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Body P p Art Inspect* Report Date: <br /> San Joaquin County Environmental Health Department 4 tY P Program �, <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> i (209)468-3420 <br /> FORa`- www.sjogv.org/ehd Program <br /> Element: '7 <br /> Notes: <br /> 1. Client records have lot numbers from the equipment used during the procedure. Most records are complete. A <br /> few lacked a description of the procedure, and one was missing a copy of the license. Assure that all records <br /> are completed at the time of the procedure. <br /> 2. The facility no longer uses an autoclave. All equipment is purchased as single use. <br /> 3. The IPCP was available for review. Consent Form, medical Questionnaire, and After Care have the required <br /> information. <br /> 4. Received hepatitis B declination forms for Geoff Rogers, Daniel Gutierrez, and Ryan Gregg. <br /> 5. Permits were delivered to Geoff Rogers, , nd Daniel Gutierrez. <br /> 6. Evidence of a recent sharps disposal on 9/28/2018 was available for review. <br /> 7. Permits and bloodborne pathogens training certificates are in a book on the front counter. <br />