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Body Art Inspecle Report <br /> Date: �5 <br /> z San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,GA 95205 Record: <br /> (209)468-3420 Program <br /> www.siogv.org/ehd Element: LLQ Q� <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0537678 Geoff Rogers <br /> PR Dennis Escalante <br /> Alameda County Ran Gregg <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) <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 /> 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 <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 /> 26. Any part of a tattooing machine that may touch the practitioner during procedure shall be covered with a disposable plastic <br /> sheath. HSC 119311(h) <br /> 34. Certificate of registration and health permit shall be posted in a conspicuous place. MSC 119306 and 119312 <br /> Note: Currently this facility is not operating their autoclave. Prior to operating an autoclave onsite this facility must provide a Pass <br /> Spore test to the EHD. <br /> Unless otherwise noted, Corrective Action is due within 30 days. <br /> Reinspecion on/about: A reinspection fee of$125 per hour may charged. Page 2 of 2 <br /> EH-04/2014 <br />