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MEETING PACKET APRIL 2010 s M CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DcRr::r,Ns1wM.(a�snr..r nr.c; LU DAVII)GRI11=?NBAU.X1 AcnNG Hl:ay..,T1-I.Acr N r NOTICE OF MEETING You are hereby notified that the Salem Board of Health will hold its regularly scheduled meeting on Tuesday,April 13, 2010 at 7.00 PM at City Hall Annex, 120 Washington St. Room 311, MEETING AGENDA 1. Call to order 2. Approval of Minutes from March 9, 2010 3. Chairperson Announcements 4. Public Health Announcements/Reports/Updates a. Health Agent = _ b. Public Health Nurse c. Administrative • d. Councillor Liaison n w 5. Variance request from Nikki Leitao on micro-pigmentation regulations ,'; 6. Projects waiting for comments from the Board A. Project Type—Site Plan Review Applicant: High Rock Bridge Street, LLC (Senior Center development) Project Name & Address: 401 Bridge Street& 44 Boston Street Contact Person: Attorney Joseph Correnti 978-744-0212 _ B. Project waiting for comments from the Board Project Type—Site Plan Review Applicant: Kennedy Development Group, Inc. (Lowe's/Wal-Mart development) Project Name & Address: 460, 462, 440, & 488 Highland Avenue(map 3 lots 1, 2, 3, & 4) Contact Person: Attorney Joseph Correnti 978-744-0212 7. Miscellaneous 8. Adjournment Next regularly sched I meeting is May 11, 2010 at 7pm at City Hall Annex, 120 Washington St,Room 311 • David G een au Acting Health Agent cc. Mayor Kimberley Driscoll, Board of Health, City Councilors CITY OF SALEM BOARD OF HEALTH N MEETING MINUTES March 9, 2010 *EMBERS PRESENT: Dr. Barbara Poremba, Chairperson,Noreen Casey, Gayle Sullivan, Marc Salinas, & Dr. Larissa Lucas OTHERS PRESENT: David Greenbaum, Acting Health Agent & Tracy Giarla, PHN MEMBERS EXCUSED: Kemith LeBlanc & Martin Fair TOPIC DISCUSSION/ACTION 1. Call to Order Meeting called to order by Dr. Poremba, Chair, at 7:00pm. 2. Minutes of the Meeting Approved unanimously (Feb. 9, 2010) 3. Chairperson's Announcements Member Resignation: Chair recognizes resignation of Noreen Casey, RN at the expiration of her appointed term this month. The Board formally recognizes and thanks her for her service and contributions as a member of the board for the last 3 years. Sr. Sanitarian Position: Chair discusses the opening for the Sr. Sanitarian position and presents the written qualifications to all board members. These • qualifications include that the position requires licensure as a state sanitarian. D. Greenbaum expresses his interest in this position but has not successfully passed the licensure exam. He has worked for the BOH for 6 years plans to retake the exam in July. Since this is a requirement for promotion from Sanitarian to Sr. Sanitarian and that the Sr. Sanitarian would be responsible to the supervision of other Sanitarian who may already be licensed, the Chair suggests that the position be left unfilled until D. Greenbaum is able to take and successfully complete the licensure requirements. D. Greenbaum is concerned that the position may not be there in July. Given this possibility, the board would allow D. Greenbaum to apply for the position with the understanding that he would have one year in order to become licensed. Motion: to post Sr. Sanitarian Position 4 in favor, 0 opposed, 1 abstention(as per custom of Chair) Motion passes 4. Monthly Reports-Updates A. Administrative Presented and approved. See attached. Report • B. Public Health Nurse Presented and approved. See attached. Report Board requests that all reports contain not only current activities but also future plans or activities (i.e. scheduled clinics) C. Acting Health Presented and approved. See attached. -; Agent Report Acting HA suggests that BOH request that Medicare reimbursements for immunizations and DOT request that City Council allow this money to be used for BOH rather than to go into the general fund. The Board supports this plan. • D. City Council Liaison None presented. Updates 5. Body Art Regulation Additions