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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0543585
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2023 2:46:00 PM
Creation date
7/3/2020 10:15:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0543585
PE
4121
FACILITY_ID
FA0021614
FACILITY_NAME
BLACK ROSE TATTOO PARLOR, THE (VASQUEZ, SAMUEL)
STREET_NUMBER
237
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
237 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0543585_237 E MINER_.tif
Tags
EHD - Public
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ORIGINAL <br /> ig— No.: 0020081228 <br /> CERTIFICATE OF STERILIZED WITH E.O.GAS <br /> Name and Address of Consignor KING-RICH METAL NEEDLES MANUFACTURING CO.JTD. <br /> Name and Address of Consignee MITHRA MEDICAL SUPPLIES INC. <br /> 24 ifs: <br /> Description of Goods TATTOO NEEDLES&DISPOSIBLE,TUBES Place of Origin CH <br /> Quantity Sterilized 87CARTONS Mark&NO <br /> rrliz�A Mithra Medical Supplies Inc. <br /> Place of Despatch WNGBO,CHINA <br /> Ajk El AF <br /> Port of Destination LOS ANGELES <br /> Z--it TP, <br /> Means of Conveyance BY SEA <br /> The tattoo needles manufactured in our factory have had sterilized according to the <br /> requirement of the file in IS09001-2000/IS013488 system & the requirements of E550 standard. <br /> The following is the detailed parameter: <br /> Sterilization Time: 8+0.5(h) <br /> Sterilization Pressure: -30-20MPa <br /> Sterilization Temperature: 38*C+2C <br /> E. O. Dosage: 3.4-3.8kg <br /> Pff M11 M : ADDITIONAL DECLARATION: This is the certificate to products that sterilized <br /> within the range of technical parameter of above are up to grade. <br /> iiL Date of issue <br /> XA Authorized Officer <br /> "Ilk T—?. Signature <br /> Add:#160 East Sitorq hangxicun,Shangxi,Yi%vu,Zheliang Province,China. <br /> TEL- +86-5Z9-8586 D' O/85869509 FAX: +86-579-85869336 <br />
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