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COMPLIANCE INFO_PR2400391
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4100 – Safe Body Art
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PR2400391
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COMPLIANCE INFO_PR2400391
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Entry Properties
Last modified
6/1/2026 2:52:54 PM
Creation date
12/19/2024 4:21:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR2400391
PE
4121 - BODY ART FACILITY - STERILIZATION
FACILITY_ID
FA0001624
FACILITY_NAME
COLORFUL ADDICTIONS (HUGGINS, WILLIAM)
STREET_NUMBER
1005
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
1005 215 E Pescadero AVE Tracy 95376
Suite #
#215
Tags
EHD - Public
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Body Art Inspection Report Date: September 24,2024 <br /> ySan Joaquin County Environmental Health Department Program 2�y <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: U I <br /> (209)468-3420 <br /> �P www.siogv.org/ehd Program <br /> gtiF.- Element: 4121 <br /> Facility Nlare Address City Zip Code <br /> Colorful f-d-iictiors 1005 E Pescadero Ave.#215 Tracy 95376 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> William Huggins 6/30/25 Final Inspect on <br /> The facility is inspected for compliance with Division 104,Part 15,Cha ter 7 of California Health and Safety Code(HSC). V=Violation C=Corrected On Si.e <br /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION Cont. c <br /> ❑ 1 HSC 119315-Autoclave:approved and effective-passed HSC 119311 -Parts replaced between clients-grommets, E]integrator test El ❑ 22' elastic bands,etc. <br /> HSC 119309-Items washed,disinfected,packaged, <br /> El 2' labeled,and sterilized El CROSS-CONTAMINATION <br /> ❑ 3 HSC 119315-Autoclave loaded correctly/packages <br /> allowed to d El ❑ 23. HSC 119309 Workstation/procedure area decontaminated ❑ <br /> ❑ 4 HSC 119315-Integrators used/monthly spore test/log <br /> maintained E] 24. HSC 119301 -Appropriate chemical disinfectant used <br /> El ❑ <br /> ❑ 5 HSC 119314-Decontamination/sanitation area separated <br /> and supplied a ro riatel El Chemical used: <br /> ❑ 6 HSC 119315-Invoices and log kept for disposable,pre- El HSC 119309-Disinfectant used appropriately/sufficient <br /> sterilized a ui ment ❑ 25' contact time ❑ <br /> 7 HSC 119314-Sharps containers labeled,used,and <br /> ElWet contact time provided: <br /> disposed of aro riatel <br /> ❑ 8 HSC 119310, 119315-Jewelry,tattoo and piercing ❑ ❑ 26. HSC 119314-Barriers used ❑ <br /> equipment-clean and sterilized <br /> ❑ 27 HSC 119311 -Products applied to skin are single ❑ <br /> PRACTITIONER HEALTH AND HYGIENE use/dispensed aseptically <br /> ❑ 9 HSC 119309-No eating,drinking or smoking-clean ❑ HSC 119309, 119311 -Storage of inks,pigments,needles, ❑ <br /> clothes ❑ 28. tubes,etc. <br /> ❑ 10. HSC 119308-Hands washed effectively and timely ❑ ❑ 29 HSC 119310, 119311 -Jewelry,Inks,Needles etc approved ❑ <br /> and used correct) <br /> ❑ 11 HSC 119314-Handwashing facilities properly supplied HSC 119308-Cross-contamination avoided during all <br /> and accessible,warm water El ❑ 30' E]hases of procedure <br /> ❑ 12. HSC 119306-Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> 13. HSC 119307-Bloodborne Pathogen training ❑ 31. HSC 119314-Areas separated/no living or sleeping quarters ❑ <br /> ❑ Source: ❑ ❑ 32 HSC 119314-Floors and walls clean and in good repair, ❑ <br /> adequate light <br /> ❑ HSC 119308-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,including chairs, <br /> 14. <br /> available and used El ❑ 33. armrests,etc.in good repair El <br /> CU-370MERS/CLIENTS ❑ 34. HSC 119312-Permit/registration posted ❑ <br /> HSC 119309-Branding is completed with no other HSC 119313-Operation and employee training records <br /> El 15. 35 <br /> customers in procedure area ❑ ❑ . resent ❑ <br /> ❑ 16. HSC 119302-Customers eighteen(18)years of age or ❑ <br /> older COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. HSC 119308-Skin adequately prepared for procedure ❑ ❑ 36. HSC 119312-Plan(s)submitted for review ❑ <br /> ❑ <br /> HSC 119303-Client records approved and available- <br /> 18. questionnaire <br /> ❑ ❑ 37. HSC 119312-Permits obtained and available <br /> Consent form and ❑ <br /> HSC 119303, 119308-Appropriate aftercare instructions <br /> El 19' E] ❑ 38. HSC 119319-Impoundment <br /> given to client ❑ <br /> MAL"HINE SAFETY AND SANITATION ❑ 39. 1 HSC 119320-Hearing scheduled ❑ <br /> ❑ 20. HSC 119311 -Safe machine design ❑ ❑ 40. HSC 119312, 119317, 119320-Closure ❑ <br /> ❑ 21 HSC 119311 -Machines cleaned and disinfected between ❑ ❑ 41. ❑ <br /> clients <br /> Received Cy(Print): William Huggins Received by(Signature): EMAILED Phone:925-518-6573 <br /> Specialist(Print): Sandip Singh Specialist(Signature):� Q �' f� Phone:209-468-3526 <br /> Reinspec:ion on/about: A reinspection fee of$172 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />
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