Regulations attached; additions in brief are listed below: Section 2.0 Definitions I #4 passing grade of C or better #5 Apprenticeships (# is new to regulations) #19 Guest practitioner (# is new to regulations) #27 Permanent make-up/Micro Pigmentation (#is new to regulations) Section 3.0 General #4 Proof of age to be determined by government issued photo I.D. #10 Permanent make-up/Micro-Pigmentation artist requirements #11 Establishment permit must specify what type of body art the establishment is permitted for #12 Practitioners permit must specify what type of body art the practitioner is permitted for #18 Hard wired telephone land line in good working order • Section 4.1 Apprentices section is new to regulations) #1 No more than one apprentice per establishment #2 Apprentice must be 18yrs of age #3 Apprentice must complete training in first aid and CPR #4 The apprenticeship shall last no longer than 2 years. The 1 S`year shall focus on class work including an OSHA course on the prevention of disease transmission and blood borne pathogens, anatomy class for piercing apprentice, on the job training including but not limited to observation, sterilization of equipment and work station. 2"d year will be learning the art of body art. #5 Permanent make-up/Micro-Pigmentation apprenticeship shall be allowed—.must be certified by the American Academy of Micro- Pigmentation. Section 4.2 Guest Artist (section is new to regulations) #1 The guest artist works under the auspices of the permitted body art establishment. #2 The guest artist must apply for a temporary body art permit by: a. submitting application b. paying fee c. provide documentation of one year experience as licensed practitioner d. provide documentation of basic first aid and CPR e. provide documentation of OSHA course—prevention of disease transmission and blood borne pathogens E provide knowledge of anatomy of the human body #3 Guest artists will be limited to practicing no more than 30 days per calendar year. Section 5.0 Facilities and Equipment #14 Animals—with the exception of service animals and a fish tank in the waiting area no animals shall be allowed including reptiles. Fish tank inust be professionally cleaned twice per month #16 G. Complimentary non alcoholic fluids for consumption are • allowed in areas where body art is performed. M. there must be a covered foot operated waste receptacle in each work station. Motion: to approve the designated changes to body art regulations. 4 in favor, 0 opposed, 1 abstention (as per custom of Chair) Motion passes 6. MEETING ADJOURNED: 9:30 p.m. Respectfully submitted, Heather Lyons Clerk of the Board Next regularly scheduled meeting is April 13, 2010 at 7pm At City Hall Annex, 120 Washington Street,Room 311 Salem. • • e Acting Health Agent Report • March 2010 March 2,2010 • Conducted a plan review for the food service operation at the Salem School of Music • Conducted a plan review for the proposed new food service establishment Rizzo's Roast beef. March 3,2010 • Attended the Senior Staff Meeting in the Mayors office. March 10,2010 • Conducted trash re-inspection at 36 Loring Avenue March 11,2010 • Conducted a plan review for the proposed new food service establishment Little Caesars Pizza • Attended clerk Magistrate hearing in Salem District Court for trash violations at 36 Loring Avenue. Case continued for 30 days. March 15, 2010 • Conducted a plan review for Outtakes, the proposed new food service operation at Salem State College • Conducted a housing inspection at 4 Lynch Street. Order issued. March 16,2010 • Conducted a plan review for the change of ownership for Sonoma Restaurant • • Conducted a housing inspection at 80 Wharf Street. Order issued. March 17, 2010 • Attended the Senior Staff Meeting in the Mayors office. • Conducted an opening inspection of Castle Creek Adventure Land. March 18, 2010 • Conducted a housing inspection/walk through with the landlord at 40 Park Street. Orders issued. March 22,2010 • Attended the statewide