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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2714
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4100 – Safe Body Art
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PR0526732
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COMPLIANCE INFO
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Entry Properties
Last modified
2/29/2024 11:28:42 AM
Creation date
4/14/2023 3:23:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0526732
PE
4110
FACILITY_ID
FA0026761
FACILITY_NAME
THE PIRATES LOUNGE TATTOO PARLOR (MCGOVERN, JAMIE)
STREET_NUMBER
2714
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2714 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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C <br />H. List the Medical Waste Hauler, Mail -Back System or Alternative Treatment Technology for <br />the disposal of • .containers: <br />Medical Waste Hauler isarnt-att M4a•rJical services <br />Street Address 30x20 _c3. -%n Antc►ni® <br />City, ST, Zip Hayward. ca s454.4 <br />I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br />newly pierced skin. <br />N/A <br />J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br />and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br />Indicate whether instruments are manually washed or machine washed, such as with an <br />Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br />such as Tergazyme. <br />N/A <br />K. Disinfection Products: List the disinfectant products used at the body art facility. <br />Madacide-1, Dettol disinfectant, green soap, isopropyl alcohol, Lysol wipes <br />L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br />the sterilization of clean instruments. NSA <br />Time <br />Temperature <br />Psi <br />M. Personal Protective Equipment: List the personal protective equipment used during a body art <br />procedure. <br />Gloves, arm sleeves, mask, lap cloth, dental bib <br />Infection Prevention and Control Plan Page 5 of 9 <br />
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