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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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245
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4100 – Safe Body Art
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PR0542562
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COMPLIANCE INFO
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Entry Properties
Last modified
3/5/2025 9:13:07 AM
Creation date
7/3/2020 10:14:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542562
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0021479
FACILITY_NAME
FLYING CROW TATTOO (EDWARDS,SHAWN)
STREET_NUMBER
245
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
23505611
CURRENT_STATUS
Active, billable
SITE_LOCATION
245 W YOSEMITE AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0542562_245 W YOSEMITE_.tif
Site Address
245 W YOSEMITE AVE MANTECA 95336
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 /> 1 10 il 'b <br /> 9 __ -a s Le <br /> IIZ'2iIa4"IC0 Is L141 -44,b <br /> j <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 Safety Code 119315 (c)) <br /> �ajL-hdd"s ai-v Lev+ im :J�bl bd)c /?-+ i4wL siah&m a"d <br /> pz'�T qis Idja r,4j2i ki 1141-1 <br /> Ilse <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: <br /> Li.- a jl ilLe -51 cea seeala i4 Zb0A2f:LZjLe <br /> ') J 0 L C" C 1.1 <br /> LOP' 0 yt�* <br /> I PLP-V, vte- <br /> 2. Piercing: 664_4tts N" M16Aac W(C <br /> N a: <br /> 3. Permanent Cosmetics: <br /> Page 3 of 10 <br />
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