H1 N1 Lessons learned conference at the DCU Center in Worcester. March 24, 2010 • Attended the monthly NS/CA Emergency Preparedness Coalition meeting in Peabody. March 25, 2010 • Attended the Mayors monthly Department Head meeting. • Conducted an opening inspection of the new food service establishment Caf6 Valverde. March 29, 2010 • Attended a meeting with the proposed owner of the new food service operation at the old bathhouse at Salem Willows. March 30, 2010 • Attended a budget meeting with the Mayor and Finance Department. • • CITY OF SALEM, MASSACHUSETTS � � • BOARD OF HEALTH 120 WASHINGTON STREET,4"`FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR D(;Rr-,F.,NBAUM@SAr,rM.COM DAVI:D GREENBAAUM Public Health Nurse Report ACTING HEALTH A<:il:{.N'I' March 2010 Activities Disease Prevention • In contact with North Shore Pulmonary Clinic regarding active cases and case contacts. • 5 Household contacts of an active case tested. One was positive and referred to NSPC. CXR negative. • Investigated communicable disease cases and reported to the MDPH. Meetings/Clinics • • DOT weekly for an active TB case. • Attended the NSCAEP meeting at the Peabody DPW. • Attended a North Shore Public Health Nurses meeting to discuss H 1 N 1 after action report. • Attended the quarterly North Shore Regional TI3 meeting for active cases on the North Shore at the North Shore Pulmonary Clinic. • Attended the Statewide Conference on H 1 N 1 "Lessons Learned" held at the Worcester DCU Conference Center. • Attended the North Shore Head Start Health Fair held at the Knights of Columbus. We offered H 1 N 1 vaccinations 28 vaccinated. • Office visits for H1 N1 in March: 78. H1 N1 Total: Distributed to Salem 4700 Administered at Salem Clinics 3189 Redistributed to Providers 379 Mist expired 683 • Novartis expired 70 Doses remaining: CSL MDV (expires 6/10) 260 Sanofi (expires 4/11) 59 Wasted/Drawn up 60 N CITY OF SALEM, MASSACHUSETTS . � + • BOARD OF HEALTH 120 WASHINGTON STREET,4"-'FLOOR TEL. (978) 741-1800 ICMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR Dcx[?:F.?NBAUM C@SAI.,r,M.(.OM DAVID GR}:L NBAUM. ACTING HEALTI-I AGEN'I' MONTHLY REPORT OF COMMUNICABLE DISEASES MARCH 2O10 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 1 0 1 1 HEP B 1 0 1 1 H1N1 O O O 0 INVASIVE GAS 1 O 1 1 L.YME 1 0 1 1 • SALMONELLA 0 0 O 0 TUBERCULOSIS 1 1 O 1 VARICELLA 1 0 Campylobacter: 66y/0 Non Foodhandler. Underlying intestinal illness. Symptoms lasted 2 months before MD visit. Tuberculosis: One carry over cases seen by an Infectious Disease doctor at NSMC NSCH. DOT weekly New Case: 74 year old male. Smear positive, abnormal CXR. Currently hospitalized. Hep B: New arrival. Prenatal test. Household contact vaccinated. Invasive Group A Strep. Post Partum. Worked with epidemiologist from MDPH on case. Varicella: 16 y/0 unimmunized male. Sibling diagnosed by M.D. two weeks before. Neither case was reported. I spoke with MD to remind him of current isolation and quarantine regulations. • Administration Monthly Report March-10 Burial Permits @$25.00 $1,575.00 Permits $2,415.00 Certificate of Fitness@$50.00 $3,150.00 Copies $0.00 Fines= $0.00 Total Monies Collected = $7,140.00 Animal Bites Reported=1 0 Annual Budget Expended Available Balance Salary/Longevity $356,823.00 $218,741.27 $133,112.78 Annual Budget Non-Personnel $21,200.00 $7,213.20 $9,017.85 03/05/2010 FRI 12:41 FAX 781 592 1129 SHUTZER GOODMAN KAUFMAN V]001/001 LAW OFFICE OF CARL D. GOODMAN 152 Lynnway—Suite 1E LYNN,MASSACHUSETTS 01902 781-593-2016-- 781-639-8100 781-592-1129 facsimile Carl D. Goodman Coreen Sullivan carlOationmygoodman.com csullavan®attomi ygoodman.cow By Facsimile &Email 1 978-745-0343 d�reenbaum@)salernxorn;HLyonsQSalem.com March 4, 2010 Board of Health 120 Washington Street Salem, MA 01970 ATTN: Mr. David Greenbaum,Director RE: Salem'Transfer Station/Northside Carting,Inc. Application for Minor Modification to Site Assignment • Dear Mr. Greenbaum: Pursuant to G.L. Chapter 30A Section 14 I request