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Body Art inspection Report <br /> Date: 3/24/22 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> ,! Record: PR0524524 <br /> (209)468-3420 <br /> www.sioay.org/ehd Program <br /> q. •.....' Element: 4120 <br /> Facility Name Address City Zip Code <br /> Hard Luck Tattoo 1 W. Pine St Lodi 95240 <br /> Nar-te of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Bac Nguyen 6/30/22 Routine <br /> The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Hea th 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 /> Parts <br /> 1-11. Autoclave: approved and effective-passed integrator test 1:1 1:122 replaced between clients-grommets,elastic bands, <br /> etc. ❑ <br /> Items washed,disinfected, packaged, labeled, and <br /> ❑ 2. sterilized El 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 El ❑ <br /> El 5' appropriately <br /> E] El <br /> used: <br /> Invoices and log kept for disposable, pre-sterilized <br /> ❑ 6. ❑ El25. Disinfectant used appropriately/sufficient contact time Elequipment <br /> Sharps containers labeled, used, and disposed of <br /> ❑ 7. a ro riatel E] Wet contact time provided: <br /> Jewelry,tattoo and piercing equipment-clean and <br /> ❑ 8. [I ❑ 26. Barriers used ❑ <br /> sterilized <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to sk n are single use/dispensed aseptically ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks, pigments, needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, <br /> ❑ 11. El El 30. Cross contamination avoided during all phases of procedure <br /> hot water <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no liv ng or sleeping quarters ❑ <br /> Source: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ 14. Appropriate personal protective equipment available and ❑ ❑ 33 Workstation,surfaces, including chairs,armrests,etc. in E]used good repair <br /> CUSTOMERS/CLIENTS El34. Permit/registration posted F1 <br /> Branding is completed with no other customers in <br /> El 15. rocedure area El El 35. Operation and employee training records present El <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFOR'EMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36 Pian(s) submitted for review ❑ <br /> Client records approved and available-Consent form and <br /> ❑ 18. questionnaire rEE:1 <br /> El 37. Permits obtained and available El <br /> El 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 /> RecBived by(Print): Bao Nguyen Received by(Signature): EMAILED Phone:209-365-1455 <br /> Specialist(Print): Pinne Chao Specialist(Signature): Phone:209-468-3854 <br /> Reinspection on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />