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i&..... Body Art Inspec Report Date: S/Z�{iS <br /> �a �a. <br /> San Joaquin County Environmental Health Department Program p <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 <br /> •'.C'q<tFOR��P•• <br /> www.soqv.org/ehd Program ' /ru <br /> Element: "l <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0523951 Melissa Santos <br /> PR0537369 Michael Wright-1313P <br /> PRO537371 Daniel Ju e <br /> L nnz Per a rentice-BBP <br /> Observations and Corrective Actions: <br /> 3. Sterilizer shall be loaded operated, decontaminated, and maintained according to manufacturer's recommendations. HSC <br /> 119315(b)*Wi,<A-J U(Sf is <br /> 4. Sterilizer shall be spore-tested after initial installation, after major repair, and at least once per month. A written sterilization <br /> shall be maintained for 3 years. The log shall include spore-test results each sterilization cycle, date, contents, exposure time and <br /> temperature, results of the Class V integrator for every cycle/lod and evidence of a acceptable spore test before reuse of the <br /> sterilizer after a failed spore-test. HSC 119315(b) dkCflstc�..l tf s �S <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 haulerr approv d ma' b ck system. <br /> Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e)il"r-°k LD41u.tw/v 4s1ls <br /> fece /� shatrP", p/A rrm4' ;-A 44a11s <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 1193074c,3114-0t u1sh; <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*/0+*J-� 615tis <br /> Notes: 1. The consent form, medical questionnaire, and aftercare instructions need to be reprinted for better legibility. (��� <br /> (�1 sl,S <br /> Submit corrective evidence for all of the above listed items <br /> within 1 week. If corrective evidence for all the above <br /> listed items has been not received within 7 days, another <br /> inspection will be conducted and a bill of $130 will be <br /> issued. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />