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Body Art Inspection Report Date: February 9,2026 i San Joaquin County Environmental Health Department Program \"\ 1866 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0648664 (209)468-3420 Program w simv.omlehd rp�RHi Element: 4120 Facility Name Address City Zip Code Tantra Ink House of Permanent 445 W Weber Ave.,Suite#232 Stockton 95203 Name of Permit/Registration Holder Permit Exp.Dale Time In Time Out Inspection Type Lynda Diaz 6130125 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 Ino V MACHINE SAFETY AND SANITATION cone C HSC 119315-Autoclave:approved and effective-passed HSC 119311 -Parts replaced between clients-grommets, ❑ 1' integrator test ❑ 22. elastic bands,etc. ❑ HSC 119309-Items washed,disinfected,packaged, ❑ 2. labeled,and sterilized PREVENTING CROSS-CONTAMINATION HSC 119315-Autoclave loaded correctly/packages3' allowed to d ❑ 23. HSC 119309-Workstation/procedure area decontaminated ❑HSC 119315-Integrators used/monthly spore testflog❑ 4' maintained 24. HSC 119301 -Appropriate chemical disinfectant used HSC 119314-Decontamination/sanitation area separated ❑ ❑ ❑ 5" and supplied appropriately ❑ Chemical used:Cavicide/Caviwipes ❑ 6 HSC 119315-Invoices and log kept for disposable,pre- ❑ 25 HSC 119309-Disinfectant used appropriately/suficient sterilized equipment ❑ contact time ❑ HSC 119314-Sharps containers labeled,used,and ® 7' disposed of appropriately ❑ 11Wet contact time provided: 10 mins ❑ S HSC 119310, 119315-Jewelry,tattoo and piercing ❑ ❑ 26. HSC 119314-Barriers used Elequipment-clean and sterilized PRACTITIONER HEALTH AND HYGIENE El HSC 119311 -Products applied to skin are single 27. use/dispensed aseptically ❑ El 9. HSC 119309-No eating,drinking or smoking-clean HSC 119309, 119311-Storage of inks,pigments,needles, clothes ❑ ❑ 28' tubes,etc. ❑ ❑ 10. HSC 119308-Hands washed effectively and timely ❑ ❑ 29 HSC 119310,119311 -Jewelry,Inks,Needles etc approved Eland used correct) ❑ 11 HSC 119314-Handwashing facilities properly supplied and HSC 119308-Cross-contamination avoided during all ❑ accessible warm water ❑ ❑ 30' phases of procedure ❑ 12. HSC 119306-Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES 13. HSC 119307-Bloodborne Pathogen training ❑ 31. HSC 119314-Areas separated/no living or sleeping quarters ❑ ® ❑Source: ❑ 32 HSC 119314-Floors and walls clean and in good repair, ❑ adequate light ❑ 14 HSC 119301-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,including chairs, ❑ available and used ❑ ® 33. armrests,etc.in good repair CUSTOMERS/CLIENTS ❑ 34. HSC 119312-Permit/registration posted ❑ ❑ 15. HSC 119309-Branding is completed with no other ❑ ❑ 35 HSC 119313-Operation and employee training records ❑ customers in procedure area present ❑ 16 HSC 119302-Customers eighteen(18)years of age or Elolder COMPLIANCE AND ENFORCEMENT ❑ 17. HSC 119308-Skin adequately prepared for procedure ❑ ❑ d40. HSC 119312-Plan(s)submitted for review ❑ ® 18 HSC 119303-Client records approved and available- ❑ Consent form and questionnaire ❑ ® HSC 119312-Permits obtained and available HSC 119303, 119308-Appropriate aftercare instructions ❑ 19. given to client ❑ ❑ HSC 119319 Impoundment ❑ MACHINE SAFETY AND SANITATION ❑ HSC 119320-Hearing scheduled ❑ ❑ 20. HSC 119311 -Safe machine design ❑ ❑ HSC 119312, 119317, 119320-Closure ❑ ❑ 21 HSC 119311 -Machines cleaned and disinfected between ❑ ❑ 41 Elclients l I Received by(PrinU: Lynda Diaz Received by(Signature): EMAILED Phone:209-601-1326 Specialist(Print): Sandip Singh Specialist(Signature): S¢"g, 5:,.,� Phone:209-468-3526 Reinspectlon oniabout: A minspecUon fee of$179 per hour may be charged. Page 1 of 3 EH-7-1-25