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PR Number PRACTITIONER/ARTIST NAME <br />Leticia Harris BBP exp. 3/2/24 <br />Observations and Corrective Actions: <br />No violations observed. <br />PR Number PRACTITIONER/ARTIST NAME <br />Britteni Chandler (BBP exp. 8/23/23 <br />Facility May Now Open. <br />Notes.- <br />1. <br />otes:1. Inspection report emailed to facility owner, Leticia Harris, at harrislettie524(a)gmail.com. <br />2. Practitioners will be sharing consent forms, medical questionnaires, aftercare instructions and needle cartridges. <br />3. Ensure client photo IDs are attached to the client consent forms. <br />4. If digital consent forms will be used in the future, then the forms must be approved by the EHD. <br />5. Post permits in a conspicuous location when received. <br />Reinspection on/about: A reinspection fee of $162 per hour may be charged. Page 2 of 2 <br />EH -11/17 <br />Body Art Inspection Report <br />Date: July 19, 2023 <br />San Joaquin County Environmental Health Department <br />Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Record: New Pr# <br />(209)468-3420 <br />`.0 .• P/ <br />9�rFot�r'� <br />www.siogv.ora/ehd <br />Program <br />Element: <br />4120 <br />PR Number PRACTITIONER/ARTIST NAME <br />Leticia Harris BBP exp. 3/2/24 <br />Observations and Corrective Actions: <br />No violations observed. <br />PR Number PRACTITIONER/ARTIST NAME <br />Britteni Chandler (BBP exp. 8/23/23 <br />Facility May Now Open. <br />Notes.- <br />1. <br />otes:1. Inspection report emailed to facility owner, Leticia Harris, at harrislettie524(a)gmail.com. <br />2. Practitioners will be sharing consent forms, medical questionnaires, aftercare instructions and needle cartridges. <br />3. Ensure client photo IDs are attached to the client consent forms. <br />4. If digital consent forms will be used in the future, then the forms must be approved by the EHD. <br />5. Post permits in a conspicuous location when received. <br />Reinspection on/about: A reinspection fee of $162 per hour may be charged. Page 2 of 2 <br />EH -11/17 <br />