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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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5920
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4100 – Safe Body Art
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PR0548004
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COMPLIANCE INFO
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Entry Properties
Last modified
4/3/2025 10:29:02 AM
Creation date
3/5/2024 9:14:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548004
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0027381
FACILITY_NAME
LOST DREAMS TATTOOS & PIERCING (CARTER, MICHAEL)
STREET_NUMBER
5920
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
5920 PACIFIC AVE STOCKTON 95207
Tags
EHD - Public
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�QUIN <br />>°--*' � <br />Body Art Inspection Report <br />Q <br />San Joaquin County Environmental Health Department <br />Date: <br />m: < <br />Program <br />lw <br />1368 E. Hazelton Ave., Stockton, CA 95205 <br />Record: <br />(209) 468-3420 <br />www.sioay.oro/ehd <br />Program <br />FOR <br />Element: <br />I PR Number I PPACTITIONER/ARTIST NAME I <br />Observations an J Corrective Actions: <br />Notes: <br />PR Number PRACTITIONER/ARTIST NAME <br />10/24/22 <br />PROxxx)= <br />4121 <br />1. Inspection report given to Michael Carter. <br />2. Facility owner plans on using Stericycle for sharp's waste disposal. Provide invoice or contract for Stericycle services. <br />3. All emplowees need to sign Infection Prevention Control Plan annually. <br />4. No more than 4 practitioners are allowed to be practicing at any given time. <br />5. Tattoo procedure sink will be shared with Piercer, approved by EHD. <br />6. Do not use instruments without sterilization certificate and invoice. <br />Reinspection on/aocut A -inspection fee of $156 per hour may be charged. Page 2 of 2 <br />EH -11/17 <br />
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