last modified
1/28/2025 4:05:13 PM
Creation date
7/3/2020 10:16:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544944
PE
4121
FACILITY_ID
FA0025552
FACILITY_NAME
PORT CITY INK (CORREA-AMAYA, MARISA)
STREET_NUMBER
1412
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
1412 ROSEMARIE LN #A
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0544944_1412 ROSEMARIE_.tif
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EHD - Public
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Body Art Inspection Report Date: / <br />G <br />y ) San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: hR0 S-/ y W4 <br />o P • (209) 468-3420 Program <br />4�,FRri` www.siogv.orq/ehd Element: <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PR0539729 <br />Humberto Granados BBP exp. 8-22-20 <br />PR0539785 <br />Raul Granados BBP exp. 8-23-20 <br />PR0542569 <br />Robert Vierra BBP exp. 4-3-20 <br />Observations and Corrective Actions: <br />PR Number PRACTITIONER/ARTIST NAME <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) — Sterilizer has not been spore tested. Spore test the sterilizer and <br />submit a copy of the results to the EHD. <br />5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a <br />cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper <br />towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) — The <br />procedure chair is close to the sterilization area. Move the procedure chair 5 ft away from the sterilization area. <br />NOTES: <br />1. The body art procedure areas are OK to operate. <br />2. Re -inspection will be conducted prior to providing piercing service. <br />3. Keep all client records for 3 years. <br />4. Pay permit fees to the EHD. <br />ALL CORRECTIONS ARE DUE ON OR BEFORE NOVEMBER 1, 2019. <br />Reinspecion onlabout: A reinspection fee of $152 per hour may be charged. Page 2 of 2 <br />EH -11/17 <br />
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