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otq '"'.� Body Art Inspects Report <br /> oZ Date: 11 J25 <br /> San Joaquin County Environmental Health Department Program q <br /> Record: SR.6O 7 U3Li 1 <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> (209)468-3420 Program <br /> �4<.FORae www.siogv.org/ehd <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0539627 Yo esh Patel owner <br /> PR0539622 John Haynes(piercer) <br /> Observations and Corrective Actions: <br /> 5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a <br /> cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper <br /> towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) <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) <br /> 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br /> paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303 <br /> 32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br /> The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br /> floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art <br /> facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br /> procedure area shall have lined waste containers. HSC 119314& 119317 <br /> Unless otherwise noted, Corrective Action Due in 30 days. <br /> Reinspecion onlabout: A reinspection fee of$125 per hour may charged. Page 2 of 2 <br /> EH-0412014 <br />