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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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H. List the Medical Waste Hauler, Mail-Back System or Alternative Treatment Technology for the <br /> disposal of sharps containers: <br /> (California He Ith anO Safety Code 119314 )e) <br /> ( ' 10t ` <br /> G)E r � redWNEIV 13dOU-) <br /> Medical Waste Hauler <br /> Street Address -15W 6000( .S <br /> City, ST, Zip__F I l U <br /> I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierced skin. (California Health and Safety Code 119310 (a) and 119315) <br /> J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br /> Indicate whether instruments are manually washed or machine washed, such as with an <br /> Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br /> such as Tergazyme. (California Health and Safety Code 119309 (b)(e)(g), 119314 (c), and 119315 <br /> (b)) <br /> K. Disinfection Products: List the disinfectant products used at the body art facility. (California <br /> Healto and Safety Code 119301 (k) and 119308 (b)(6)) . <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. Indicate whether a sterilization log is maintained on-site. <br /> Indicate whether each sterilization load is tested using Class 5 integrators. (California Health and <br /> Safety Code 119315 (b)(3)(5)) <br /> Time <br /> Temperature <br /> Psi <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. (California Health and Safety Code 119308 (a) and 119309 (j)) <br /> Page 5 of 10 <br />
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