Laserfiche WebLink
Body Art Inspect date: <br /> o........ ,ao, Report <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> .0. N. (209)468-3420 Program <br /> 4c,FaRr` www.sioqv.org/ehd <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONERIARTIST NAME <br /> Hong Han-Awaiting permit <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)—Facility has emailed manufacturer for proof of sterilization. Once proof is <br /> received,submit to EHD. <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. —Current bloodborne pathogen training will be accepted. Once this training is expired, new training <br /> must be from EHD approved list. <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 /> 19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed in <br /> Form B. HSC 119308(b) <br /> Unless otherwise noted,all items listed above must be corrected by November 30,2016. <br /> Notes: <br /> 1.) Facility is okay to open once remaining balance of$12 has been paid to EHD. <br /> Reinspecion ordabout: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />