HomeMy WebLinkAboutTanning Inspection FormsTOWN OF YARMOUTH
1146 ROUTE 28 SOUTH Y RMOUTH" lviA.SS .CFUQ,E 1 TS 03664
Tel (508) 398-2231 Fax (508) , ; __ 65
BO.kRD OF HE IL T H
TEMPORARY INSPECTION FORM FOR TANNING FACILITIES
IN ACCORDANCE WITH MGL111 SECTION 207-214
UNTIL SUCH A TIME STATE REGULATIONS ARE PROMULGATED
NAME OF FACILITY: 7 �S
ADDRESS: 17 L p . ^� PHONE: Z5�- 766, 3 6
PERSON IN CHARGE: (' j =; p1/� �;.� Z TITLE:
NUMBER OF TANNING DEVICES: f?j LD
yes no
Customers given a written statement of warning..... ...
Notice posted in conspicuous in every area ✓
that a tanning device is used ......................
Noticemeets wording as required................. ..
Knowledgeableoperator present .................... ✓ ..
Maximum temperature 100 F in tanning facility...... ✓ ...
Accurate timer +/- 10% ............................ ✓ ..
Customers use protective eyewear................... �..
Written consent for patrons 14-17 years of age.....
No patrons under 14 years of age without parent or -�-
guardian............................................ ...
No material claiming use of tanning device is safe
and free from risk ................................ l/
Sanitize Agent available for disinfection.......... ✓...
Comments: L-- U o� 's 6 �✓_l
fv,,e� fir- mac) C,_I e,
You have seven days after receipt of this notice to correct any violations noted
above. The Board of Health may revoke the license of a tanning facility which fails
to comply after said seven days (MGL111 s208) or may impose a fine of $200 to $2000.
If you are aggrieved by a determination of the Department of Public Health within
twenty days of said determination.
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r / D e rson in Charge
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