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�QG Body Art Inspection Report Date: April 29, 2022 <br />j San Joaquin County Environmental Health Department Program <br />1866 E. Hazelton Ave.,Stockton, CA 95205 Record: PR0537388 <br />(209) 468-3420 <br />P W .si0ay Ora/ehd Program <br />Element: 4120 <br />Facility Name Address City Zip Code <br />Emerald Tattoo & Piercing 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 6130/22 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 lest ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, ❑ <br />etc. <br />Items washed, disinfected, packaged, labeled, and <br />❑ 2' sterilized ❑ PREVENTING CROSS -CONTAMINATION <br />❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br />❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used <br />Decontamination/sanitation area separated and supplied El Chemical 5' appropriately <br />ElChemical used: <br />® 6 Invoices and log kept for disposable, pre -sterilized <br />equipment ❑El25. Disinfectant used appropriately/sufficient contact time ❑ <br />Sharps containers labeled, used, and disposed of <br />❑ 7. appropriately ❑Wet contact time provided: <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and <br />El El26. Barriers used <br />sterilized ❑ <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 />Handwashing facilities properly supplied and accessible, <br />El 11. ❑ ❑ 30. Cross -contamination avoided during all phases of procedure <br />warm water ❑ <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />® 13. Bloodborne Pathogen training El <br />13. Areas separated/no living or sleeping quarters <br />Source: ® 32. Floors and walls clean and in good repair, adequate light ❑ <br />ElAppropriate personal prolective equipment available and Workstation, surfaces, including chairs, armrests, etc. in El14. used El ❑ 33' good repair <br />CUSTOMERS/CLIENTS ® 34. Permil/regislration posted ❑ <br />Branding is completed with no other customers in <br />El 15. rocedure area E] [135. 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 />® 18 Client records approved and available - Consent form and ❑ ® 37. Permits obtained and available ❑ <br />questionnaire <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 ❑ El 41. ❑ <br />Received by (Print): Galen Reyes <br />Received by <br />(Signature): EMAILED <br />Phone: 209-333-8282 <br />Specialist (Print) Sandip Sinqh <br />Specialist (Signature) <br />� �irn4� <br />Phone 209-468-3526 <br />Reinspection onlabout: <br />A reinspection fee of $152 <br />per hour may be charged. <br />Page 1 of 3 <br />EH -11/17 <br />