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gut.. Body Art Inspec Report <br />�a <br />t <br />Q -1 San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />Cq<tFOit��P www.sJogy.org/ehd <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PR0523951 <br />Melissa Santos <br />PR0537369 <br />Michael Wright -1313P <br />PRO537371 <br />Daniel Ju e <br />L nnz Per a rentice -BBP <br />Observations and Corrective Actions: <br />Date: <br />Program <br />Record: <br />Program <br />Element: <br />S/. 2,14' 11S <br />�R-�S234SL <br />4 ru <br />I PR Number I PRACTITIONER/ARTIST NAME I <br />3. Sterilizer shall be loaded operated, decontaminated, and maintained according to manufacturer's recommendations. HSC <br />119315(b) * Wi,< -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 hauler r approv d ma' b ck system. <br />Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e)*l"r-°k 0Au. k W/ V 4s1ls <br />fece /� shatrP", ?/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.(y�� <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 />