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Home My WebLink AboutBen Marchant Visit 610108 08 02 12.sc.pdfNZ - NPSrbXWXa. of Eratoma'a and Iratmal P't SMX'.' Score: N/A Dvisim of EmImawrwa TTttlh - Inspection of Tattoo Establishment v7spection Date 0 *,status code H Health Department Current Facility To Old Facility ID I K11 U-041 Water arnmunity FflNon-TransientNon-Community Water SaM pie taken today? Elinspection [:]Name Change tCransient Non-Communily MNon-Pubfic Water Supply Elyes [j] No DRe-inspection EYerification of Closure Wastewater Systern: [Ecommunity [flon-site System Kv isit R]Stalus change 'Estah0shment Name BEN J MARCHANT Name Of BEN J MARCHANT Tattoo Artist Locavon Address: RAMBLIN ROSE TATTOO Mailing Addr, City: HICKORY scat NC zip 28602 City: statecNiC zip RECORDS: (.3206;.3208) Comments: I Records maintained for each patron include name, address, phone number, SEE COMMENT SHEET ATTACHED — date of birth, and signature ............. ................ ...... ......... 2 Monthly records of b acteri al en dosp ore destru oft on tests in ai ntain ed for each autoclave ...... . .......... ......... .......... . ............. ......... ... . TATTOO ROOM: (3205; .3207; .3208; .3210) 3, Separate and apart from areas used for other purposes ............. 4. Separate workstations for each artist ........................................ ....... 5Room clean and good repair ......... 6, Furniture easily cleanable, kept clean .......... .................. ......... 7. Instruments, dyes, carbons, stencils kept in clean closed containers, case or storage cabinet- — ..... --- ...... ......... 8, Sterile instruments packaged in sterile containers ...... ............... 9. Rigid solid waste container with plastic liner ............. ........................... I O. No animals or use of tobacco in tattoo room .... ............. -- ....... ...... 11, No eating or drinkingby artists in tattoo room ........... ....... LAVATORY: (.32031,3204; .3207; .3208) 12, Accessible to tattoo room , ........... 13, Use restricted to tattoo fists ................ 14, Clean and good repair, kept free of storage .......... ....... 15, Hot and cold water under pressure, mixing fau c et ...... 16 Antiseptic soap and germicidal solution provided . .... ....... ...... 17, In dividu al scrub brushes an d fi ngern ai I files or orange sticks provided for each artist .......... ............. .. 18. Individual disposable hand towels provided ......... 19. Approved water supply and sewage disposal ....... TATTOOING PROCEDURES: (.3208;.3209) 20, Hands washed thoroughly before each patron ... ....... 21, Clean di sposable latex gloves worn ........ 22. Clean gown or lap cloth used ............................ ................... ......... 23, Sterile instruments handled by aseptic technique 24, Ink di spensed into disposable ink caps,.,.,,.,,, 25. San examined and only healthy skin tattooed ...................... ............ 26, New disposable or sterile razor used ......... 27, Germicidal solution applied to skin 28. Only new sterile needles used ................ ........................ ............... 29. Tattoo cleaned and sterile dressing applied ..... ................. PRECAUTIONS: (3207; .3208; .3,209) 30, Blood and body fluid precautions taken ........... ............ ............. 31, Protective coverings &lap cloths removed & disposed of orlaundered , 32 Contaminated Equipment cleaned and disinfected .......................... ....... 33, Contaminated instruments properly stored, cleaned, mid autoclaved ,.— Comment Sheet Attached? 34. Needles removed and placedin sharps container,,-.—,—,.... MISCELLANEOUS: (.3205; .3207; .3210) []Yes No 35 Poisons in covered, labeled containers,,.,,,,,., ...... 36. Premises free of vermin, flies, or mosquito breeding places... ............... 37, Outdoor solid waste in watertight containers with tight lids properly Rept secured ...... -"-- ...... Received by: 38. Litter and solid waste not allowed to accumulate ....... ...... Inspection by: EHS I-D. 1711 - Carpenter, Scott Propose: Cle-retal Statute 130A-283 requi, rf"IhSemces b vlopA roiesgorven6gtattook, 15A NC -AC' 18A,3200specifles the reqviierovits for tattoo aAists, Thisforrais developed tube rased mmak*nizFeoWnqoftatbo laalthspecialistsshaU com*,te the fonrinozytirm theycowuctaxiin;Fection Basodon obs;eavatiorsarid information praMedbylle tattoo artLst,placea check maikbeside ewhstein bu,ate wthpliamewiflithe apphrablerules, Piefran anoupWardorecopy fox, 1.0rigibiltabe tell ivithtatbo artist,2Xopyforthe underbmd,Ifadditionalexpkmtionis reeled ruse arothersheet, DispasWau Please referto Records Retention mid Disposition Schedule 8,13.6, for Count3$Districl, Health apartments whehispubli:slied bytte Nardi C&YohraDi,,wionofPzcla�es&Hisbrf. Addifionalfornis maybe oulendfrora: Division of Emmvwroaiital Health 1632 Mail Service Center, Raleigh, NC 27699-1632, (Courier 52-01-00) DIMM4014t A,47Wl Ekwlrornwu I Hk a th saves, ki sic arm k7*V*W VOS)