that the Board of Health certify Ythe names and addresses of all parties to the above-referenced proceeding as disclosed by your records. Very truly yours, CARL D. GOODMAN CDG:hbs • • CITY OF SALEM, MASSACHUSETTS Bo,um OF HFAI,TI-I 120 WASHINGTON STREET,4''FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978)745-0343 MAYOR DGltl31?NBAUM@SA1..I:M.CQM DAwD GR.E[NBAUM ACTING HEALTH A<.EN"I' March 29, 2010 Re: 401 Bridge Street&44 Boston Street, Salem, MA Atty. Joseph Correnti 63 Federal Street Salem, MA 01970 Dear Atty. Correnti: • The Salem Board of Health requests your presence at the next Board of Health meeting for a discussion of the plans for 401 Bridge Street&44 Boston Street. The meeting will be held Tuesday, April 13, 2010 at City Hall Annex, 120 Washington Street 3rd floor conference room. If you have any questions, contact me at 978-741-1800. -tflcerely, For he BXenaum ealth David , A ting Health Agent DG/HL cc: Dr. Barbara Poremba, Chairperson of the Board of Health and Members • 40D CITY OF SALEM, MASSACHUSETTS BO<-�RD OF HEALTH 120 WASHTNGTON STREET,4"i FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DCRf ENBAUM@SAI.,I M.COM DAV1D GREF,NBAUM AC'T1NG HEArn.-{AC;L?NT March 29, 2010 Re: 460, 462, 440, &488 Highland Avenue. Salem, MA Atty. Joseph Correnti 63 Federal Street Salem, MA 01970 Dear Atty. Correnti: The Salem Board of Health requests your presence at the next Board of Health meeting for a discussion of the plans for 460, 462, 440, &488 Highland Avenue. The meeting will be held Tuesday, April 13, 2010 at City Hall Annex, 120 Washington Street 3"d floor conference room. If you have any questions, contact me at 978-741-1800. —Sincerely, For he Boa Health David Gr enb um, cting Health Agent DG/H L cc: Dr. Barbara Poremba, Chairperson of the Board of Health and Members • Public Health Nurse Report March 2010 Activities Disease Prevention • In contact with North Shore Pulmonary Clinic regarding active cases and case contacts. • 5 Household contacts of an active case tested. One was positive and referred to NSPC. CXR negative. • Investigated communicable disease cases and reported to the MDPH. Meetings/Clinics • DOT weekly for an active TB case. • Attended the NSCAEP meeting at the Peabody DPW. • Attended a North Shore Public Health Nurses meeting to discuss H1 N1 after • action report. • Attended the quarterly North Shore Regional TB meeting for active cases on the North Shore at the North Shore Pulmonary Clinic. • Attended the Statewide Conference on H1 N1 "Lessons Learned" held at the Worcester DCU Conference Center. • Attended the North Shore Head Start Health Fair held at the Knights of Columbus. We offered H1N1 vaccinations 28 vaccinated. • Office visits for H 1 N 1 in March: 78. H1N1 Total: Distributed to Salem 4700 Administered at Salem Clinics 3189 Redistributed to Providers 379 Mist expired 683 Novartis expired 70 Doses remaining: CSL MDV (expires 6/10) 260 Sanofi (expires 4/11) 59 Wasted/Drawn up 60 • • MONTHLY REPORT OF COMMUNICABLE DISEASES MARCH 2O10 DISEASE NEW CARRY OVER DISCHARGED REPORTED CAMPYLOBACTER 1 O 1 1 HEP B 1 O 1 1 H1N1 O O O 0 INVASIVE GAS 1 0 1 1 LYM E 1 0 1 1 • SALMONELLA O O 0 0 TUBERCULOSIS 1 1 0 1 VARICELLA 1 O 1 1 Campylobacter: 66y/0 Non Foodhandler. Underlying intestinal illness. Symptoms lasted 2 months before MD visit. Tuberculosis: One carry over cases seen by an Infectious Disease doctor at NSMC NSCH. DOT weekly New Case: 74 year old male. Smear positive, abnormal CXR. Currently hospitalized. Hep B: New arrival. Prenatal test. Household contact vaccinated. Invasive Group A Strep. Post Partum. Worked with epidemiologist from MDPH on case. Varicella: 16 y/0 unimmunized male. Sibling diagnosed by M.D. two weeks before. Neither case was reported. I spoke with MD to remind him of current isolation and quarantine regulations. is Page 1 of 3 Subj: CDC Flu Update • Date: 3/29/2010 10:11:24 A.M. Eastern Daylight Time From: D....o..n....,n..a......Lazor...ik.