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This document is a notification to the Stanislaus County Department of Environmental Resources regarding the separation of a practitioner from a body art facility.
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How to fill out body art facility notice
How to fill out Body Art Facility Notice of Separation
01
Obtain a copy of the Body Art Facility Notice of Separation form.
02
Fill out the facility name and address at the top of the form.
03
Provide the separation date.
04
If applicable, list the reason for separation.
05
Include the contact information of the facility owner or responsible party.
06
Sign and date the form to certify the information is accurate.
07
Submit the completed form to the appropriate health department or regulatory agency.
Who needs Body Art Facility Notice of Separation?
01
Body art facilities that are closing or discontinuing operations.
02
Health department officials monitoring compliance with body art regulations.
03
Tattoo artists and body art practitioners who need to inform clients and authorities of the facility's status.
04
Any facility that has undergone a change in ownership or management.
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What is Body Art Facility Notice of Separation?
The Body Art Facility Notice of Separation is a formal document used to notify relevant authorities about the separation or closure of a body art facility.
Who is required to file Body Art Facility Notice of Separation?
The owner or operator of a body art facility is required to file the Body Art Facility Notice of Separation when the facility ceases operations.
How to fill out Body Art Facility Notice of Separation?
To fill out the Body Art Facility Notice of Separation, one must provide details such as the facility name, address, reason for separation, and the effective date of closure.
What is the purpose of Body Art Facility Notice of Separation?
The purpose of the Body Art Facility Notice of Separation is to ensure that the proper authorities are informed about the closure of a body art facility for regulatory and health safety reasons.
What information must be reported on Body Art Facility Notice of Separation?
The information that must be reported includes the facility's name, address, contact information, reason for separation, effective date of separation, and any outstanding health or regulatory issues.
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