My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
U
>
UNION
>
181
>
4100 – Safe Body Art
>
PR0539655
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/10/2024 4:01:04 PM
Creation date
7/19/2023 10:57:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539655
PE
4120
FACILITY_ID
FA0022695
FACILITY_NAME
DEATH RAY TATTOO (GOFF, IAN)
STREET_NUMBER
181
Direction
S
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
APN
22208027
CURRENT_STATUS
01
SITE_LOCATION
181 S UNION RD STE 105
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
52
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Body Art Inspect Report Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: /�O S 9('] <br /> 35 <br /> (209)468-3420 <br /> �`P• www.slogv.org/ehd Program 0112 <br /> F _,U <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0541076 Ian Goff,BBP CM 5/20/2020 Bobby Almieda <br /> PRO542031 Kindra Goff,BBP-CM 7/15/2020 <br /> PR0537417 Vernon Ring,BBP-CM 10/02/2020 <br /> PRO543583 Richard Ruiz NOT WORKING <br /> Observations and Corrective Actions: <br /> 7. The sharps waste container shall be within arm's reach and labeled with the word"sharps waste"or with the biohazard symbol <br /> and the word"Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br /> Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) <br /> No evidence available for a recent sharps disposal. Sharp's Compliance was used for the last disposal on 5/112018. <br /> Sharps disposal is required at least once per year. Submit evidence of a sharps disposal by 11/15/2019. <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (I PCP) shall be maintained, followed and updated. HSC 119313 IPCP was not available <br /> with evidence of recent training. Submit an updated copy of the IPCP with evidence of staff training to the EHD by <br /> 11115/2019. <br /> 37. A body art facility shall not conduct business without a valid health permit. A person shall not perform body art without a valid <br /> registration and a permitted facility. A body art facility shall notify the LEA in writing within 30 days of resignation, termination of a <br /> practitioner. Anew hire or apprentice must be registered the EHD prior to performing body art at the facility. HSC 119312 & <br /> 119306 <br /> Bobby Amieda is visiting from Montana ad practicing in the facility without a permit. Mr.Amieda must obtain a permit <br /> immediately. <br /> All evidence of correction is due by 11/15/2019. <br /> There will be a $152 charge for a re-inspection of the corrections are not received by email at <br /> 9easter(cDsiAov.orq by 1111512019. If Mr. Amieda is practicing in the facility without a permit beyond <br /> 11/5/2019 the facility will be charged $152. <br /> Notes: <br /> 1. Richard Ruiz is no longer practicing at the facility. Mr. Ruiz is said to be practicing at Dying Art in <br /> Modesto. <br /> 2. Client consent forms, medical questionnaire, and aftercare procedure have the required information. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />
The URL can be used to link to this page
Your browser does not support the video tag.