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�N. <br /> p �\ Body Art Inspectie2eport � Date: 2 /4 to <br /> ?, San Joaquin County Environmental Health Department Program <br /> QSy ZV�� <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> Record: <br /> \ (209)468-3420 Program �1 <br /> www.siogv.org/ehd Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Joan Sneed-Permit Updated and Posted,expired <br /> PRO542672 BBP 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)—Maintain record of purchase at the facility at all time.This was corrected <br /> on site. <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. —Expired Bloodborne Pathogen Training Certificate(BBP) posted. Renew BBP. <br /> 16. Client shall be at least 18 years of age to receive a tattoo, permanent cosmetics, or branding. Body piercing, unless <br /> performed in the presence of parent or guardian, the client, must be 18 years of age. HSC 119302—All client should be at <br /> least 18 years of age. Maintain a copy of client ID on file and maintain it at the facility at all time. <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303—On the medical questionnaire, include"herpes infection at the procedure site." <br /> Include the lot number of the blade uses on the client with the client information. Matain the information at the facility at <br /> all time. <br /> Make sure the client fills out the client consent form entirely. <br /> Note: <br /> 1. If you have any question, please contact me at(209)468-3284 or mvue@sjcehd.com <br /> 2. Provide a copy of the updated medical questionnaire to the EHD. <br /> 3. Once the Bloodborne Pathogen Training Certificate is renewed, send the EHD a copy of it. <br /> 4. Always allow the surfaces adequate time to be disinfected. Wet contact time for caviwipes is three minutes. <br /> Make sure the surface remain wet for at least three minutes. <br /> Unless otherwise noted, correct all violations prior to February 18, 2019. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />