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�Aa"'" <br />Body Art InspecA Report t <br />Date: <br />10130111 <br />¢'k <br />San Joaquin County Environmental Health Department <br />Program <br />❑ <br />10. <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Record: <br />1X 05-1.2 /8'l, <br />cq<JFo'a�'�P <br />(209) 468-3420 <br />Program <br />❑ <br />12. <br />www.siogv.orglehd <br />Element: <br />A41021 <br />Facility Name <br />Address <br />City <br />Zip Code <br />Union Tattoo <br />512 n union rd. <br />Manteca <br />95337 <br />Name of Permit/Registration Holder Permit Exp. Date Time In <br />Time Out <br />Inspection Type <br />Joshua Hushes <br />6/30/20 <br />Impoundment <br />Routine <br />The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). <br />V = Violation C = Corrected On Site <br />41NG AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont C <br />Parts replaced between clients -grommets, elastic bands, El <br />test etc. <br />Autoclave: approved and effective - passed integrator El El 22. <br />Items washed, disinfected, packaged, labeled, and <br />sterilized ElI PREVENTING CROSS -CONTAMINATION <br />Autoclave loaded correctly/packages allowed to dry ❑ 1 ❑ 23. Workstation/procedure area decontaminated <br />Integrators used/monthly spore test/log maintained <br />Decontamination/sanitation area separated and supplied <br />appropriately <br />Invoices and log kept for disposable, pre -sterilized <br />equipment <br />Sharps containers labeled, used, and disposed of <br />appropriately <br />Jewelry, tattoo and piercing equipment - clean and <br />sterilized <br />El <br />PRACTITIONER HEALTH AND HYGIENE <br />Branding is completed with no other customers in <br />area <br />❑ <br />9. <br />No eating, drinking or smoking - clean clothes <br />❑ <br />❑ <br />10. <br />Hands washed effectively and timely <br />❑ <br />❑ <br />11 <br />Handwashing facilities properly supplied and accessible, <br />warm water <br />❑ <br />❑ <br />12. <br />Hepatitis B vaccination <br />❑ <br />® <br />13. <br />Bloodbome Pathogen training <br />Jewelry, Inks, Needles etc approved and used correctly <br />❑ <br />20. <br />Source: <br />10used <br />❑ <br />14 <br />Appropriate personal protective equipment available and <br />❑ <br />El <br />15. <br />Branding is completed with no other customers in <br />area <br />Elrocedure <br />❑ <br />16. <br />Customers eighteen (18) years of age or older <br />❑ <br />❑ <br />17. <br />Skin adequately prepared for procedure <br />❑ <br />® <br />18' <br />Client records approved and available - Consent form <br />and questionnaire <br />❑ <br />® <br />19. <br />Appropriate aftercare instructions given to client <br />❑ <br />❑ <br />MACHINE SAFETY AND SANITATION <br />Jewelry, Inks, Needles etc approved and used correctly <br />❑ <br />20. <br />Safe machine design <br />❑ <br />❑ <br />21. <br />Machines cleaned and disinfected between clients <br />❑ <br />Received by (Print): Joshua Hughes Received by <br />❑ 24. Appropriate chemical disinfectant used <br />Chemical used: <br />❑ <br />25. <br />Disinfectant used appropriately/sufficient contact time <br />❑ <br />® <br />32. <br />[Wet contact time provided: <br />❑ <br />❑ <br />26. <br />Barriers used <br />❑ <br />E] <br />27. <br />Products applied to skin are single use/dispensed <br />El <br />❑ <br />28. <br />Storage of inks, pigments, needles, tubes, etc. <br />❑ <br />❑ <br />29. <br />Jewelry, Inks, Needles etc approved and used correctly <br />❑ <br />❑ <br />30. <br />Cross -contamination avoided during all phases of <br />----�..__ <br />❑ <br />BEST BUSINESS PRACTICES <br />❑ <br />31. <br />Areas separated/no living or sleeping quarters <br />❑ <br />® <br />32. <br />Floors and walls clean and in good repair, adequate light <br />❑ <br />El <br />33. <br />Workstation, surfaces, including chairs, armrests, etc. in <br />good repair <br />❑ <br />❑ <br />34. <br />Permit/registration posted <br />❑ <br />® <br />35. <br />Operation and employee training records present <br />❑ <br />COMPLIANCE AND ENFORCEMENT <br />❑ <br />36. <br />Plan(s) submitted for review <br />❑ <br />❑ <br />37. <br />Permits obtained and available <br />❑ <br />❑ <br />38. <br />Impoundment <br />❑ <br />❑ <br />39. <br />Hearing scheduled <br />❑ <br />❑ <br />40. <br />Closure <br />❑ <br />❑ <br />41. <br />❑ <br />iature : Phone: 209-825-5000 <br />ure): ,"le,lr 446 Phone: 209-468-3526 <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. <br />EH -11/17 <br />Page 1 of 3 <br />