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Op,O,U I,N C' Body Art Inspection Report Date: June 6,2024 San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0548916 (209)468-3420 Program P' www.sioay.orq/ehd �.Q Element: 4120 o Facility Name Address City Zip Code I^ked by Jules Tattoo Studio 5759 Pacifice Ave#214 Stockton 95207 Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type Julia Quintana 6/30124 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 HSC 119311 -Parts replaced between clients-grommets, ❑ 1' i�te rator test ❑ El 22 elastic bands,etc. El HSC 119309-Items washed,disinfected,packaged, ❑ 2' labeled,and sterilized El CROSS-CONTAMINATION ❑ HSC 119315-Autoclave loaded correctly/packages 3' allowed to d ❑ ❑ 23. HSC 119309-Workstation/procedure area decontaminated El ❑ HSC 119315-Integrators used/monthly spore test/log 4' maintained El ❑ 24. HSC 119301 -Appropriate chemical disinfectant used ❑ HSC 119314-Decontamination/sanitation area separated ❑ 5. and supplied a ro riatel El Chemical used: Madacide ® 6 HSC 119315-Invoices and log kept for disposable,pre- ❑ 25 HSC 119309-Disinfectant used appropriately/sufficient sterilized a ui ment ❑ contact time ❑ HSC 119314-Sharps containers labeled,used,and El 7' ElWet contact time provided: 6 mins disposed of aro riatel ❑ 8 HSC 119310, 119315-Jewelry,tattoo and piercing ❑ ❑ 26, HSC 119314-Barriers used ❑ equipment-clean and sterilized ❑ 27 HSC 119311 -Products applied to skin are single ElPRACTITIONER HEALTH AND HYGIENE 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) ❑ 11. HSC 119314-Handwashing facilities properly supplied HSC 119308-Cross-contamination avoided during all ❑ and accessible,warm water El ❑ 30. phases 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 ❑ ❑ Source: Above Training ElEl 32 HSC 119314-Floors and walls clean and in good repair, ❑ adequate light HSC 119308-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,including chairs, ❑ 14. available and used El El33. armrests,etc.in good repair ❑ 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 procedure area El ❑ 35' present El ❑ 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 ❑ HSC 119303-Client records approved and available El 18. El ❑questionnaire 37. HSC 119312-Permits obtained and available Consent form and ❑ HSC 119303, 119308-Appropriate aftercare instructions El 19. ❑ ❑ 38. HSC 119319-Impoundment Eliven to client MACHINE SAFETY AND SANITATION ❑ 39. HSC 119320-Hearing scheduled ❑ ❑ 20. HSC 119311 -Safe machine design ❑ ❑ 40. HSC 119312, 119317, 119320-Closure ❑ ❑ 21 HSC 119311 -Machines cleaned and disinfected between ❑ F[:] 41. ❑ clients Received by(Print): Julia Quintana Received by(Signature): EMAILED Phone:925-596-9988 Specialist(Print): Sandip Singh Specialist(Signature): autgG Phone:209-468-3526 Reinspection on/about: A reinspection fee of$162 per hour may be charged. Page 1 of 2 EH-11/17