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`r Body Art Inspection Report Date: <br />Q San Joaquin County Environmental Health Department program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Recofd: <br />(209) 468-3420 PfOgfam <br />$...g. � � -�� www sioay.om/ehd Element: <br />Facility Name Address City Zip Code <br />Tall Tales Tattoo 7170 west lane #4 Stockton 95210 <br />Name of PermiURegistration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Christina Ramirez 6/30/21 Routine <br />The above facility is inspected for compliance with Division 104, Parl 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 cant.) C <br />❑ 1 Autoclave: approved and effective -passed integrator ❑ ❑ 22 Parts replaced between clients -grommets, elastic bands, ❑ <br />test etc. <br />Items washed, disinfected, packaged, labeled, and <br />❑ 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 tesUlog maintained ❑ ❑ 24. Appropriate chemical disinfectant used <br />Decontamination/sanitation area separated and supplied Chemical used: ❑ <br />❑ 5' a ro riatel ❑ <br />Invoices and log kept for disposable, pre -sterilized <br />® 6' a ui ment ❑ ❑ 25. Disinfectant used appropriately/sufFcient contact time <br />® 7 Sharps containers labeled, used, and disposed of ❑ Wet contact time provided: <br />a ro riatel <br />Jewelry, tattoo and piercing equipment -clean and <br />❑ 8' sterilized ❑ ❑ 26. Barriers used ❑ <br />Products applied to skin are single use/dispensed <br />PRACTITIONER HEALTH AND HYGIENE ❑ 27. ase tical) ❑ <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 />❑ 11 Handwashing facilities properly supplied and accessible, ❑ ❑ 30. Cross -contamination avoided during all phases of ❑ <br />warm water procedure <br />®. 12. Hepatitis B vaccination ❑ BESTBUSINESS PRACTICES _ <br />® 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living 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 ❑ <br />used ood re air <br />CUSTOMERS/CLIENTS ❑ 34. PermiUregistration posted ❑ <br />Branding is completed with no other customers in <br />❑ 15. rocedure area ❑ ® 35. Operation and employee training records present ❑ <br />❑ 16. Customers eighteen (18) years of age or oltler ❑ COMPLIANCE AND ENFORCEMENT <br />❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plans) submitted for review ❑ <br />Client records approved and available -Consent form 37. Permits obtained and available ❑ <br />® 18' and ueslionnaire ❑ ❑ <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 by (Print)' Christina Ramirez -EMAILED Received by (Signature)• Phone: <br />Specialist (Print)• Sandip Singh Specialist (Signature)• Phone 209-468-3526 <br />Relnspecion on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 3 <br />EH -11/17 <br />