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4100 – Safe Body Art
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PR0543585
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2023 2:46:00 PM
Creation date
7/3/2020 10:15:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0543585
PE
4121
FACILITY_ID
FA0021614
FACILITY_NAME
BLACK ROSE TATTOO PARLOR, THE (VASQUEZ, SAMUEL)
STREET_NUMBER
237
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
237 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0543585_237 E MINER_.tif
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EHD - Public
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'�P° Body Art Inspec* Report <br /> /z�• ,02 Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 -39 <br /> 5205Record: Pilo 3 9�4 <br /> (209)468-3420 Program <br /> Ci:FgR�` www.sjogv.org/ehd <br /> Element: k l Ll <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0536973 Jose Zuni a- ermit PR0540259 Bra an Lares-1313P <br /> PRO541182 Jorge Perez-1313P PRO537490 Christopher Flores-BBP <br /> PRO537547 Samuel Vasquez-permit and BBP <br /> PRO537653 Jesse Quezada-permit and 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 /> 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 /> 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 /> 9. No food, drink, tobacco product, or personal effects are permitted in the procedure area. HSC 119309 <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. <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 /> 28. Sterilized instrument packs, equipment and jewelry shall be stored in a labeled container or cabinet that is protected from <br /> dust or moisture. Sterile instrument packs shall be evaluated before use; instrument packs shall be discarded or reprocessed if <br /> condition is compromised. HSC 119315-There is various materials on the shelves(such as spray paint material)that need to be <br /> removed. <br /> 32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br /> The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br /> floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art <br /> facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br /> procedure area shall have lined waste containers. HSC 119314& 119317 <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 /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 3 <br /> EH-03/2015 <br />
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