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Body Art Inspection Report Date: <br />San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />(209) 4683420 <br />owlwt4w w .sioev.ure/ehd Program <br />Element: <br />Facility Name Address City Zip Code <br />True Tattoo 811 a march lane, suite #2 Stockton 95210 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Ryan Abelian 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 cont. C <br />❑ 1 Autoclave: approved and effective - passed integrator ❑❑ 22 Parts replaced between clients - grommets, elastic bands, El <br />etc. <br />❑ 2 Items washed, disinfected, packaged, labeled, and <br />sterilized ❑ PREVENTING 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 />❑ 5 Decontamination/sanitation area separated and supplied ❑ <br />appropriately ❑ Chemical used: <br />® 6 Invoices and log kept for disposable, pre-sterilized <br />equipment ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time <br />® 7 Sharps containers labeled, used, and disposed of ❑ <br />appropriately ❑ Wel contact time provided: <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and ❑El26. Barriers used <br />sterilized ❑ <br />❑ <br />PRACTITIONER HEALTH AND HYGIENE 27 Products applied to skin are single use/dispensed Elase 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 El <br />water rocedure <br />❑ 12. Hepatitis B vaccination ❑ <br />BEST BUSINESS PRACTICES <br />❑ 13. Bloodborne Pathogen trainingEl® 31. Areas separated/no living or sleeping quarters El <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. Permit/registration posted ❑ <br />❑ 15. Branding is completed with no other customers in <br />rocedure area El® 35. Operation and employee training records present El <br />❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br />❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s) submitted for review ❑ <br />® 18 Client recordsapproved and available - Consent form ❑ Eland questionnaire El37. Permits obtained and available <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): Ryan Abelian - Emailed Received by (Signature): Phone: 415-307-5498 <br />Specialist (Print): Sandip Singh Specialist (Signature): Phone" 209468-3526 <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 3 <br />EH-11/17 <br />