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4100 – Safe Body Art
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PR0537807
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COMPLIANCE INFO
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Entry Properties
Last modified
5/5/2023 3:27:56 PM
Creation date
3/30/2023 1:03:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537807
PE
4120
FACILITY_ID
FA0021685
FACILITY_NAME
TELEIOS TATTOO STUDIO (HIRSCHLER, DANIEL M)
STREET_NUMBER
21
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
21 S SACRAMENTO ST
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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Body Art Facility Infection Prevention And Control Plan Guideline <br />J. Sterilization room: Describe the procedure used for decontaminating instruments prior to placitl <br />them into the autoclave. Indicate whether instruments are manually washed or machine wash <br />such as with an Ultrasonic machine. Describe the material used for soaking dirty instruments in t <br />machine, such as Tergazyme (Califbmia Health and Safety Code 119309 (b)(e)(g). 119314 (c), a <br />119315 (b)). <br />K. Disinfection Products: List the disinfectant products used at the body art facility (California Health <br />and Safety Code 119301 (k) and 119308 (b)(6)). <br />Q)P-g�d <br />L. Time and Temperature: List the temperature of the autoclave and duration of time at th <br />temperature required for the sterilization of clean instruments. Indicate where the sterilization log <br />maintained on-site. Indicate whether each sterilization load is tested using Class 5 integrato <br />(California health and Safety Code 119315 (b)(3)(5)). <br />1-ime: 'tl- IA- i <br />Psi: <br />M. Personal Protective Equipment: List the personal protective equipment used during a body art <br />procedure for the practitioner and the client (Califbmia Health and Safety Code 119308 (a) and <br />1193090)). <br />4 ZM--M 7*3 <br />N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br />each sink (California Health and Safety Code 119314 (• <br />/, <br />IRA1j24?=41►" 79 A Jr <br />/Af, <br />
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