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A u�N•c Body Art Inspection Report Date: December 2,2025 Hz{ San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: AP2502902 (209)468-3420 Program O �Pr www.sioay.ora/ehd g�!Fdac'� Element: 4103- Consultation Facility Name Address City Zip Code Harleigh Quintana 37 W Yokuts Ave.Suite 5 Stockton,CA 95207 Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type Harleigh Quintana 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 I MACHINE SAFETY AND SANITATION cont C HSC 119315-Autoclave:approved and effective-passed HSC 119311 -Parts replaced between clients-grommets, ❑ integrator test El ❑ 22 elastic bands,etc. El ❑ HSC 119309-Items washed,disinfected,packaged,2' labeled,and sterilized El CROSS-CONTAMINATION ❑ HSC 119315-Autoclave loaded correctly/packages 3' allowed to d ❑ ❑ 23. HSC 119309-Workstation/procedure area decontaminated ❑ ❑ HSC 119315-Integrators used/monthly spore test/log 4' maintained ElEl24. HSC 119301 -Appropriate chemical disinfectant used ❑ HSC 119314-Decontamination/sanitation area separated El 5' appropriately ElChemical used: None provided at consultation and supplied ® 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' appropriately ❑ Wet contact time provided: disposed of ❑ 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 ❑ 27' use/dispensed asepticallyEl ® 9 HSC 119309-No eating,drinking or smoking-clean ❑ ❑ 28 HSC 119309, 119311 -Storage of inks,pigments,needles, El clothestubes,etc. HSC 119310, 119311 -Jewelry,Inks,Needles etc approved El10. HSC 119308 Hands washed effectively and timely ❑ ❑ 29 Eland used correctly HSC 119314-Handwashing facilities properly supplied and® HSC 119308-Cross-contamination avoided during all 11' accessible,warm water ❑ ❑ 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 ❑ ❑ ❑ HSC 119314-Floors and walls clean and in good repair, Source: ProTrainings ❑ 32• adequate light ❑ HSC 119308-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,including chairs, El14. available and used ❑ ❑ 33. armrests,etc.in good repair ❑ 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 El ❑ 35' present El El16. HSC 119302-Customers eighteen(18)years of age or El older COMPLIANCE AND ENFORCEMENT ❑ 17. HSC 119308-Skin adequately prepared for procedure ❑ ro 36. HSC 119312-Plan(s)submitted for review ❑ HSC 119303-Client records approved and available- ❑ 18. Consent form and uestionnaire ❑ 37. HSC 119312-Permits obtained and available ❑ HSC 119303, 119308-Appropriate aftercare instructions El 19' iven to client ❑ 38. HSC 119319-Impoundment ❑ 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. HSC 119314—Waste Container ❑ clients Received by(Print): Harleigh Quintana Received by(Signature): EMAILED Phone:209-923-0633 Specialist(Print): Alexander Cruz Specialist(Signature): 616-xa".cL'eit �i Phone:209-616-3042 Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 1 of 3 EH-7-1-25