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a2 Body Art Inspection Report Dale: February 10,2026 San Joaquin County Environmental Health Department Program 1868 E.Hazelwn Ave.,Stockton,CA 95205 Record: PR2500286 (209)468-3420 Program W- 11 w ,sloay.am/ehd_ Element: 4120 Facility Name Address City Zip Code Studio 111 1005 Pescadero Ave St.#155 Rm.#111 Tracy 95304 Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type Fabian Chavez 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 I MACHINE SAFETY AND SANITATION cont C HSC 119315-Autoclave:approved and effective-passed HSC 119311 -Parts replaced between clients-grommets, ❑ 1' Integrator test El ❑ 22. elastic bands,etc. El HSC 119309-Items washed,disinfected,packaged, ❑ 2' labeled and sterilized ❑ PREVENTING CROSS-CONTAMINATION ❑ 3 HSC 119315-Autoclave loaded correctly/packages ❑ ❑ 23. HSC 119309-Workstation/procedure area decontaminated ❑ allowed to dry ❑ HSC 119315-Integrators used/monthly spore test/log 4' maintained ❑ 24. HSC 119301 -Appropriate chemical disinfectant used HSC 119314-Decontaminationlsanitation area separated ❑ ❑ ❑ 5' and supplied appropriately Ell Chemical used:Madacide HSC 119315-Invoices and log kept for disposable,pre- HSC 119309-Disinfectant used appropriately/sufficient ❑ 6' sterilized equipment ❑ ® 25. contact time ❑ HSC 119314-Sharps containers labeled,used,and ❑ 7' dis sed of a ro riatel El Wet contact time provided: 5-7 mins HSC 119310, 119315-Jewelry,tattoo and piercing ❑ 6' equipment-clean and sterilized ❑ El26. HSC 119314-Barriers used El HSC 119311 Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE. El 27 use/dispensed- ase ticall ❑ ❑ 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 El El29 HSC 119310,119311 -Jewelry,Inks,Needles etc approved Eland used correct) HSC 119314-Handwashing facilities property supplied and HSC 119308-Crosscordammalion avoided during all El accessible,warm water El ❑ 30' phases of Procedure El 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 El Source: ❑ El HSC 119314-Floors and walls clean and in good repair, Eladequate light HSC 119301-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,Including chairs, El14. available and used C] ❑ 33' armrests,etc.in good repair El CUSTOMERSICLIENTS ❑ 34. HSC 119312-Permit/registration posted ❑ HSC 119309-Branding is completed with no other HSC 119313-Operation and employee training records ❑ 15. customers in procedure area ❑ ❑ 35' resent El HSC 119302-Customers eighteen(18)years of age or ❑ i6. 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- ❑ 18. questionnaire ® ❑ 37. HSC 119312-Permits obtained and available ElConsent form and HSC 119303, 119308-Appropriate aftercare instructions El 19" ❑ El38. HSC 119319-Impoundment given 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 ❑ ❑ 41 ❑ clients Received by(Print): Fabian Chaves Received by(Signature): EMAI LED Phone:415-933-7138 Specialist(Print): Sandip Singh Specialist(Signature): Phone:209468-3526 Reinspection onlabout: A reinspection fee of$179 per hour may be charged. Page 1 of 3 EH-7-1-25