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Body Art Inspection Report Date: Febraary 24,2c22 <br /> San Joaquin County Environmental Health Department Program <br /> l <br /> �. <br /> 1868 E.Hazeton Ave.,Stockton,CA 95205 Record: PR0537130 <br /> (209)468-3420 <br /> www.sioay.orohhd Program <br /> Element: 4121 <br /> Facility Name Address City Zip Code <br /> True Classic Tattoc 423 E. Miner Ave Stockton X5202 <br /> Name of Perm it/Re_ist•ation Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Victor Lara 6/30/22 <br /> The F 3ove facility is nspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code(HSC;. <br /> V=Violation C=Corrected On Site <br /> i <br /> V CLEANING APE,STERILIZATION C V MACHINE SAFETY AND SANITATION(cont.) C <br /> Parts replaced between clients-grommets, e as i;Lards, <br /> El1. Autocla approved and effective passed integrator test ❑ El 22 etc <br /> ❑ <br /> Items� e ned,disinfected, packaged, labeled, and 2' sterilize= E] PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclaje loaded correcty/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ® 4. Integrat:r_ used/monthly spore tesUlog maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decon-am nation/sanitatiDn area separated and supplied ❑ El <br /> 5' E] Chemical used: <br /> aro ra-el <br /> ❑ <br /> Invoices aid log kept fordisposable, pre-sterilized 6' El 25. Disinfectant used appropriately/sufficient cont-pct ime <br /> a uipmart <br /> El-:oitainers labeled, used,and disposed of ❑ <br /> ® 7' Ela ro r 3-el Wet contact time provided: <br /> Jewelry t=ttoo and piercng equipment-clean and <br /> ❑ 8. El El 26. Barriers used Elsterilize= <br /> PRACTITIONER HEALTH AND HYGIENE <br /> El 27. Products applied to skin are single use/dispersed aseptically ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks, pigments, needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed ef-ectivel-and time v ❑ ❑ 29. Jewelry, Inks, Needles etc approved and usad coirectly ❑ <br /> Handv%,F 3-ing facilities properly supplied and accessible, <br /> El 11. ElEl30. Cross-contamination avoided during all phases cf proc=dure Elwarm w<tx <br /> ❑ 12. Hepatitt 3 vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbo-ne Pathogen trainingE] ElEl31. Areas separated/no living or sleeping quarters <br /> Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br /> ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces, including chairs, armrestE,etc. n 14. used El [1 33. good repair <br /> E] <br /> CUSTOMERSIC_IENTS ❑ 34. Permit/registration posted ❑ <br /> Branding i3 completed\vth no other customers in <br /> El 15. El El '• <br /> 35. Operation and employee training records prer>f Elrocedu-e area <br /> ❑ 16. Customers eighteen(18;years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adegiately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client r-xno ds approved and available-Consent form and <br /> El 18. El 37. Permits obtained and available Eluestio-raire <br /> ❑ 19. Approp-Ete aftercare instructions civen to client ❑ ❑ 38. Impoundment ❑ <br /> MACAINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe m=-chine design ❑ ❑ 40. Closure ElT❑ 21. Machin-=E cleaned and d sinfected between clients ❑ ❑ 41. ❑ <br /> Received oy(Print Victor Lara Received by(Signature): EMAILED Phone: 2C9-943-0092 <br /> Specialist(Print): Pnne Chao Specialist(Signature): Phone:2C9-468-3854 <br /> Reinspection onla3out: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />