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COMPLIANCE INFO_CARRIE BLUBAUGH
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LUCILE
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1955
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4100 – Safe Body Art
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PR0544775
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COMPLIANCE INFO_CARRIE BLUBAUGH
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Entry Properties
Last modified
5/23/2024 9:12:51 AM
Creation date
7/3/2020 10:14:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544775
PE
4120
FACILITY_ID
FA0025452
FACILITY_NAME
AESTHETICS LASH INK (BLUBAUGH, CARRIE)
STREET_NUMBER
1955
STREET_NAME
LUCILE
STREET_TYPE
AVE
City
STOCKTON
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
1955 LUCILE AVE STE B
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0544775_1955 LUCILE_.tif
Tags
EHD - Public
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a AS <br /> Inspection record form of is (biological indicaors) used <br /> Recording duration : 2019-05-14-2019-05-16 <br /> Customer name Product name <br /> JENN BOYD INK Microblading Services and Training Microblading Needles <br /> 0,20mm 14, 0.18mm 14, 0.20mm 18U, 0.1 8mm 16U, <br /> ,016mm 16U Shape <br /> Duration of sterilization : 2019-5-12-2019-5-13 <br /> XMETO-E-GR-001-01 Qty of product(Pcs) XMETO/D-GR-LU19051233 <br /> Biochemical incubator control number Sterilization batch <br /> Name of BI: 3MTM ATTESTM BIOLOGICAL Batch number of BI :2020-06 GR <br /> INDICATORS <br /> BI can be stored until:28-06-2019 Model of BI:1264-S <br /> Time at which the culture began (2019-05-12 04: 01) Culture temperature: 37±2 T <br /> Inspection results <br /> means positive---culture medium will turn yellow,"_ "means negative---culture medium will remain green) <br /> No. 1 .2 3 4 5 6 7 8 9 10 11 12 13 1 14 <br /> Position Al A3 A7 A9 B3 B8 C1 C9 D2 D7 El E3 F5 F9 <br /> 24H <br /> 48H <br /> No. 15 -16 17 18 19 20 Contr Contr <br /> Position G1 H3 11 13 17 19 oll o12 <br /> 24H + + <br /> 48H +1 + <br /> Conclusion All PCDs were-, and the reference samples were all +, and the test results were valid. <br /> Completed by Approved by <br /> Date 6I 2019-5-13 Date 2019-5-14 <br />
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