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Notes: <br />1. Inspection report emailed to facility owner, Leticia Harris, at harrislettie524(aDgmail.com. <br />2. Ensure current Bloodborne Pathogen Training Certificates are posted for all practitioners. <br />3. Practitioners will be sharing consent forms, medical questionnaires, after care instructions and needle cartridges. <br />4. Stericycle will be the sharps waste mail back system utilized by the facility. <br />5. Ensure all practitioners are trained on the Infection Prevention and Control Plan. Training records should be available for <br />inspection. <br />6. If digital forms will be used in the future, they must be approved by the EHD prior to use. <br />Reinspection on/about: A reinspection fee of $162 per hour may be charged. Page 3 of 3 <br />EH -11/17 <br />Body Art Inspection Report <br />2•, - . -. •, <br />Date: July 14, 2023 <br />• <br />San Joaquin County Environmental Health Department <br />Program <br />{ t <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Record: SR0086933 <br />(209)468-3420 <br />, <br />www.sioqv.or-q/ehd <br />Program <br />Element: 4103 <br />Notes: <br />1. Inspection report emailed to facility owner, Leticia Harris, at harrislettie524(aDgmail.com. <br />2. Ensure current Bloodborne Pathogen Training Certificates are posted for all practitioners. <br />3. Practitioners will be sharing consent forms, medical questionnaires, after care instructions and needle cartridges. <br />4. Stericycle will be the sharps waste mail back system utilized by the facility. <br />5. Ensure all practitioners are trained on the Infection Prevention and Control Plan. Training records should be available for <br />inspection. <br />6. If digital forms will be used in the future, they must be approved by the EHD prior to use. <br />Reinspection on/about: A reinspection fee of $162 per hour may be charged. Page 3 of 3 <br />EH -11/17 <br />