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Body Art InspectieReport Date: �l g l 1 q <br /> a� San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> P.. (209)468-3420 Program wwwsiogv.org/ehd g N120 <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONERIARTIST NAME <br /> Chelsea Ramsey-BBP and Permit Posted and <br /> PROM1479 Current <br /> Observations and Corrective Actions: <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)—Provide evidence of sterilization for SofTap Needles and maintain the <br /> sterilization certificate at the facility. <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—Keep a copy of clients' driver's license/identification with their records. <br /> Note: <br /> 1. If you have any question, please contact me at(209)468-3284 or mvue@sjcehd.com <br /> 2. Keep record of purchase for the needles and blades in the facility. <br /> 3. Keep evidence of sterilization for the blades in the facility. <br /> 4. Provide a copy of the sterilization certificate for SofTap to the EHD. <br /> 5. Allow adequate time for the disinfect to remain wet on surfaces in order to disinfect the surfaces properly. <br /> Unless otherwise noted, correct all violations prior to March 18, 2019. <br /> Reinspecion onlabout: A reinspection fee of$152 per hour may be charged. / Page 2 of 2 <br /> EH-11/17 <br /> U <br />