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i <br /> Body Art InspectibReport Date: r Z 2,91� <br /> San Joaquin County Environmental Health Department Program //�� C� <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: P (J SCI Z � 1 <br /> (209)468-3420 Program <br /> `c4 <br /> °R e+`P www.siogv.org/ehd <br /> Element: Lv <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0537386 Daniel Bryant <br /> PR0542419 Taylor Breitmaier <br /> Observations and Corrective Actions: <br /> 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste"or with the biohazard <br /> symbol and the word"Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back <br /> system. Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) No records were available for <br /> sharps disposal at the time of the inspection. Submit evidence of sharps disposal or a contract with a licensed waste <br /> hauler by 1/28/2019. <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303 Some of the consent forms do not have a description of the procedure and are not <br /> signed by the artist. Artists to complete consent forms at the time of the procedure. <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 Facility is to maintain <br /> an updated copy of the Infection Prevention and Control Plan (IPCP)onsite. Submit a copy of the IPCP to the EHD by <br /> 1/2812019. <br /> Unless otherwise stated, all corrections are due by 1/28/2019. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />