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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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N. anwashin Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. (California Health and safety Code 11 314 (b)(3)) <br /> 411A 1j <br /> 0. 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. (California Health and safety Code 119303 O and 119308 (b)) <br /> kae <br /> aj <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an accidental spill of sharps. (Californiaealth and safety Code 119309 (a)(b)(c)) <br /> Qe'1 . <br /> . Trash eceptacl and disposaf of contaminated 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. (Californiaealth and safety Code 119311 (a) and 119314 <br /> (d)) <br /> a <br /> i4vppEwi , , <br /> R. Negative/Failed Spore Tet 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 119315 (b)(2)(4)) tJA <br /> S. Commercial Ink or Pigment Manufacturers: List the manufacturer for the inks or pigments <br /> used at the body art facility. Describe the procedure for dilution of inks. Only sterile water should <br /> be used for dilution of inks or pigments. (Calffomia Health and Safety Code 119311 (b)(c)(d)(e)) <br /> del .' I <br /> 1✓t <br /> 60L4-e_ Lv[44l [5 p led W <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine used. (California Health and Safety Code 119311 (i)g)) <br /> Page 6 of 10 <br />
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