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�oQ . c Body Art Inspection Report Date: September 15, 2025 San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: AP2502624 (209) 468-3420 Program �` �P•,• www.siogv.arg/ehd Element: 4103 q(FF pRt•�i Facility Name Address City Zip Code Yatted By Vonnie 1503 St. Marks Plaza #B Stockton 95207 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Sasha Williams Consultation The facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C HSC 119315 - Autoclave: approved and effective - passed HSC 119311 - Parts replaced between clients - grommets, ❑ ❑ 1' integrator test ❑ ❑ 22' elastic bands, etc. HSC 119309 - Items washed, disinfected, packaged, ❑ 2' labeled, and sterilized ❑ PREVENTING CROSS-CONTAMINATION HSC 119315 - Autoclave loaded correctly/packages ❑ 3' allowed to dry ❑ ❑ 23. HSC 119309 - Workstation/procedure area decontaminated ❑ HSC 119315 - Integrators used/monthly spore test/log ❑ 4' maintained ❑ ❑ 24, HSC 119301 - Appropriate chemical disinfectant used ❑ HSC 119314 - Decontamination/sanitation area separated ❑ 5' and supplied appropriately ❑ Chemical used: ❑ 6 HSC 119315 - Invoices and log kept for disposable, pre- ❑ 25 HSC 119309 - Disinfectant used appropriately/sufficient sterilized a ui ment ❑ contact time ❑ HSC 119314 - Sharps containers labeled, used, and 7' ❑ Wet contact time provided: disposed of appropriately ❑ 8 HSC 119310, 119315 - Jewelry, tattoo and piercing ❑ ❑ 26. HSC 119314 - Barriers used ❑ equipment - clean and sterilized HSC 119311 - Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE El 27' use/dispensed aseptically ❑ ❑ HSC 119309 - No eating, drinking or smoking - clean HSC 119309, 119311 - Storage of inks, pigments, needles,9' clothes El ❑ 28' tubes, etc. El ❑ 10. HSC 119308 - Hands washed effectively and timely ❑ ❑ 29 HSC 119310, 119311 - Jewelry, Inks, Needles etc approved ❑ and used correct) HSC 119314 - Handwashing facilities properly supplied and HSC 119308 - Cross-contamination avoided during all El 11. accessible, warm water El El 30' phases of procedure ❑ ❑ 12. HSC 119306 - Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES 13. HSC 119307 - Bloodborne Pathogen training ❑ 31. HSC 119314 -Areas separated/no living or sleeping quarters ❑ ❑ Source: ❑ HSC 119314 - Floors and walls clean and in good repair, ❑ 32. adequate light El HSC 119308 - Appropriate personal protective equipment HSC 119314 - Workstation, surfaces, including chairs, El 14. available and used El ❑ 33' armrests, etc. in good repair El CUSTOMERS/CLIENTS ❑ 34. HSC 119312 - Permit/registration posted ❑ ❑ HSC 119309 - Branding is completed with no other HSC 119313 - Operation and employee training records ❑15. customers in procedure area ❑ ❑ 35' present ❑ 16. HSC 119302 - Customers eighteen (18) years of age or ❑ older COMPLIANCE AND ENFORCEMENT ❑ 17. HSC 119308 - Skin adequately prepared for procedure ❑ ❑ 36. HSC 119312 - Plan(s) submitted for review ❑ HSC 119303 - Client records approved and available - ❑ 18. questionnaire El El37. HSC 119312 - Permits obtained and available ElConsent form and ❑ HSC 119303, 119308 - Appropriate aftercare instructions 19. iven to client El El38. HSC 119319 - Impoundment El MACHINE SAFETY AND SANITATION ❑ 39. HSC 119320 - Hearing scheduled ❑ ❑ 20. HSC 119311 - Safe machine design ❑ ❑ 40. HSC 119312, 119317, 119320 - Closure ❑ ❑ 21 HSC 119311 - Machines cleaned and disinfected between ❑ ❑ 41. ❑ clients Received by (Print): Sasha Williams Received by (Signature): EMAILED Phone: 209-696-4669 Specialist (Print): Sandip Singh Specialist (Signature): a'a,�p !21.;uff� Phone: 209-468-3526 Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 1 of 2 EH- 7-1-25