Tooele Health Department
             
Tooele County Health Department
151 N. Main Street, Suite 140 - Tooele, UT 84074
Phone (435) 277-2440 Fax (435) 277-2444
Application for Body Art Facility Plan Review

Please put N/A for any fields that are not applicable
Business Owner's Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
Facility Name
Phone Number
Street Address
Mailing Address
Types of Services Offered (mark all that apply)
Tattooing
Permanent Makeup
Body Piercing
Branding
Which of the following will you be using?
Please refer to Utah Administrative Rule R392-701-7 and Tooele County Regulation #10 Body Art Facilities
Each Body Art Operator must have the following:

Facility Requirements R392-701-7:

  • Toilet room with a hand sink that is accessible to artist and clients
  • Hand sink must be used for handwashing only and in or immediately adjacent to the toilet room, r392-701-7 (2)(a)(i)
  • Approved hand drying, r392-701 (2)(a)(iv)
  • Separate, readily available handwashing sink that is accessible to artists and clients, r392-701-7(2)(b)
  • At least 1 procedure area screened from the public
  • Covered trash with a foot pedal or sensor
Required Forms:
  • Inventory list, R392-701-14 (8)(a)
  • Client consent and Disclosure form, R392-701-14
  • Aftercare instructions, R392-701-11 (14)
  • Scale drawing of floor plan, Sec. 4.1

Please email all required forms to eh@tooeleco.gov

All of the above statements are true. I understand that any false information on this application may be cause for denial or revocation of my Body Art Health Permit. Permits may be revoked or suspended for violation of
Tooele County Health Department Regulation #10.
Permits are non-transferable.
If any changes are made to the facility, operators, or processes, please let your Body Art Inspector know or email us at eh@tooeleco.gov
BODY ART ESTABLISHMENT PLAN REVIEW:   $175.00   Select:   Item Subtotal:  
$0.00
Total:
$0.00

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