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• Y <br /> nurrv\ A Body Art Inspect"Wironmental <br /> Report <br /> San Joaquin County Health epartment Date: <br /> Program <br /> i <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> Record: <br /> (209)468-3420 <br /> 4<rF0_Ra` www.sioay.ora/ehd Program <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Fong Van -BBP,unregistered <br /> Observations and Corrective Actions: <br /> 7. The sharps waste container shall be within arm's reach and labeled with the word"sharps waste"or with the biohazard symbol <br /> and the word"Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br /> Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) <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 <br /> -F�-�i=� PA, <br /> 32. A body art facility shall have floors,walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br /> The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br /> floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art <br /> facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br /> procedure area shall have lined waste containers. HSC 119314& 119317 <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP)shall be maintained, followed and updated. HSC 119313 <br /> Correct all violations noted above prior to final consultation <br /> Notes: 1.) Prior to final consultation: <br /> -Pay for facility permit and practitioner registration. <br /> -Correct all items listed above. <br /> -Contact EHD for final consultation inspection. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />