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.o <br /> Body Art Inspect*Reort <br /> Date: <br /> San Joaquin County Environmental Health Department <br /> Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PRO53 74,74 <br /> ci` (209)468-3420 Program <br /> q�;F"tlati` www.siogv.orq/ehd 9 <br /> Element: g1e20 <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Fawn Liang-Permit and BBP posted(BBP exp. <br /> PRO515401 10/19/20 <br /> Observations and Corrective Actions: <br /> No violations observed. <br /> NOTES: <br /> 1. Republic Sharps is used for sharps disposal. <br /> 2. Sharps waste has not been disposed of since 2012. <br /> 3.A photocopy of client identification is not kept with client records due to client privacy. Client ID#is written <br /> on consent forms. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of9 <br /> EH-11/17 <br /> �o <br />