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Aq u'N Body Art InspeReport it Date: S/311-7 <br /> 1� <br /> San Joaquin County Environmental Health Department <br /> Program <br /> Q:. <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: P2oS3�3$� <br /> (209)468-3420 <br /> •,�, P. Program L41 L4 <br /> Q<+Foa' www.siogv.orq/ehd <br /> Element: <br /> Facility Name Address City Zip Code <br /> Anchors Away Tattoo 209 e.kettleman In. Lodi 95240 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Shane Winans 6/30/17 Routine <br /> The above facility is inspected for compliance with Division 104,Part 15,Chapter 7 of California Health and Safety Code(HSC). <br /> V=Violation C=Corrected On Site <br /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont.) C <br /> El1 Autoclave:approved and effective-passed integrator ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, Eltest etc. <br /> Items washed,disinfected,packaged,labeled,and <br /> El 2" sterilized ❑ PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ❑ <br /> ❑ 5. appropriately ❑ Chemical used: <br /> Invoices and log kept for disposable,pre-sterilized <br /> ❑ 6" equipment ElEl25. Disinfectant used appropriately/sufficient contact time <br /> ❑ <br /> Sharps containers labeled,used,and disposed of <br /> ❑ 7" Elappropriately <br /> [Wet contact time provided: <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8" El El 26. Barriers used Elsterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE El 27" asepticall ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes r1n] <br /> [128. Storage of inks,pigments, needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely F129. Jewelry,Inks,Needles etc approved and used correctly El® 11. Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> warm water El 30" 1 procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters El <br /> Source: ® 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc. in <br /> ❑ 14. used El ❑ 33' ood repair El <br /> CUSTOMERS/CLIENTS ® 34. Permit/registration posted ❑ <br /> ❑ <br /> Branding is completed with no other customers in 15. rocedure area ❑ ® 35. Operation and employee training records present ❑ <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> ® <br /> Client records approved and available-Consent form ❑18. F1❑ 37. Permits obtained and available <br /> and questionnaire <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received b (Print): Shane Winans Received by(Signature): Phone: 209 327-8868 <br /> Specialist Print): Benjamin Escotto,Sr REHS Specialist(Signature)7 ` Phone: 209 468-3178 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />