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r u,"N <br />°? y Inspection ' °4 Body Art ItiReport 2 porDate: March 3, 2022 <br />N A San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record New PR # <br />(209) 468-3420 <br />•o \P www.sioay.ora/ehd Program <br />Element: 4120 <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PRO537535 <br />William Huggins (BBP exp. 7/27/22) <br />Dan Wilson 2/28/23) <br />Observations and Corrective Actions: <br />PR Number <br />PRACTITIONER/ARTIST <br />NAME <br />PR0544069 <br />Dan Wilson 2/28/23) <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) — Sterilization certificates were not available for the needles used by William <br />Huggins or Dan Wilson. Provide EHD sterilization certificates for the following needles: <br />-Cheyenne (Dan Wilson) 2020-35-68 <br />03 <br />- Cheyenne (William Huggins) 202M&-083 <br />- Da Vinci (William Huggins) 08-21 <br />- Emalla (William Huggins) 1112021 <br />Correct all violations and provide evidence of corrections to the EHD <br />by March 17, 2022. <br />Notes: <br />1. The inspection report was emailed to facility owner, William Huggins, at ihuaaabuxCa�amail.com and to Dan Wilson, <br />facility owner, at danielggwilson(a pmail.com. <br />2. Facility owners are in the process of obtaining sterilization certificates. <br />3. There are two sinks in the procedure area. The facility may have four practitioners at the facility, at any given time. <br />4. Post health permits at a conspicuous place when received. <br />5. Facility may now open. <br />Reinspection onlabout: A reinspection fee of $152 per hour may be charged. Page 2 of 2 <br />EH -11/17 i�J <br />