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4100 – Safe Body Art
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PR0523952
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COMPLIANCE INFO
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Entry Properties
Last modified
4/17/2026 2:33:54 PM
Creation date
4/25/2023 12:53:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0523952
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0014791
FACILITY_NAME
CANVAS TATTOO (BAMBULA-SANTOS, MELISSA)
STREET_NUMBER
304
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13708003
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
304 B W HARDING WAY STOCKTON 95204
Suite #
B
Tags
EHD - Public
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Attached is the inspection report for the inspection conducted on April 14th. I spoke <br />with my supervisor about the spore tests and it was decided that the facility may not <br />use the sterilizer until a passing spore test is provided. Going forward, a spore test <br />will be required to be submitted on a monthly basis to me for the next 6 months (it is <br />noted in the inspection report). I will need the following corrections from you: <br />1. Once the autoclave passes the spore test and the facility begins using the <br />autoclave again, then I will need evidence of proper labeling of the instrument <br />packages. <br />2. Updated sterilization log. <br />3. Passing spore test. <br />4. Evidence, such as a manifest, of sharps waste disposal. <br />5. Photographic evidence showing the sharps waste bin is labeled properly. <br />6. A current BBP Certificate from Katrina. <br />7. Updated tattoo consent form with the "description of what the client should <br />expect following the procedure." <br />8. Updated permanent makeup aftercare instructions "indicating when to seek <br />medical attention." <br />9. Updated Infection Prevention and Control Plan indicating Stericycle is the <br />sharps waste hauler for the facility I will also need a new training record for the <br />updated information. <br />Also, did you legally change your last name from Santos to Bambula-Santos? If so, <br />can you please provide documentation so I can change it in your file. <br />Sandip Singh <br />Senior Registered Environmental Health Specialist <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />T: (209) 468-3526 C: (209) 616-3033 E: ssingheli@5jgov.org <br /><Outlook-ovcwbggl.png> <br /><PR0523952 Canvas Tattoo_OIR 4-14-25 - Signed.pdf> <br />
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