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Body Art Inspect Report 46 <br />4 ? San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />' (209) 468-3420 <br />\L�pR ` www.siogv.org/ehd <br />PR Number PRACTITIONER/ARTIST NAME <br />537651 AnthonyHenson <br />Observations and Corrective Actions: <br />Date: 5 %3 1Ll <br />Program <br />Record: PfLUS3 751. <br />Program <br />Element: l� <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) <br />18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br />available for inspection. HSC 119303 <br />32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br />The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br />floor, from nail and hair activities and be separated from all business not related to body art. Approval of co -located body art <br />facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br />procedure ar tainers. HSC 119314 & 119317 <br />Unless otherwise noted, Corrective Action Due in 30 days. <br />Reinspeclon on/about: A reinspection fee of $125 per hour may charged. Page 2 of 2 <br />EH -04/2014 <br />