@.sta_..te.....,..ma.,us To: Donna.Lazorik@state.ma us Activity Update: • Domestically and abroad, 2009 H1N1 influenza viruses continue to circulate and remain the predominate virus among all subtyped influenza A viruses. • In the U.S., while flu activity remains relatively low nationally, the Southeast is experiencing increases in activity, according to the March 14-20, 2010 FluView. Most flu continues to be 2009 H1 N1. • Recent 2009 H 1 N 1 viruses are similar to the virus chosen for the 2009 H 1 N 1 vaccine, and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception. • The FluView report is published weekly from October through mid-May at http://www.cdc.gov/flu/weekly/fluactivity.htm, or see hftp://www.cdc.gov/hlnlflu/update.htm for a summary of the weekly domestic update. • In nearly all countries of the world where influenza virus infections have been reported, the 2009 H 1 N 1 virus continues to predominate among all subtyped influenza A viruses. • There are still uncertainties surrounding the rest of this flu season, including the possibility of the circulation of seasonal influenza viruses and ongoing circulation of 2009 H1N1 viruses. • CDC estimates that between 42 million and 86 million 2009 H1N1 cases occurred • between April 2009 and February 13, 2010. The mid-level in this range is about 59 million people infected with 2009 H1N1. Previous infection with 2009 H1N1 should confer immunity. • A large number of people in the United States are likely to have antibody or immunity against 2009 H1 N1 from vaccination and/or infection with 2009 H1N1. However, with a population of more than 300 million in this country, a substantial number of people likely remain susceptible to 2009 H1 N1, which continues to circulate at this time. CDC Recommendations: • CDC continues to recommend vaccination against 2009 H1 N1. • Ongoing vaccination of people with certain health conditions is particularly important because most cases of serious 2009 H1 N1 illness have occurred in people with underlying medical conditions. The age group with the highest rate of 2009 H1N1 deaths has been people between the ages of 50 and 64 years of age; 80 percent of whom have had an underlying health condition, but the age group with the highest rate of hospitalization is children less than 5 years of age. • Health conditions that increase the risk of being hospitalized from 2009 H1 N1 include lung disease like asthma or chronic pulmonary disease (COPD), diabetes, heart disease, or neurologic disease and pregnancy. In addition, minority populations have been harder-hit by the 2009 H1N1 pandemic., than non-minority groups. There also is growing evidence to support early concerns that people who are morbidly obese are at greater risk of serious 2009 H1 N1 complications. • CDC also is encouraging people 65 years and older to get vaccinated against 2009 H1N1. Although less likely to get sick with 2009 H1N1 than younger people, people 65 and older are at higher risk of serious complications if they do get sick. Wednesday, March 31, 2010 America Online: tlgiarla Page 2 of 3 • Providers should ensure that children younger than 10 years old get both doses of 2009 H 1 N 1 vaccine. The recommended interval between the first and second dose is • 28 days. • It remains very important that antiviral drugs be used early to treat flu in people who are very sick (e.g., people who are in the hospital) and people who are sick with flu and have a greater chance of getting serious flu complications, like people with asthma or diabetes, or women who are pregnant, or people who are 65 and older. 