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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2714
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4100 – Safe Body Art
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PR0526733
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COMPLIANCE INFO
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Entry Properties
Last modified
10/6/2023 5:11:43 PM
Creation date
7/3/2020 10:13:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0526733
PE
4120
FACILITY_ID
FA0018099
FACILITY_NAME
THE PIRATES LOUNGE TATTOO PARLOR (HOLCOMB, JOHN)
STREET_NUMBER
2714
STREET_NAME
COUNTRY CLUB
STREET_TYPE
DR
City
STOCKTON
Zip
95204
APN
23517511
CURRENT_STATUS
01
SITE_LOCATION
2714 COUNTRY CLUB DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\lsauers
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0526733_2714 COUNTRY CLUB_.tif
Tags
EHD - Public
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3. Tra s: <br /> S 6` down. <br /> 4. Armrests: <br /> S 4-fit <br /> down <br /> 5. Headrests: <br /> Y • 9 -- t= <br /> 6. P cedure area• S \, � <br /> VkAW <br /> i Do <br /> 7. Tables: <br /> 'Qem `f <br /> -b ®y\ <br /> 8. Tattoo machine and Clip C d: <br /> y -fN06 <br /> Y <br /> ® ' )11CAJIQ <br /> min \m�rlel <br /> 9. Reusetble instruments, cal' ers, needle tubes, etc., portable light fixtures o��er, <br /> ao <br /> t <br /> 10. Permanent Cosmetic Machine: <br /> B. Reusable Instruments or Disposable: Describe the procedures used for decontaminating, <br /> sterilizing, packaging and storing of reusable instruments. Include the procedures for labeling of <br /> sterilized peel-packs. Indicate whether the body art facility uses all pre-sterilized, single-use and <br /> Page 2 of 10 <br />
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