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o U.iN Body Art Inspection Report Date: April 10, 2025 y { San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0548664 (209) 468-3420 �"•. P www.Siogv.orj/ehd Program Element: 4120 Facility Name Address City Zip Code Tantra Ink House of Permanent Makeup 445 W Weber Ave., Suite 232 Stockton 95203 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Lynda Diaz 6/30/25 Routine The facility is inspected for compliance with Division 104, Part 15, Cha ter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C ❑ 1 HSC 119315 -Autoclave: approved and effective - passed HSC 119311 - Parts replaced between clients - grommets, Elintegrator test El ❑ 22' elastic bands, etc. ❑ 2 HSC 119309 - Items washed, disinfected, packaged, labeled, and sterilized El CROSS-CONTAMINATION HSC 119315 -Autoclave loaded correctly/packages ❑ 3' allowed to d ❑ ❑ 23. HSC 119309 - Workstation/procedure area decontaminated ❑ ❑ 4 HSC 119315 - Integrators used/monthly spore test/log maintained El24. HSC 119301 - Appropriate chemical disinfectant used El ❑ ❑ 5 HSC 119314 - Decontamination/sanitation area separated and supplied appropriatelyEl Chemical used: Cavacide/ Cavawipes ❑ 6 HSC 119315 - Invoices and log kept for disposable, pre- ❑ 25 HSC 119309 - Disinfectant used appropriately/sufficient sterilized equipment ❑ contact time ❑ HSC 119314 - Sharps containers labeled, used, and El 7' ro riatel El Wet contact time provided: 10 mins disposed of a ❑ $ HSC 119310, 119315 - Jewelry, tattoo and piercing e ui ment - clean and sterilized El El26. HSC 119314 - Barriers used El ❑ 27 HSC 119311 - Products applied to skin are single ❑ PRACTITIONER HEALTH AND HYGIENE use/dispensed aseptically ❑ 9 HSC 119309 - No eating, drinking or smoking - clean ❑ ❑ 28 HSC 119309, 119311 - Storage of inks, pigments, needles, Elclothes tubes, etc. ❑ 10. HSC 119308 - Hands washed effectively and timely ❑ ❑ 29 HSC 119310, 119311 - Jewelry, Inks, Needles etc approved ❑ and used correct) HSC 119314 - Handwashing facilities properly supplied and HSC 119308 - Cross-contamination avoided during all El 11. accessible, warm water ❑ ❑ 30' El of procedure ❑ 12. HSC 119306 - Hepatitis B vaccination ❑ I BEST BUSINESS PRACTICES 13. HSC 119307 - Bloodborne Pathogen training ❑ 31. HSC 119314 - Areas separated/no living or sleeping quarters ❑ ❑ ElHSC 119314 - Floors and walls clean and in good repair, Source: Above Training ❑ 32. adequate light ❑ ❑ 14 HSC 119308 - Appropriate personal protective equipment HSC 119314 - Workstation, surfaces, including chairs, available and used El ❑ 33' Elarmrests, etc. in good repair CUSTOMERS/CLIENTS ❑ 34. HSC 119312 - Permit/registration posted ❑ ❑ 15. HSC 119309 - Branding is completed with no other HSC 119313 - Operation and employee training records Elcustomers in procedure area ❑ El 35' present ❑ 16 HSC 119302 - Customers eighteen (18) years of age or ❑ older COMPLIANCE AND ENFORCEMENT ❑ 17. HSC 119308 - Skin adequately prepared for procedure ❑ ❑ 36. HSC 119312 - Plan(s) submitted for review El® 18 HSC 119303 - Client records approved and available - Consent form and uestionnaire ❑ ❑ 37. HSC 119312 - Permits obtained and available El ❑ 19 HSC 119303, 119308 - Appropriate aftercare instructions iven to client El ❑ 38. HSC 119319 - Impoundment ❑ MACHINE SAFETY AND SANITATION ❑ 39. 1 HSC 119320 - Hearing scheduled ❑ ❑ 20. HSC 119311 - Safe machine design ❑ ❑ 40. HSC 119312, 119317, 119320 - Closure ❑ ❑ 21 HSC 119311 - Machines cleaned and disinfected between ❑ ❑ 41. ❑ clients Received by (Print): Lynda Diaz Received by (Signature): EMAILED Phone: 209-601-1326 Specialist (Print): Sandip Singh Specialist (Signature): 'S� Zd# Phone: 209-468-3526 Reinspection on/about: A reinspection fee of$172 per hour may be charged. Page 1 of 2 EH-11/17