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Facility Name Address City Zip Code Art Body & Soul Tattoo Lounge 3008 hammer lane Stockton 95212 Name of Perm it/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Silva Rv Ann 6/30/20 Routine The above facility is inspected for compliance with Division Body Art InspectieReport 9 Date: Q l Q 3/ I I H San Joaquin County Environmental 4alth Department V = Violation ❑ ® 1888 E. Hazelton Ave., Stockton, GA 95205 Program Record: ❑ �4LrFoaa`P (209)468-3420 Program ` C www slogv.org/ehd Element: (� 26 Facility Name Address City Zip Code Art Body & Soul Tattoo Lounge 3008 hammer lane Stockton 95212 Name of Perm it/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Silva Rv Ann 6/30/20 Routine The above facility is inspected for compliance with Division 104, No eating, drinking or smoking - clean clothes Part 15, Chapter 7 of California Health and Safety Code (HSC). 10. V = Violation ❑ ® C = Corrected On Site ❑ NING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont.) C Autoclave: approved and effective - passed integrator El ❑ 22. Parts replaced between clients -grommets, elastic bands, ❑ test ❑ 14. Appropriate personal protective equipment available and __a ❑ etc. Items washed, disinfected, packaged, labeled, and ❑ sterilized PREVENTING CROSS -CONTAMINATION Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used ❑ Decontamination/sanitation area separated and supplied ❑ Chemical used: appropriately Invoices and log kept for disposable, pre -sterilized El El25. Disinfectant used appropriately/sufficient contact time equipment El Sharps containers labeled, used, and disposed of ❑ onn,,,-i.for„ Wet contact time provided: Jewelry, tattoo and piercing equipment - clean and PRACTITIONER HEALTH AND HYGIENE ® 1 9. No eating, drinking or smoking - clean clothes ❑ ❑ 10. Hands washed effectively and timely ❑ ® 11. Handwashing facilities properly supplied and accessible, warm water ❑ ❑ 12. Hepatitis B vaccination ❑ ® 13. Bloodborne Pathogen training ❑ Source: ❑ 14. Appropriate personal protective equipment available and __a ❑ CUSTOMERS/CLIENTS ❑ 15. Branding is completed with no other customers in procedure area ❑ ❑ 16. Customers eighteen (18) years of age or older ❑ ❑ 17. Skin adequately prepared for procedure ❑ ® 18 Client records approved and available - Consent form and questionnaire ❑ ❑ 19. Appropriate aftercare instructions given to client ❑ MACHINE SAFETY AND SANITATION ❑ 20. Safe machine design ❑ 21. Machines cleaned and disinfected between clients Received Received ❑ 26. Barriers used ❑ ❑ 27 Products applied to skin are single use/dispensed aseptically ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ ❑ 30. Cross -contamination avoided during all phases of -.4- E]..., BEST BUSINESS PRACTICES ❑ 1 31. Areas separated/no living or sleeping quarters ❑ ❑ 32. Floors and walls clean and in good repair, adequate light ❑ ❑ 33. Workstation, surfaces, including chairs, armrests, etc. in goo d repair ❑ ® 34. Permit/registration posted ❑ ® 35. Operation and employee training records present ❑ COMPLIANCE AND ENFORCEMENT ❑ 36. Plan(s) submitted for review ❑ 37. Permits obtained and available ❑ 38. Impoundment ❑ 39. Hearing scheduled ❑ 40. Closure ❑ 41. Phone: 209-465-5856 Specialist (Print): J.Easter Specialist (Signature): F2gV)5E-- Phone: (209) 953-7310 Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 3 EH -11/17