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4100 – Safe Body Art
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PR0528382
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COMPLIANCE INFO
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Last modified
5/1/2023 2:56:05 PM
Creation date
7/3/2020 10:15:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0528382
PE
4121
FACILITY_ID
FA0006378
FACILITY_NAME
BLUE MOON TATTOO & PIERCING (DHANOYA, AMANJIT)
STREET_NUMBER
2306
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23346002
CURRENT_STATUS
02
SITE_LOCATION
2306 EAST ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0528382_2306 EAST_.tif
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EHD - Public
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A Body Art InspecA ReportDate: 7/mob/I 17 <br />San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />(209) 468-3420 <br />wW� WWW. <br />Element:sioay.org/ehd Program <br />PRfVnmber. .,. <br />PRGTITINER/ATI$T .. E <br />PR0538063 <br />James Lan el - Permit mailed, BBP not done <br />PR0541234 <br />Jose Carballo - Permit mailed, BBP posted <br />PR0540594 <br />Kyle Thaw - Permit mailed, BBP posted <br />Miranda (apprentice) - No BBP <br />Observations and Corrective Actions: <br />2. Instruments or other reusable items shall be placed in a basin of water or cleaned, decontaminated, packaged, and sterilized <br />immediately after each procedure. HSC 119309 <br />If not being processed for immediate use, clean instruments shall be placed in sealed sterilization package that contains <br />process indicator, name of instrument, date sterilized, and initial of person/operator. HSC 119315(a) <br />5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a <br />cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper <br />towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) <br />11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br />paper towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) <br />13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br />section 119307. <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 />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 />All violations noted above must be corrected and evidence of corrective action must be submitted by August 4, 2017. <br />Notes <br />1.) Facility will be charged $152 for this re -inspection. <br />2.) All apprentices must obtain bloodborne pathogen training. <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 2 of 2 <br />EH -03/2015 <br />
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