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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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Jr Guixi City Jinlong Tattoo Equipment Manufactory <br /> �ZTt File Number, JLTS-1809 7E s a P Chamber No.: <br /> %a<Vj-L,�1WAil aA „ ffl El JW Test Date: 18-09-23 <br /> Original Record of BL Growth Test after Sterilization <br /> Customer: Bishop Tattoo Supply <br /> f-'-,1U4 VV4, Product Name: DA VI NCI cartridges <br /> iuuft Product Lot No.:09-18 <br /> ksfnm Sterilization Date: 18-09-22 7E1f1ft5-3f Sterilization Lot.: 2018092201 <br /> AJktjj Test Quantity: 20 pcs t11i}Iti A Test Item: BI Growth Test Record <br /> # Q A Test Date: 18-09-23 Test Standard: ISO 11737-2:2009 <br /> iJ# 1iJ � tr�i BI Growth Test Record Time Table <br /> T iI'al: #!L)'hjillX7KGIv7 <br /> Strain: Bacillus Atrophaeus ATCC9372 BI Manufacturer: Hangzhou Future Biotech Co., Ltd <br /> BI Lot No.: 180923ni Incubation Tempearture: 36 °C <br /> }I A tAftYl'i77 [<-, �c IWCulture Time and BI Growth <br /> Strip No.: 8 16 24 32 40 48 <br /> IVii rH�j fo <br /> fti 1-10# -- -- -- -- -- -- <br /> 11# + + + + + + <br /> MT- Result: (1-10#) TLIVI-.c, lfljtTjj W (11#) �EA 24-48,1,R41a�f M±K- <br /> After 48 hours incubation, The (1-20#) are not bacteria growth, Positive(11#) bacteria growth well. <br /> $ Note: (--): 1�ffljt represent negative, represent positive. <br /> k-:14 it Detection Conclusion: <br /> BI test of sterility: kM u J4� The results indicated PASSED <br /> a <br /> ". j% Test by: 5MReview by: `�M4 *-'I:-Q M Report Date: 2018-09-24 <br /> Company tamp: <br />
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