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/o.PgU!N c oG Body Art Inspection Report Date: January 27, 2026 y { San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR2500682 (209) 468-3420 Program www.siogv.oralehd Element: 4120 Facility Name Address City Zip Code Yatted by Vonie 1503 St. Marks Plaza#B Stockton 95207 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Sasha Williams 6/30/26 Routine 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 Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C ❑ 1 HSC 119315 -Autoclave: approved and effective - passed HSC 119311 - Parts replaced between clients - grommets, Elintegrator test ❑ ❑ 22' elastic bands, etc. ❑ 2 HSC 119309 - Items washed, disinfected, packaged, labeled, and sterilized ❑ PREVENTING CROSS-CONTAMINATION ❑ 3 HSC 119315 -Autoclave loaded correctly/packages allowed to d ❑ ❑ 23. HSC 119309 - Workstation/procedure area decontaminated El ❑ 4 HSC 119315 - Integrators used/monthly spore test/log ❑ 24. HSC 119301 Appropriate chemical disinfectant used maintained El ❑ ❑ 5 HSC 119314 - Decontamination/sanitation area separated and supplied a ro riatel El 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' ro riatel El wet contact time provided: disposed of a ❑ 8 HSC 119310, 119315 - Jewelry, tattoo and piercing equipment - clean and sterilized ❑ ❑ 26. HSC 119314 - Barriers used El HSC 119311 - Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE El 27' use/dispensed asepticallyEl ❑ 9 HSC 119309 - No eating, drinking or smoking - clean ❑ ❑ 28 HSC 119309, 119311 - Storage of inks, pigments, needles, Elclothes tubes, etc. ❑ 10. HSC 119308 - Hands washed effectively and timely ❑ ❑ 29 HSC 119310, 119311 - Jewelry, Inks, Needles etc approved ❑ and used correct) ❑ 11. HSC 119314 - Handwashing facilities properly supplied and El HSC 119308 - Cross-contamination avoided during all accessible, warm water ❑ 30' El 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: ❑ El 32 HSC 119314 - Floors and walls clean and in good repair, adequate light ❑ 14. HSC 119308 -Appropriate personal protective equipment HSC 119314 - Workstation, surfaces, including chairs, available and used El ❑ 33' Elarmrests, etc. in good repair CUSTOMERS/CLIENTS ❑ 34. HSC 119312 - Permit/registration posted ❑ ❑ 15. HSC 119309 - Branding is completed with no other HSC 119313 - Operation and employee training records customers in rocedure area El ❑ 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. Consent form and uestionnaire El El37. HSC 119312 - Permits obtained and available El ❑ 19 HSC 119303, 119308 - Appropriate aftercare instructions 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): !;Y� Phone: 209-468-3526 Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 1 of 3 EH- 7-1-25