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°Q Body Art Inspection Report� �G y p p Date: March 26,2026 yjl San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0548695 �r (209)468-3420 www.siogv.oro/ehd Program "?Y;F oRN Element: 4120 Facility Name Address City Zip Code Changes Beaute Lounge 211 E March Lane Stockton 95207 Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type Nicole Barber 6/30/26 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 HSC 119315-Autoclave:approved and effective-passed Tlelastic SC 119311 -Parts replaced between clients-grommets, ❑ 1' El ❑ 22inte rator test bands,etc. ❑ HSC 119309-Items washed,disinfected,packaged, ❑ 2" labeled,and sterilized El CROSS-CONTAMINATION HSC 119315-Autoclave loaded correctly/packages El 3" allowed to d El ❑ 23. HSC 119309-Workstation/procedure area decontaminated ❑ ❑ HSC 119315-Integrators used/monthly spore test/log 4. ❑ 24. HSC 119301 -Appropriate chemical disinfectant used maintained El ElHSC 119314-Decontamination/sanitation area separated El 5. and supplied appropriately El Chemical used: Cavacide ® 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 7. disposed of a ro riatel El Wet contact time provided: 3 to 5 mins HSC 119310, 119315-Jewelry,tattoo and piercing El 8. equipment-clean and sterilized E] E] 26. HSC 119314-Barriers used El HSC 119311 -Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE El 27 use/dispensed aseptically ❑ ❑ 9. HSC 119309-No eating,drinking or smoking-clean ❑ ❑ 28 HSC 119309, 119311 -Storage of inks,pigments,needles, ❑ clothes 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 El ❑ 30' phases of procedure El ❑ 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 ❑ ❑ Source: ❑ El 32 HSC 119314-Floors and walls clean and in good repair, Eladequate li ht HSC 119308-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,including chairs, ❑ 14. available and used El ❑ 33" armrests,etc.in good repair El CUSTOMERS/CLIENTS ❑ 34. HSC 119312-Permit/registration posted ❑ HSC 119309-Branding is completed with no other HSC 119313-Operation and employee training records El 15. customers in rocedure area El ❑ 35. resent El El16. 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 ❑ HSC 119303-Client records approved and available El 18. Consent form and uestionnaire ElEl37. HSC 119312-Permits obtained and available ❑ ❑ 19. HSC 119303, 119308-Appropriate aftercare instructions El El38. HSC 119319-Impoundment given to client ❑ MACHINE SAFETY AND SANITATION El39. HSC 119320-Hearing scheduled ❑ ❑ 20. HSC 119311 -Safe machine design El El40. HSC 119312, 119317, 119320-Closure El El 21 HSC 119311 -Machines cleaned and disinfected between El 1-141. ❑ clients Received by(Print): Nicole Barber Received by(Signature): EMAILED Phone:209-326-4224 Specialist(Print): Sandip Singh Specialist(Signature): 'i— Phone:209-468-3526 Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 1 of 2 EH-7-1-25