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rN coG Body Art Inspection Report Date: November 15,2021 <br /> HSan Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PRO541621 <br /> t209)468-3420 <br /> \C �P • w .sioov.orn/ehd Program <br /> quo Element: 4120 <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PRO541622 Erica Green-Frese 813P Exp. 10/19/22 <br /> Observations and Corrective Actions: <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)—A sterilization certificate was not available for the MadLuv blades with the <br /> lot number MB02201226. Provide EHD with a copy of the sterilization certificate for the blade mentioned. <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)—The sharps waste has not been <br /> disposed of since facility opened. Sharps waste shall be mailed back or picked up by a sharps waste hauler at least <br /> once a year. Provide EHD with a receipt/manifest for sharps waste disposal. <br /> Correct all violations and provide evidence of corrections to the EHD by <br /> November 30, 2021. <br /> Notes: <br /> 1. Inspection report emailed to facility owner, Erica Green-Frese at erica fresefrDyahoo.com. <br /> 2. Permit given to Erica on the day of the routine inspection. Permit posted. <br /> 3. Ensure there is no absorbent material on the procedure table during procedure. <br /> 4.The hot water handle is on the opposite side of the sink(right side). <br /> Reinspection ontabout: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11117 <br />