2009 H1N1 and Travel • Pandemic 2009 H1 N1 influenza viruses are expected to continue to circulate throughout 2010, including during the typical Southern Hemisphere influenza season. Any traveler who wants to reduce the risk for pandemic 2009 H1N1 influenza infection should get vaccinated with the influenza A (H1 N 1) 2009 monovalent vaccine, preferably at least 2 weeks before departure. • Travelers who have already received this vaccine do not need to be revaccinated. More on Domestic Activity • Visits to doctors for influenza-like illness ILI remained stable and relative) low (ILI) Y nationally. However, ILI is also looked at by region, and three of 10 U.S. regions reported elevated ILI for the week ending March 20. Elevated ILI was seen in Regions 4, 7 and 9. o Region 4 is comprised of Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee. o Region 7 is comprised of Iowa, Kansas, Missouri and Nebraska. o Region 9 is comprised of Arizona, California, Hawaii and Nevada. (Last week, only region 4 had elevated ILI.) • Laboratory-confirmed hospitalizations rates have leveled off and very few • Hospitalizations were reported by states during the week ending March 20; however, some states in the Southeast are reporting recent increases in the number of flu- related hospitalizations. • The proportion of deaths attributed to pneumonia and influenza (P&I) based on the 122 Cities Report increased over last week, but in general remains low nationally. • One flu-related pediatric death was reported this week which was associated with an influenza A virus for which the subtype was undetermined. • Since April 2009, CDC has received reports of 332 laboratory-confirmed pediatric deaths: 278 due to 2009 H 1 N 1, 52 pediatric deaths that were laboratory confirmed as influenza A, but the flu virus subtype was not determined, and two pediatric deaths that were associated with seasonal influenza viruses. (Laboratory-confirmed deaths are thought to represent an undercount of the actual number. • No states reported widespread influenza activity. Three states reported regional influenza activity: Alabama, Georgia and South Carolina. • Local and regional flu activity has been sustained in the Southeast of the United States over the past several weeks. • The majority of the influenza viruses identified so far continues to be 2009 H1 N1 influenza A viruses. These viruses remain similar to the virus chosen for the 2009 H 1 N 1 vaccine, and remain susceptible to the antiviral drugs oseltamivir and zanamivir with rare exception. • Some influenza B viruses are circulating at low levels, and these viruses remain similar to the influenza B virus component of the 2009-10 seasonal flu vaccine. • Although flu activity remains relatively low nationally, local and regional flu activity has been sustained in the Southeast United States over the past several weeks. • CDC continues to recommend vaccination against 2009 H 1 N 1, particularly in parts of Wednesday, March 31, 2010 America Online: tlgiarla Page 3 of 3 the country where flu activity persists. • Anyone who wants to protect themselves against 2009 H 1 N 1 should get vaccinated; however, vaccination is especially important for people at higher risk of serious complications from 2009 H1N1, including people with certain health conditions, pregnant women, and the very young. 15th Annual Adult Immunization Conference Tuesday, May 11, 2010 DCU Center, Worcester MA To register online or to see the brochure, go to: ..w....ww.masspro.org For more information, contact Judi Saber at 781.419.2791 or isaber@m..agio..sdps.org Donna Lazorik, RN, MS Adult Immunization Coordinator Massachusetts Department of Public Health 617-983-6821 MDPH Flu Website: www.mass.ciov/dph/f lu • • Wednesday, March 31, 2010 America Online: tlgiarla r Nikki Leitao 5 Canterbury Drive Peabody, MA 01960 March 10, 2010 Dr. Barbara Poremba, Chair 120 Washington Street, 4th Floor Salem, MA 01970 Dear Salem Health Department, My name is Nicolle Leitao and I am an applicant for a license to perform Micropigmentation in the city of Salem, Massachusetts. I am requesting a variance to be made to the recent addition of Micro Pigmentation in your Body Art Regulations. In Section 3.0 General regulation #10 requires that Tattoo Artists engaging in the application of Permanent Makeup, in addition to documentation of successful completion of a one year micro pigmentation apprenticeship, the Artist must document