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o�111. C <br />> e� Body Art Inspection Report Date: November 15, 2021 <br />HSan Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PRO541621 <br />\^ (209)468-3420 <br />�. P • .sioov.ore/ehd Program <br />to w Element: 4120 <br />PR Number <br />PRACTITIONERIARTIST NAME <br />PRO541622 <br />Erica Green-Frese 813P Exp. 10/19/22 <br />may be charged. <br />EH -11/17 <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) — A sterilization certificate was not available for the MadLuv blades with the <br />lot number MB02201226. Provide EHD with a copy of the sterilization certificate for the blade mentioned. <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) —The sharps waste has not been <br />disposed of since facility opened. Sharps waste shall be mailed back or picked up by a sharps waste hauler at least <br />once a year. Provide EHD with a receipt/ manifest for sharps waste disposal. <br />Correct all violations and provide evidence of corrections to the EHD by <br />November 30, 2021. <br />Notes: <br />1. Inspection report emailed to facility owner, Erica Green-Frese at erica fresefa�yahoo.com. <br />2. Permit given to Erica on the day of the routine inspection. Permit posted. <br />3. Ensure there is no absorbent material on the procedure table during procedure. <br />4. The hot water handle is on the opposite side of the sink (right side). <br />Reinspection on/about: Page 2 of 2 <br />A reinspection <br />fee of $152 <br />per hour <br />may be charged. <br />EH -11/17 <br />