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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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disposable instruments. Describe the record keeping logs and procedure logs maintained on-site <br /> when using 100% pre-sterilized, single-use and disposable instruments. (California Health and <br /> Safety Code 119309 and 119315) <br /> 1. Needle tubes: <br /> 2. Calipers: <br /> 3. Other instruments: <br /> -8 <br /> C. Storage: Describe the storage location and equipment used for the storage of clean and sterilized <br /> instrument peel packs to protect the packages from exposure to dust and moisture. (California <br /> Health and S.fety Code 119315 (c)) <br /> 1� . <br /> e <br /> D. Set Up and Tear Down of Workstation: Describe the procedure for setting up and tearing down <br /> the workstation for the following procedures. (California Health and Safety Code 119308, 119309 <br /> (c), 119311, and 119313 (b)(4)) <br /> 1. Tattoo: ai'0\ <br /> fl vl <br /> 6 <br /> Agn MAV\VVs <br /> 2. Piercin <br /> 3. Permanent Cosmetics: <br /> Page 3 of 10 <br />
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