successful completion of forty hours of formal training in a course approved and certified by the American Academy of Micro Pigmentation. • The approved training course closest to my residence is in New York and requires 70-100 hours of training, and costs $4200. Being a working mother of a 10 month old son, I haven't the time, child care, or funds required for such a course. These limitations would force me to stay in my current place of employment, and shatter my goal of someday opening a business of my own in the community. I wish to be waived of the additional forty hour training course required to be granted a license. I believe that I have an acceptable, if not beyond the amount of training, experience and knowledge to perform Micro Pigmentation. I have been a fully licensed Micro Pigmentation artist in the city of Boston for the past two years, after having completed a full year of an apprenticeship in my current place of business, Stingray Bodyart, Allston, Massachusetts. I had spent upwards of 50+ hours a week for that full year, concentrating on the application of permanent makeup and working closely with my trainer, Cindi Clark. Cindi is a Licensed Nurse/Aesthetician and Makeup Artist / Micro Pigmentation Artist and Reiki Master with over 25 years experience. She continues to be a close colleague of mine, making herself readily available if I need her advice or guidance. In addition to the one year apprenticeship, I am a fully licensed Body Piercer in • the city of Boston for the past seven years. In the two years prior to my practice t in Boston, I had held a Piercing Practitioner license in the Massachusetts cities of Beverly, and Saugus. 1 have always been current in my First Aid and CPR, and Blood Borne Pathogens training, as well as an education in Anatomy and Physiology, most recently being a Skin Course specifically designed for tattoo artists, offered by the Board of Health of Quincy, MA. In the Board meeting held on February 9, 2010, the members received a packet containing many letters of support for me, written by many various clients and colleague. I believe Mr. David Greenbaum has a copy of each letter. Mr. Greenbaum has also been sent all of my required training documents, and license application, and a check for the license fee. Thank you for your time and consideration. Sincerely, Nikki Leitao • • • Nicolle Leitao Stingray Bodyart One Harvard Ave, Allston MA 02134 nikki@stingraybodyart. com Cell : 617 . 820 . 9012 January 14, 2010 Dear .David Greenbaum, I am Nicolle Leitao and I am an applicant for a tattoo license at Sacred Harp, Salem. Enclosed is a copy of my certificate of membership to the Alliance of Professional Tattooists. I believe this is the last of the requirements to obtain a license to practice in your city. If there is anything else you need from me, please contact me at anytime by either phone or email. • Thank you very much and I am looking forward to bringing my art to your city. Sincerely, Nicolle Leitao •t...-a _._ _ u JAN �� 2010 ,;.,; of Pagel of 2 • nicolle leitao 5 Canterbury Drive•Peabody,MA 01960 Permanent Makeup Artist EXPERIENCE Stingray Bodyan,Allston,MA August 2008-Present Permanent Makeup Artist • Designing and application of cosmetic tattoo • Supply inventory and orders • All customer service,pre,during,and after procedure Stingray Bodyart,Allston,MA 2006-2008 Permanent Makeup Apprentice • Observing procedures • Studying of books,videos,instructional websites focusing on micropigmentation • • Customer service,pre,during,and after procedure • Monitored and assisted hands on training stingray Bodyart,Allston,MA August 2005-Present Body Piercer • Performing body piercing procedures • Supply inventory and orders • Customer service,pre,during,and after procedure • Instructing Piercing Apprentice EXPERIENCE Darkrvave Tattoos, Roxbury,MA/Lgbtrvam Tattoos,Saugus,MA May 2002-June 2005 Body Piercer • Performing body piercing procedures • Supply inventory and orders • • Customer service