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Body Art Inspect* Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />\, (209) 468-3420 <br />�9 4po_ / www.siogy.org/ehd <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PR0539819 <br />Mark A. Escalante - Permit Posted, BBP Expired <br />PRO538859 <br />Alec Peralta - Permit + BBP posted <br />PRO538705 <br />Daniel P. Zapata III - No longer here <br />PRO537414 <br />Phillip Vasquez - Permit + BBP posted <br />Observations and Corrective Actions: <br />Date: <br />Program <br />Record: <br />Program <br />Element: <br />4 A706 <br />PR Number <br />PRACTITIONERIARTIST NAME <br />PR0537415 <br />Michael T. Carter - Permit + BBP posted <br />PR0538193 <br />Angel M. Le - Permit + BBP posted <br />4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization <br />shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and <br />temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the <br />sterilizer after a failed spore -test. HSC 119315(b) <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) <br />13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br />section 119307. <br />33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br />repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br />durable, and nonabsorbent finish. HSC 119314 <br />36. Design plans shall be submitted to EHD for approval prior to constructing or remodeling body art facility. HSC 119312 <br />iz, Corre_ck%Q2- �v� <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 2 of 2 <br />EH -03/2015 <br />