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Body Art Inspection Report Date: <br /> r San Joaquin County Environmental Health Department Program <br /> q` <br /> 7868 E.Hazellon Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 Program <br /> n P� v sioov.ora/ehd Element: <br /> NOTES: <br /> 1. Inspection report emailed to facility owner, Christina Ramirez, at talitalestattooMmail.com. <br /> 2. Client's birth certificate is required if client intends to use school ID for identification purpose. Attach birth certificate to client <br /> record(s). <br /> 3. Ensure records of purchase are available for review by the EHD for 90 days after the instrument has been used. <br /> 4. Practitioner permits were handed to Mark Escalante and Erick Jimenez during the inspection. Dennis Escalante's permit was <br /> given to the facility owner. <br /> 5. The facility uses Barnett Medical Services for sharps waste disposal. <br /> 6. All practitioners at the facility, besides Mark, uses the same client consent forms, medical questionnaires and aftercare <br /> instructions. <br /> DATE: April 8, 2021 PROGRAM RECORD: PR0544621 PROGRAM ELEMENT: 4120 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 3 of 3 <br /> EH-11/17 <br />