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'"Body Art Inspection Report Date: June 17, 2021 <br />HSan Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0537388 <br />(209)468-3420 <br />"o �4 �f w .sionv.oro/ehd Program <br />'Ce,RI: R: - Element: 4121 <br />Facility Name Address City Zip Code <br />Emerald Tattoo 2525 S Hutchins St. #8 Lodi 95240 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Josh Hughes 6/30/21 Routine <br />The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). <br />V = Violation C = Corrected On Site <br />V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont)C <br />❑ 1. Autoclave: approved and effective - passed integrator test ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, ❑ <br />etc. <br />Items washed, disinfected, packaged, labeled, and <br />El 2' sterilized ❑ PREVENTING CROSS -CONTAMINATION <br />❑ 3. Autoclave loadedcorrectly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br />❑ 4. Integrators used/monthly spore test1log maintained ❑ 24. Appropriate chemical disinfectant used <br />❑ 5 Decontamination/sanitation area separated and supplied ❑ ❑ <br />appropriately ❑ Chemical used: <br />® 6 Invoices and log kept for disposable, pre -sterilized <br />equipment ❑El25. Disinfectant used appropriately/sufficient contact time El 7 Sharps containers labeled, used, and disposed of <br />appropriately ❑ Wet contact time provided: <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and <br />sterilized ❑ ❑ 26. Barriers used ❑ <br />PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br />❑ 9. No eating, drinking or smoking - clean clothes ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ <br />❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br />® 11. Handwashing facilities properly supplied and accessible, <br />warm water El [130. Cross -contamination avoided during all phases of procedure El <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />❑ 13. Bloodborne Pathogen training ❑ El 31. Areas separated/no living or sleeping quarters <br />Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br />❑ 14 Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. in <br />used ❑ El 33' ooEl repair <br />CUSTOMERS/CLIENTS ❑ 34, Permit/registration posted ❑ <br />Branding is completed with no other customers in <br />El 15. rocedure area ❑ El 35. Operation and employee training records present El <br />❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br />❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s) submitted for review ❑ <br />Client records approved and available - Consent form and <br />18. questionnaire El El 37, Permits obtained and available El <br />❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br />MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br />❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br />❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br />Received by (Print): Galen Reyes. Received by (Signature): EMAILED Phone: 209-333-8282 <br />Specialist (Print): Sandip Singh Specialist (Signature): Phone: 209-468-3526 <br />Reinspection onlabout: <br />A reinspection <br />fee of $162 <br />per hour may be charged. <br />Page 1 of 2 <br />EH -11/17 <br />