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COMPLIANCE INFO_TERI EISERT
Environmental Health - Public
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4100 – Safe Body Art
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PR0538753
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COMPLIANCE INFO_TERI EISERT
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Last modified
7/5/2023 12:09:13 PM
Creation date
5/24/2023 4:27:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0538753
PE
4120
FACILITY_ID
FA0022239
FACILITY_NAME
PRETTY IN INK @ KHARMA SPA
STREET_NUMBER
2009
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11336408
CURRENT_STATUS
02
SITE_LOCATION
2009 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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Page 1 of 3 <br /> Alfonso Arambula [EH] <br /> From: Teri Turrentine[teriturrentine@rocketmail.com] <br /> Sent: Thursday,March 13,2014 9:09 PM <br /> To: Alfonso Arambula[EH] <br /> Subject: Re:BBP Certificate <br /> Attachments: medical&consent form.zip <br /> Here's a copy of the medical consent and the informed consent.They are on one sheet back to back in the physical form. <br /> TeriLynn Turrentine-Eisert <br /> Kharma Spa&Botique <br /> 2009 Pacific Avenue <br /> Stockton CA 95204 <br /> 209.365.3973 <br /> Make your first impression a permanent impression. <br /> Give yourself the gift that lasts a lifetime. <br /> http://www.permanentcosmeticsartist.com/ <br /> On Thursday,March 13,2014 3:02 PM,Alfonso Arambula[EH]<aarambula@sjcehd.com>wrote: <br /> Hello Terri, <br /> Please add the following to your After Care Instructions: <br /> Signs and Symptoms of infection, including,but not limited to,redness,swelling,tenderness of the procedure site,red streaks going <br /> from the procedure site towards the heart,elevated body temperature,or purulent drainage from the procedure site. <br /> Please Include Signs and Symptoms that indicate the need to seek medical care. <br /> I understand you will be using the consent form I provided. There has been a change in the law that requires the statement below, <br /> please include it in the consent form. <br /> State that Tattoo inks,dyes,and pigments have not been approved by the Federal Food and Drug Administration and that the <br /> health consequences of using these products are unknown. <br /> Alfonso Arambula,Sr REHS <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E.Hazelton Ave Stockton,CA 95205 <br /> Email:aarambulaa-sicehd.com (209)468-9673 <br /> EHD Website:http://www.segov.org/ehd Fax Fax(209)468-8392 <br /> From:teriturrentine@rocketmail.com [mailto:teriturrentine@rocketmaii.com] <br /> Sent:Thursday, March 13,2014 12:06 PM <br /> To:Alfonso Arambula [EH] <br /> Subject: Fw: BBP Certificate <br /> Sent from Windows Mail <br /> From:chrys young <br /> Sent:Thursday,March 13,2014 11:39 AM <br /> To:teriturrentine@rocketmail.com <br /> Congratulations you scored a <br /> 100% on your quiz for your Blood Borne Pathogen Training. <br /> 3/14/2014 <br />
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