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COMPLIANCE INFO_2021-2024
EnvironmentalHealth
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4100 – Safe Body Art
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PR0537388
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COMPLIANCE INFO_2021-2024
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Entry Properties
Last modified
6/4/2024 2:32:01 PM
Creation date
3/28/2023 2:56:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
FileName_PostFix
2021-2024
RECORD_ID
PR0537388
PE
4121
FACILITY_ID
FA0021491
FACILITY_NAME
EMERALD TATTOO & PIERCING (JOSH HUGHES)
STREET_NUMBER
2525
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
06024007
CURRENT_STATUS
01
SITE_LOCATION
2525 S HUTCHINS ST #8
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Body Art Facility Infection Prevention And Control Plan <br />T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br />for the permanent cosmetic machines) used (California Health and Safety Code 119311 (i)Q)). <br />yrt;7 9r�ruC�QBG C.. <br />U. Service Animals: Describe the facility's policy regarding service animal presence in procedure, <br />decontamination, and sterilization areas (California Health and Safety Code 119314 (f)). <br />WC de Arc?T At'l,uat, Rt;?y1a 41vi..141-J /?t (CICO 7iic <br />Maintain a copy of this completed document in your files. Submit one copy to the Local Enforcement <br />Agency. <br />1 hereby certify that all body art practitioners performing bodyart at this facility and employees or <br />individuals involved with decontamination and sterilization procedures have been trained with <br />the procedures and information contained in this document.To the best of my knowledge and <br />belief, the statements made herein are correct and true. <br />Signature: <br />Page 8 of 11 <br />
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