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°u Body Art Inspecle Report • <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />t,FOR� wwwsiogv.orq/ehd <br />PR Number <br />PRACTITIONERIARTIST NAME <br />New Registrant <br />Michael AnthonySllva - BBP posted, recently regist. <br />PRO537490 <br />Christopher Flores - Permit + BBP Posted <br />PRO540259 <br />Bra an Flores - BBP Exp., Permit Exp <br />Observations and Corrective Actions: <br />Date: <br />Program <br />Record: <br />Program <br />Element: <br />\/�/01b3 <br />I PR Number I PRACTITIONER/ARTIST NAME I <br />6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br />client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br />sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br />minimum of 90 days after use. HSC 119315(f) — Submit by 3/4/2018. <br />13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br />section 119307. —Submit by 1/18/2018. <br />37. A body art facility shall not conduct business without a valid health permit. A person shall not perform body art without a valid <br />registration and a permitted facility. A body art facility shall notify the LEA in writing within 30 days of resignation, termination of a <br />practitioner. Anew hire or apprentice must be registered the EHD prior to performing body art at the facility. HSC 119312 & <br />119306. Submit by 1/1812018. <br />Correct all violations noted above. <br />Notes: <br />1.) Facility has been approved to open. <br />2.) Add "Y or N" to consent form section regarding other risk factors for bloodborne pathogen and requirements for <br />antibiotics prior to dental procedures. <br />3.) Christopher Flores moved from Paradigm Tattoos. <br />4.) Brayan Flores moved from Black Rose. <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 2 of 2 <br />EH -03/2015 <br />