pre,during,and after procedure General customer service for all shop customers;answering phone,taking appointments,preparing consent forms,sales,etc. • Cleaning all areas of shop,including instrument cleaning and sterilization file://C:\Documents and Settings\dgreenbaum\Local SettingsUemporary Internet Files\OLK... 4/1/2010 Page 2 of 2 Evil Wind,Beverly,MA • 2001 -2002 Body Piercer,Front desk • Performing all body piercing procedures • Customer service pre,during,and after procedure • General customer service for all customers;answering phone,taking appointments,preparing consent forms,sales,etc. • Cleaning all areas of shop,including instrument cleaning and sterilization Tony Plante's Tattoos,Salem,NH 2001 -2002 Body Piercer,Front desk • Performing all body piercing procedures • Customer relations pre,during,and after procedure • General customer service for all customers;answering phone,taking appointments,preparing consent forms,sales,etc. • Cleaning all areas of shop,including instrument cleaning and sterilization Tony Plante's Tattoos,Salem,NH 1999-2001 Body Piercing Apprentice • Learning and observing all body piercing procedures,instruments,jewelry,etc. • • Study of First Aid and CPR,Blood Borne Pathogens,Anatomy and Physiology • Set up,and break down of piercing procedures. • General customer service for all customers;answering phone,taking appointments,preparing consent forms • Cleaning all areas of shop,including instrument cleaning and sterilization nikkileitao@gmail.com•mobile:617.820.9012 • L file://C:\Documents and Settings\dgreenbaum\Local Settings\Temporary Internet Files\OLK... 4/1/2010 r� a3• aor .s;yu. r., +.' t e ' ? s r ,r r .sh � ':�- �'�'.s:.:.,:. ,� ..r�4 -...,,:W, t .,�' .,,. ..,.. s.. _ s r r s a 9;,. .k: �4 ,�!� "L.�r•z :';§z' .. _ _„_ ,••"..,a`,�s ;,.:r, w� -'.:`. _ :.'r�,,' „,.s ,.*�> �k'� „, .4�'; r '',�. ,�� r &,� ,`Fa.:'-�452.'ti. ? ;�`i..>F :'e y' a, d `� r''i' � a�� ln, 4S YrR«' S.�.S,• L✓ ."�, f a'4� '... � W].. ��. 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'4-.i `fi;r.,,, c i. -M- �. � � .,n= m -:5 a.,d't r r „a 'n" t :,,r��'t' 45 r� zip n --s m;A�' +4z x,. t ., , ;s? `4''rz,,f.,..f ,-'S r •a r�.; S :*'" s ^y°, y.�.c..'.:', Boston 'ub1Yc Health Commission Bads Art �cense ri HEALTHI �. Body Art Licensed to Practice: Piercing and Micropigmenta#ion License Number: 2009B-00032 EXPIRES: Fifteenth Day of September 2010 This is to certify that Mrs. Nichole Leitao, resident of Peabody Massachusetts has fulfilled the requirement of Body Art Regulations of the Boston Public Health Commission to receive this Body Artist Practitioner license for the practice of Piercing and Micropigmentation. September 15, 2009 BPHC Authorized Signature Date Fir ��!�\� li//.��\ril//�\�I'lil� �� t t� ' i♦�i t ♦i::� WINSM i i��+i��T�+�� +��►�►++�+•1 ♦ ��/ 'Aw"IN ®'s ':♦ems,=� COUR i `� '=�♦♦♦ 8 DY In recognition of satisfactory Performance and completion of this program, this certificate is presented to '♦�_C.� ®moo i q MIN Conducted by the Quincy Health Departmen s 1 jj�♦III on �� ,�' Wit® /' '��►♦� JIL lsw QV, \\�//I\\n//// \\\ // \ / ``��!%ii�++i��•►LW�%�'��%�i �� Aor IL!♦i��r i♦i��t'rr��♦��iii/♦��ii/i�±♦��iiii��♦ l♦1�a\� o , A • • cate of COM CO Ipletli, SteriSafd' nl C V r, P R O G R A M Annual OSHA/Bloodborne Pathogens Training SteriSafes' Program Continuing Education This is to certify that Nicole Leitao has on this date completed the above mentioned training in their employer's facility. Thur, September 3, 2009 310�wv_14_ Date: Emplo r Signature: Employee Signature- 4 Stingray Body Art Employer: �!�• Stericycie , .��fessi v cr Cos"utic Member This certifies that X"kki 3 ,,"89-C subscribes to arb aNbcs t-N the pri"ciples a"b practices of health any safety it tattooi»S as enborse5 N the Apia»ce of rrofessio»al Tattooists, l»c. TtiereN accepti»S the professio»al sta»barbs a"b stri»Se»t i»fecoon co»trol procebures as ircorporate5 therein. KNOWA EXPERIENCE • ACTIVISM rresi5e»t Secretar4 January 2010 Date Member Since 2010 < .naar 211