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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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13500
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4100 – Safe Body Art
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PR0537651
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COMPLIANCE INFO
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Entry Properties
Last modified
11/20/2024 9:23:08 AM
Creation date
5/18/2023 10:58:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537651
PE
4110
FACILITY_ID
FA0023492
FACILITY_NAME
FORSAKEN TATTOO (HENSON, ANTHONY)
STREET_NUMBER
13500
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
13500 HWY 88
QC Status
Approved
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EHD - Public
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Body Art Inspec n Report 40 <br />Date: S t: 7 h San Joaquin County Environmental Health Department <br />"Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: 11'Y� <br />P>7� S I v . D <br />(209) 468-3420 <br />d<'06-4" www.siogv.xq/ehd Program 1 <br />Element: <br />PR Number PRACTITIONER/ARTIST NAME <br />PR0537651 Tony Henson <br />PRO540070 Jarod Estrada <br />Observations and Corrective Actions: <br />T <br />28. Sterilized instrument packs, equipment and jewelry shall be stored in a labeled container or cabinet that is protected from <br />dust or moisture. Sterile instrument packs shall be evaluated before use; instrument packs shall be discarded or reprocessed if <br />condition is compromised. HSC 119315 -Submit photographic evidence of compliance for the tongue depressors. <br />Unless Otherwise Noted, Corrective Action Due in 30 days. <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 2 of 2 <br />EH -03/2015 <br />
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