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COMPLIANCE INFO_TARYN WAGNER
EnvironmentalHealth
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4100 – Safe Body Art
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PR0543786
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COMPLIANCE INFO_TARYN WAGNER
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Entry Properties
Last modified
5/23/2024 9:23:53 AM
Creation date
4/1/2021 4:01:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0543786
PE
4110
FACILITY_ID
FA0024896
FACILITY_NAME
SALON TWO TWENTY (WAGNER, TARYN)
STREET_NUMBER
220
Direction
S
STREET_NAME
CHURCH
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
220 S CHURCH ST
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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Guangzhou Wenshen Cosmetics Co. Ltd. <br /> 9ALOXIMA <br /> Ethylene Oxide Sterilization Certificate <br /> Customer: Madluvv <br /> X : Address 7624 E Kramer St Mesa,AZ 85207 USA <br /> T�eL 59-1555 <br /> Date: No. of Certificate: 1811282 <br /> 2EO18 11--28-2018 11-2 <br /> XMNt-Vj1 Sterilization Lot NO: 4IB1811062 MB1811063 MB1811065 <br /> Product name Lot No. Quantity Cartons Comment <br /> --bis—posable-microblading pen#9 MB1 811062 1600 2 <br /> Disposable microbladin en 12 MB1811063 2000 3 <br /> Dis osable microbladin en MB1811065 1600 3 <br /> p ii Total 8 M Cartons <br /> Biological Indicator: 3MTM 1264-S <br /> oft-lq Lot NO: MB1811062 eig�Fnft Temperature:370C±2°C <br /> MB1811063 <br /> 0)W-WV No. Placed: Ya tb#1 No. Retrieved: 20 OZM No.on Test: 20 <br /> BI MiliAMnA RESULT <br /> IV Olif ft]i Hours --_ MAIMIta <br /> Q Quantity 24H 48H No.of Growths of <br /> Quantity <br /> u <br /> TestOrganism <br /> AM#Test Organism 260 0 0 <br /> xif ffiff PositiveControls 20 — 2 2 2 <br /> Fail: El T, 4 <br /> 1. tVAM;jRP'JY4j)t Biological Indicator Test Disposition: ass: -6- <br /> 2. Chemical Indicator Test Disposition: -A-M Pass: a Fail: El <br /> 3. XM#t-P]5t Sterilization Parameters Decision: a Pass: Fail: El <br /> *a-domments: NIA <br /> V,jnj&3jUKASfQDanaktk-pfM- Mpf,i�kjiE#LYjBVMISO 13485:2003, IS09001 :2008)qj41&3j#*,jkjjE. <br /> Our company has passed the certificationissued by BV of Europe Union of ISOI 3485:2003, ISO 9001 :2008. <br /> CerificateNo. <br /> �, 97!kCNGZ301486-UK. <br /> A <br /> Test Byl Approved by:: <br /> Add: Room 3010, Yunjinghui Building, No. 559-571,Yunching--ba-st Road, Baiyun Dista dt,G0`5`ngzhou China <br /> rpM )—rrW rjza ff �JA4,:M559-571-g-Tffid�W3010 <br /> Tel:86-20-86553738 E-mail: Judy@semipermanentmakeuppigments-com wspmu.com <br />
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