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Body Art Inspecitn Report Date: W3,1171 <br /> ti San Joaquin County Environmental Health Department Program w g <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: MOSL4 1)�3 <br /> (209)468-3420 Program <br /> www.sdogv.org/ehd Element: Li I a D <br /> Facility Name Address City Zip Code <br /> East Main Tattoo 2008 e. main st. Stockton 95205 <br /> Name of Perm it/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Ulices Carmona 6/30/17 Routine <br /> The above facility is inspected for compliance with Division 104,Part 15, Chapter 7 of California Health and Safety Code(HSC). <br /> V=Violation C=Corrected On Site <br /> Y.'.:CLEANING.AND STERILIZATION Y 'MACHINE SAFETY AND SANITATION c C' <br /> .m <br /> ❑ 1 Autoclave: approved and effective-passed integrator ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> test etc. <br /> ❑ 2 Items washed,disinfected, packaged, labeled,and ❑ <br /> sterilized PREVENTING CROSS-CO NTAMINATIOUx <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied El <br /> ❑ 5' <br /> appropriately <br /> E] Chemical used: <br /> Invoices and log kept for disposable,pre-sterilized <br /> ❑ 6' El El25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> El <br /> Sharps containers labeled, used,and disposed of <br /> ❑ 7' E] Wet contact time provided: <br /> appropriatelyJewelry,tattoo and piercing equipment-clean and <br /> El 8' ElEl❑ 26. Barriers used <br /> sterilized <br /> >.. <br /> Products applied to skin are single use/dispensed <br /> PRACTITIt![ER IiEI ,aAND HYGIENE E] 27' ase ticall ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks,pigments, needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> ❑ 11. warm water E] ❑ 30' procedure E] <br /> ❑ 12. Hepatitis B vaccination ❑ <br /> BEST BUSINESS PRACTICES , <br /> ❑ 13. Bloodborne Pathogen trainingE] ❑ 31. Areas separated/no living or sleeping quarters El <br /> Source: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces, including chairs, armrests,etc. in <br /> F-1 14. Elused ❑ 33. good repair <br /> El <br /> CUSTOMERS/CLIENTS z. El 34. Permit/registration posted E] <br /> M. _.. <br /> Branding is completed with no other customers in <br /> El 15. El El 35. Operation and employee training records present <br /> procedure area <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLfANCE4ENFQft.C,EMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form <br /> ❑ 18. ❑ ❑ 37. Permits obtained and available E]andquestionnaire <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> s <br /> MAGHTNE= ...AN�3 <br /> AN ❑ 39. Hearing scheduled El <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received b (Print): Ulices Carmona Received by(Signature): 1�•�t�' Phone: (209)351-6688 <br /> Specialist(Print): Benjamin Escotto, Sr REHS Specialist(Signature): Phone: 209 468-3178 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />