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Body Art Inspection Report Date: <br />r San Joaquin Gounty Environmental Health Department pro ram <br />d` ? 9 <br />7868 E. Hazelton Ave., Stockton, CA 95205 Recerd: <br />(269) 468-3420 Pfogram <br />,����" P� vHnv sioov.ara/ehtl <br />Element: <br />NOTES: <br />1. Inspection report emailed to facility owner, Christina Ramirez, at talitalestattooCcagmail.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 <br />PROGRAM RECORD: PR0544521 <br />PROGRAM ELEMENT: 4120 <br />Page 3 of 3 <br />Reinspecion onlabout: <br />A reinspection fee <br />of $152 <br />per hour may be charged. <br />EH -11/17 <br />� <br />