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U'ry Body Art Inspection Report Date: February 13,2025 a San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0524524 (209)468-3420 Program www.siogv.omlehd Element: 4120 Facility Name Address City Zip Code Hard Luck Tattoo 1 W.Pine St. Lodi 95240 Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type Bao Nguyen 6/30125 Routine The facility is inspected for compliance with Division 104,Part 15,Cha ter 7 of California Health and Safety Code(HSC). V=Violation C=Corrected On Site V CLEANING AND STERILIZATION C V I MACHINE SAFETY AND SANITATION Cont. C HSC 119315-Autoclave:approved and effective-passed HSC 119311 -Parts replaced between clients-grommets, ❑ 1' integrator test ❑ ❑ 22' elastic bands,etc. ❑ ❑ HSC 119309-Items washed,disinfected,packaged,2' labeled,and sterilized ❑ PREVENTING CROSS-CONTAMINATION ❑ 3 HSC 119315-Autoclave loaded correctly/packages ❑ El23. HSC 119309-Workstation/procedure area decontaminated ❑ allowed to dry HSC 119315-Integrators used/monthly spore test/log ❑ 4' maintained ❑ 24. HSC 119301 -Appropriate chemical disinfectant used HSC 119314-Decontamination/sanitation area separated ❑ ❑ ❑ 5' and supplied appropriately ❑ Chemical used: ❑ 8 HSC 119315-Invoices and log kept for disposable,pre- ❑ 25 HSC 119309-Disinfectant used appropriately/sufficient sterilized equipment ❑ contact time ❑ HSC 119314-Sharps containers labeled,used,and ❑ 7. disposed of appropriately ® Wet contact time provided: HSC 119310, 119315-Jewelry,tattoo and piercing El 8" equipment-clean and sterilized ❑ ❑ 26. HSC 119314-Borders used ❑ HSC 119311-Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE ❑ 27' use/dispensed aseptically ❑ ❑ 9 HSC 119309-No eating,drinking or smoking-clean ❑ El28 HSC 119309, 119311 -Storage of inks,pigments,needles, ❑ clothes tubes,etc. ❑ 10. HSC 119308-Hands washed effectively and timely ❑ ❑ 29 HSC 119310,119311 -Jewelry, Inks,Needles etc approved ❑ and used correctly HSC 119314-Handwashing facilities property supplied and HSC 1193011-Cross-contamination avoided during all El 11. 30'accessible wane water ❑ ❑ hoses of rocedure ❑ ❑ 12. HSC 119306-Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES 13. HSC 119307-Bloodbome Pathogen training ❑ 31. HSC 119314-Areas separated/no living or sleeping quarters ❑ ❑ Source: 32.❑ HSC 119314-Floors and walls clean and in good repair, ® adequate light ❑ HSC 119308-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,including chairs, ❑ 14. available and used ❑ ❑ 33' armrests,etc.in good rs air CUSTOMERS/CLIENTS ❑ 34. HSC 119312-Permit(registration posted ❑ HSC 119309-Branding is completed with no other HSC 119313-Operation and employee training records El 15. customers in procedure area ❑ ® 35' resent ❑ ❑ 16 HSC 119302-Customers eighteen(18)years of age or Elolder COMPLIANCE.AND ENFORCEMENT ❑ 17. HSC 119308-Skin adequately prepared for procedure ❑ El36. HSC 119312-Plan(s)submitted for review ❑ ® HSC 119303-Client records approved and available- ❑18' Consent form and questionnaire ❑ ® 37. HSC 119312-Permits obtained and available ❑ 18 HSC 119303, 119308-Appropriate aftercare instructions ❑ ❑ 38. HSC 119319-Impoundment ❑ given to client MACHINE SAFETY AND SANITATION ❑ 39. HSC 119320-Hearing scheduled ❑ ❑ M HSC 119311 -Safe machine design ❑ ❑ 40. HIS 119312, 119317, 119320-Closure ❑ ❑ 21 HSC 119311 -Machines cleaned and disinfected between ❑ ❑ 41 ❑ clients Received by(Print): Bao Nguyen Received by(Signature): EMAILED Phone:209-365-1455 Specialist(Print): Sandip Singh Specialist(Signature): S¢+ o-�'zir.�s� Phone:209-468-3526 Reinspection on/about: A reinspection fee of$172 per hour may be charged. Page 1 of 3 EH-11/17