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Body Art Inspection Report _ y Date: March 6,2026 San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0548537 (209)468-3420 c'• P, www.siogv.org/ehd Program 4��FORN�' Element: 4120 Facility Name Address City Zip Code Lucky You Tattoo 14051 E State Route 88 Lockeford 95237 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Esau Mendoza 6/30/26 Routine The facility is inspected for compliance with Division 104,Part 15,Chapter 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 ❑ 1 HSC 119315-Autoclave:approved and effective-passed Fe C 119311 -Parts replaced between clients-grommets, ❑ integrator test ❑ ❑ 22' stic bands,etc. ❑ 2 HSC 119309-Items washed,disinfected,packaged, labeled,and sterilized El CROSS-CONTAMINATION ❑ 3 HSC 119315-Autoclave loaded correctly/packages allowed to d ❑ ❑ 23. HSC 119309 Workstation/procedure area decontaminated ❑ ❑ 4 HSC 119315-Integrators used/monthly spore test/log maintained ❑ 24. HSC 119301 -Appropriate chemical disinfectant used El El l5 HSC 119314-Decontamination/sanitation area separated El Chemical used: and supplied appropriately ® 6 HSC 119315-Invoices and log kept for disposable,pre- ❑ 25 HSC 119309-Disinfectant used appropriately/sufficient sterilized a ui ment ❑ contact time ❑ ❑ 7 HSC 119314-Sharps containers labeled,used,and ElWet contact time provided: disposed of appropriately ❑ 8 HSC 119310, 119315-Jewelry,tattoo and piercing ❑ ❑ 26. HSC 119314-Barriers used e ui ment-clean and sterilized El HSC 119311 -Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE ❑ 27. use/dispensed asepticallyEl ❑ 9 HSC 119309-No eating,drinking or smoking-clean ❑ ❑ 28 HSC 119309, 119311 -Storage of inks,pigments,needles, Elclothes tubes,etc. ❑ 10. HSC 119308-Hands washed effectively and timely ❑ ❑ 29w 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 ❑ 11 accessible,warm water El 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 ® 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 ❑ 33. 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. resent ❑ HSC 119302-Customers eighteen(18)years of age or El 16. older El 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. Consent form and questionnaire ❑ ® 37. HSC 119312-Permits obtained and available ❑ HSC 119303, 119308-Appropriate aftercare instructions ❑ 19. given to client ❑ ❑ 38. HSC 119319 Impoundment El MACHINE SAFETY AND SANITATION ❑ 39. HSC 119320-Hearing scheduled ❑ ❑ 20. 1HSC 119311 -Safe machine design ❑ ❑ 40. HSC 119312, 119317, 119320-Closure ❑ ❑ 21 HSC 119311 -Machines cleaned and disinfected between ❑ ❑ 41. ❑ clients Received by(Print):Esau Mendoza Received by(Signature):EMAIL��ED"" Phone:650-228-3308 Specialist(Print):Sandip Singh Specialist(Signature): �araoy !: 2* Phone 209-468-3526 Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 1 of 3 EH-7-1-25