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Body Art Ins ectiWeP ort • �12�/rg <br /> } Y P <br /> w San Joaquin County Environmental Health Department Program l ��s� z <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: u 6 <br /> (209)468-3420 <br /> Program <br /> www.siogv.org/ehd g <br /> Element: 4 t (,r <br /> Facility Name Address City Zip Code <br /> TNT Beautify Mi 209 w. 10th street Tracy 95376 <br /> Name of Perm it/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Trami Nguyen Thi 6/30/18 Final/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 /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION(cont.) C <br /> ❑ 1 Autoclave:approved and effective-passed integrator ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, Eltest etc. <br /> El 2. Items washed,disinfected,packaged,labeled,and <br /> sterilized ❑ PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ [:1 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore testilog maintained rl:-] <br /> [:124. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ❑ <br /> ❑ 5. a ro riatel Chemical used: Madacide <br /> Invoices and log kept for disposable,pre-sterilized <br /> El 6' equipment ❑ 25. Disinfectant used appropriately/sufficient contact time <br /> Sharps containers labeled,used,and disposed of ❑ <br /> ❑ 7. appropriately ❑ Wet contact time provided: 5 mins <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8. El ❑ 26. Barriers used Elsterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. ase tical) El <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 /> El 11. <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> warm water ❑ E] 30' procedure El <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen trainingE] ❑ 31. Areas separated/no living or sleeping quarters E] <br /> Source: Biologix ❑ 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] 14. used [j ❑ 33. good repair <br /> CUSTOMERS/CLIENTS ❑ 34. Perm ittregistration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area El [-135. Operation and employee training records present ❑ <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form <br /> [j 18. and questionnaire <br /> ❑ ❑ 37. Permits obtained and available El <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ El38. Impoundment E]MACHINE SAFETY AND SANITATION El39. Hearing scheduled El <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received b (Print): Trami Nguyen Thi Received b (Si natur Phone:408-691-8299 <br /> Specialist(Print): Har rit Mattu,Sr REHS Specialist(Si nature): Phone: 209 468-3284 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />