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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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13500
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4100 – Safe Body Art
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PR0541030
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COMPLIANCE INFO
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Entry Properties
Last modified
11/20/2024 9:23:24 AM
Creation date
7/3/2020 10:13:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541030
PE
4120
FACILITY_ID
FA0023514
FACILITY_NAME
THE RAVEN TATTOO & ART GALLERY (FREDERICKSEN, ROBERT)
STREET_NUMBER
13500
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
13500 HWY 88
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0541030_13500 HWY 88_.tif
Tags
EHD - Public
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r�i11 Guixi City Jinlong Tattoo Equipment Manufactory <br /> -Z# File Number: JLTS-1903 XNAM AI Chamber No.: <br /> W4 H M Test Date: 2019-03-28 <br /> Original Record of BL Growth Test after Sterilization <br /> Customer: Bishop Tattoo Supply <br /> rY'c Product Name: DA VINCI cartridges <br /> Y'ca#It i� Product Lot No.:03-19 <br /> XME]M Sterilization Date: 19-03-27 xNA13- Sterilization Lot.: 2019032701 <br /> � t Test Quantity: 20 pcs &NI'All H Test Item: BI Growth Test Record <br /> q Test Date: 19-03-28 9464 Test Standard: ISO 11737-2:2009 <br /> t- JJ*T*t-KSRI(]ir 3A* BI Growth Test Record Time Table <br /> atlt#A: Edi*#FMx1 4E'#3ffy- Yi $43A : YL-MA*4--01#A*IfWlIi- <br /> Strain: <br /> Bacillus Atrophaeus ATCC9372 BI Manufacturer: Hangzhou Future Biotech Co., Ltd <br /> Bl ; Lot No.: 190328 Jff 1WE Incubation Tempearture: 36 C <br /> f li * fffl'7JS'-KNO Culture Time and BI Growth <br /> Strip No.: 8 16 24 32 40 48 <br /> r [ 1-10# -- -- -- — -- -- <br /> 11# + + + + + + <br /> Result: 0-10#) :�Etn4Flfl--K, fftnIRV (11#) 3�E24-484,ft1'F Oft-co <br /> After 48 hours incubation, The (1-20#) are not bacteria growth, Positive(11#) bacteria growth well. <br /> —Mt Note: (—): *�:9Ajt represent negative, (+): *jTRIjt represent positive. <br /> &Mftl� Detection Conclusion: <br /> 1#aTJi BI test of sterility: kf A 4 The results indicated PASSED <br /> *014 Test by: *U- Review by: -WMX 49p JW Report D 1 29`. <br /> A Company Stam ' ' <br />
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