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Body Art Inspection Report Date: 12/16/21 <br /> aSan Joaquin County Environmental Health Department Program <br /> 1868 E. Hazelton Ave., Stockton, CA 95205 Record: New PR# <br /> (209) 468-3420 <br /> 4 • V .siooy.ore/ehd Program <br /> zF �! Element: 4120 <br /> Facility Name Address City Zip Code <br /> Tint's Ink 228 W Yosemite Ave Manteca 95336 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Salomon Barbosa 6/30/22 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 /> El1 . Autoclave: approved and effective - passed integratortest El [1etc.22. Parts replaced between clients - grommets, elastic bands , El <br /> ❑ <br /> Items washed, disinfected, packaged, labeled, and 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 testilog maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied El ❑ <br /> ❑ 5' I appropriately ❑ Chemical used: <br /> ® <br /> Invoices and log kept for disposable, pre-sterilized 6. ❑ El25. Disinfectant used appropriately/sufficient contact time Elequipment <br /> Sharps containers labeled, used, and disposed of <br /> ® 7• aporopriatelv ❑ Wet contact time provided: <br /> ❑ 8 Jewelry, tattoo and piercing equipment - clean and El El 26. Barriers used Elsterilized <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br /> ❑ 9. No eating , drinking or smoking - clean clothes ❑ [1 28. Storage of inks, pigments, needles, lubes, 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 /> ❑ 11 . warm water ❑ ❑ 30. Cross-contamination avoided during alt phases of procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen trainingElEl31 . Areas separated/no living or sleeping quarters ❑ <br /> Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br /> ❑ <br /> Appropriate. personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. In 14. used El ❑ 33' good repair ❑ <br /> CUSTOMERS/CLIENTS ❑ 34. Permittregistration posted ❑ <br /> Branding is completed with no other customers in <br /> E] 15. rocedure area ❑ ® 35. Operation and employee training records present ElEl16. 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 /> ® <br /> Client records approved and available - Consent form and 18. El [137. Permits obtained and available Eluestionnaire <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): Salomon Barbosa Received by (Signature): Emailed Phone: 510-719-0726 <br /> Specialist (Print): Sandip Singh Specialist (Signature): S���Phone:209-468-3526 <br /> Reinspection onlabout: A reinspection fee of $152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />