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Bod Inspection Art Ins tiReport <br /> o y p p Date: September 12,2023 <br /> yti< San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: New PR# <br /> (209)468-3420 <br /> www.siogv.org/ehd Program <br /> 9�Cic/ Element: 4120 <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Nicole Barber(BBP Ex 8/12/24 <br /> Observations and Corrective Actions: <br /> No vioaltions observed. <br /> Facility May Now Open <br /> Notes: <br /> 1. The inspection report was emailed to owner, Nicole Barber, at changesbeautelounge(a)gmail.com. <br /> 2. Condensing and/or combining the consent forms, medical questionnaires and aftercare instructions for piercings and <br /> permanent cosmetics was suggested to Ms. Barber. <br /> 3. Ensure the lot number of the needles and the client(s) ID are on the client records. <br /> 4. Stericycle will be utilized for sharps waste disposal. <br /> Reinspection on/about: A reinspection fee of$162 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />