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Body Art Inspect Report Date: l I I S <br /> J z. San Joaquin County Environmental Health Department Program <br /> a: a <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> P% (209)468-3420\ Program <br /> www.siogv.org/ehd <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Teri L.Turrentine-Eisert-permit exp 6/30/14,BBP <br /> PR0538733 posted <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br /> sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br /> minimum of 90 days after use. HSC 119315(f) <br /> Notes: <br /> 1.) Facility is cleared to open for business once permit has been obtained from EHD. <br /> 2.) Facility has an autoclave onsite that is currently not in use. Facility must notify EHD and provide a negative spore test prior <br /> to using autoclave onsite. Onsite sterilization requires additional permit fees. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />