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4100 – Safe Body Art
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PR0537807
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COMPLIANCE INFO
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Last modified
5/5/2023 3:27:56 PM
Creation date
3/30/2023 1:03:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537807
PE
4120
FACILITY_ID
FA0021685
FACILITY_NAME
TELEIOS TATTOO STUDIO (HIRSCHLER, DANIEL M)
STREET_NUMBER
21
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
21 S SACRAMENTO ST
QC Status
Approved
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EHD - Public
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Body Art InspeAn Report 46 Date: <br />San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: nose ose 0039 <br />(209) 468-3420 <br />C_F.. ... www.siogv.orq/ehd Program t,l� <br />Element: _I <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PRO537649 <br />Daniel Hirschler <br />PRO539735 <br />John Garcia <br />PR0538139 <br />John Holcomb- no longer working here <br />Observations and Corrective Actions: <br />Number <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) -Submit a copy of a purchase record and corresponding sterilization <br />certificate <br />7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol <br />and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br />Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) -Submit a copy of a pickup record <br />26. Any part of a tattooing machine that may touch the practitioner during procedure shall be covered with a disposable plastic <br />sheath. HSC 119311(h) <br />28. Sterilized instrument packs, equipment and jewelry shall be stored in a labeled container or cabinet that is protected from <br />dust or moisture. Sterile instrument packs shall be evaluated before use; instrument packs shall be discarded or reprocessed if <br />condition is compromised. HSC 119315 -Submit a picture showing compliance — Clout a� sk. 6S- <br />35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br />Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 -Submit a copy of a <br />document showing that the IPCP was covered with the practitioner <br />Unless Otherwise Noted, Corrective Action Due in 30 days. <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 2 of 2 <br />EH -03/2015 <br />
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