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Body Art Inspecti•Report 0 Cate: V—)3 ho17 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> c (209)468-3420 Program <br /> www.siogv.oro/ehd <br /> Element: <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Kristen Patterson <br /> Gayle Witt <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)—Ensure sterilization certificate is obtained for all future purchases. <br /> Violations noted above will be checked during the next routine inspection. <br /> Notes: <br /> 1.) Facility submitted paperwork for facility and practitioner registration for both practitioners during this inspection. <br /> 2.) Facility submitted check#6781 for$384 during this inspection. <br /> 3.) Facility is okay to open. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />