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"r Body Art Inspection Report Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E. Hazelton Ave., Stockton,CA 95205 Record: <br /> (209)468-3420 Program <br /> Q...e. . - www sioay.ora/ehd Element: <br /> Facility Name Address City Zip Code <br /> Tall Tales Tattoo 7170 west lane#4 Stockton 95210 <br /> Name of Permit/Registration 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, 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 cant.) C <br /> ❑ 1 Autoclave: approved an&0- <br /> e - passed integrator ❑ ❑ 22 Parts replaced between clients-grommets, elastic bands, ❑ <br /> test at, <br /> Items washed, disinfectaged, labeled, and <br /> ❑ 2' sterilized ❑ PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthesf/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanita separated and supplied Chemical used:❑ 6' a ro riatel ❑Invoices and log kept foable, pre-sterilized® 6. a ui ment ❑ ❑ 25, Disinfectant used appropriately/sufficient contact time <br /> El <br /> ® 7Sharps containers label , and disposed of ❑ Wet contact time provided: <br /> appropriately <br /> Jewelry, tattoo and piercing equipment-clean and <br /> ❑ 6' sterilized ❑ ❑ 26. Barriers used ❑ <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. asepticallyEl <br /> 9. No eating, drinking or smoking -clean clothes ❑ El28. 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, El El30. Cross-contamination avoided during all phases of El <br /> warm water procedure <br /> ®. 12. Hepatitis B vaccination El BEST BUSINESS 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 /> ID <br /> 14 Appropriate personal protective equipment available and ❑ ® 33 Workstation, surfaces, including chairs, armrests, etc. in ❑used ood re air <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration postedBranding is completed with no other customers in 15. rocedure area ❑ ® 35. Operation and employee training records present 16. Customers eighteen (18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> 17. Skin adequately prepared for procedure ❑ U39. Hearing <br /> submitted for review ❑Client records approved and available-Consent form s obtained and available ❑18' and uestionnaire ❑19. Appropriate aftercare instructions given to client ❑ ndment ❑ <br /> MACHINE SAFETY AND SANITATION g scheduled20. Safe machine design ❑ e ❑21. Machines cleaned and disinfected between clients ❑ ❑ <br /> Received by (Print)' Christina Ramirez-EMAILED Received by(Signature): Phone: <br /> Specialist (Print): Sandip Singh Specialist(Signature): Phone: 209-468-3526 <br /> Reinspecton on/about: A retnspection fee of$152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />