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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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N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sinK. (California Heath andM1VV <br /> Code11='M&,tim <br /> i <br /> O. Aftercare Procedure: Describe the written recommendations and care provided to the client after <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> procedure (Calif� ia Health and sa ety Co e 119303 ( ) and 11938 (b)) <br /> � � yro <br /> f� Uv& W CAL OW OWJ a c <br /> o ig <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there tr <br /> ec i enta sp'll of sharps. ( aliffoornia Health and saf ty Code 1193099 (a)(b)(c ) e- <br /> -�� <br /> A <br /> Q. Trash eceptacles and disposal of con min to trash: List the type of trash receptacles and <br /> their location throughout the body art facility. Describe the procedure for the disposal of <br /> contaminated items, such as gloves. (California Health and safety Code 119311 (a) and 119314 <br /> i r1 ` 21tmish <br /> C <br /> l <br /> At LAM ID <br /> R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. Indicate whether the facility maintains a spore test log on-site. (California Health and <br /> safety Code 11315 (b)(2)(4)) <br /> -��- <br /> S. Commercial Ink or Pigment Manufacturers: List the manufacturer for the inks or pigments used at <br /> the body art facility. Describe the procedure for dilution of inks. Only sterile water should be used <br /> for dilution Qf inks or pigments. (California Health and S fety Code 119311 b)(c)(d)(e)) <br /> 10\ <br /> c <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number for <br /> the permanent cosmetic machine used. (California Health and Safety Code 119311 (i)O)) <br /> Page 6 of 10 <br />
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