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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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PR0542033
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COMPLIANCE INFO
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Entry Properties
Last modified
3/8/2024 12:25:30 PM
Creation date
3/22/2021 9:48:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542033
PE
4120
FACILITY_ID
FA0024127
FACILITY_NAME
LUMIERE SPA (CARRANZA, GEORGINA)
STREET_NUMBER
15
Direction
W
STREET_NAME
OAK
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
15 W OAK ST
P_LOCATION
02
QC Status
Approved
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EHD - Public
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Brittany Wal <br /> On Mar 8, 2018, at 2:35 PM, Harprit S. Mattu [EH] <br /> <hmattu sicehd.co > wrote: <br /> Brittany, <br /> For Lumiere Spa, only 1 room has been approved <br /> for body art use. Unless you will be sharing that <br /> room with the other practitioner, you will need to <br /> pay for a consultation inspection($152) so that we <br /> can come out and approve another room for use. <br /> Below are our practitioner registration <br /> requirements: <br /> 1. You must register to work at a permitted body <br /> art facility. <br /> 2. Registration fee is $152 (expires July 1st). <br /> 3. You must complete an APPROVED <br /> bloodborne pathogen training course and provide <br /> certificate of completion (see list of approved <br /> courses attached). <br /> 4. A copy of your Driver's License (this can be <br /> taken by counter staff when you come in to <br /> register). <br /> 5. Fill out the 2 masterfile record forms, hepatitis <br /> B declination form* (or provide evidence of <br /> hepatitis B shot records), and the body art <br /> registration form(six month of related experience <br /> section on form is not required). <br /> *We do not provide a form for the hepatitis B <br /> Declination. You can google one and fill it out <br /> (osha website has one). <br /> I attached the necessary registration forms to this <br /> email. <br /> Please let me know if you have any other questions. <br /> Thank you, <br /> 3 <br />
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