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4100 – Safe Body Art
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PR0546258
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COMPLIANCE INFO
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Entry Properties
Last modified
3/5/2025 3:30:14 PM
Creation date
4/18/2023 11:18:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546258
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0026192
FACILITY_NAME
OLD VINE TATTOO (PALMER, JOSH)
STREET_NUMBER
521
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
521 W KETTLEMAN LN LODI 95242
Tags
EHD - Public
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BODY ART FACILITY INFECTION PREVENTION AND CONTROL PLAN GUIDELINE <br /> In accordance with the California Health and Safety Code, Section 119313, a body art facility shall <br /> maintain and follow a written Infection Prevention and Control Plan, provided by the owner Or <br /> estahliShHri by tho practitioners, 5put ifyiny p,ucedwes to duhieve wuiNGn,it-t vrith the cafo Hody Art <br /> Act. A copy of the Infection Prevention and Control Plan shall be filed with the Environmental Health <br /> Division and a copy maintained in the body art facility. <br /> The body art facility owner shall provide onsite training on the facility's Intection Prevention and <br /> s Control Plan to the body art practitioners and employees or individuals involved with decontamination <br /> and sterilization procedures. <br /> Training shall be provided when tasks where occupational exposures may occur are initially assigned, <br /> anytime there are changes in the procedures or tasks and when new technology is adopted for use in <br /> the body art facility, but not less than once each year. Records of training shall be maintained on-site <br /> fui Ihiee years. <br /> 5 <br /> Name of Body Art Facility: <br /> Y <br /> Site Address: C� n �� <br /> City, State, Zip:_ =',o C�t' C r <br /> Type of Body Art Facility F u.�., , <br /> Contact r erson: Telephone: ,. <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and wa <br /> disinfecting of workstation and surfaces. <br /> 1 Workstation surfaces/counter tops: ; <br /> YYyy } <br /> 2. Workstation chairs/stools: <br /> r : <br /> 3. Trays: <br /> k C q <br /> 't• ....__— �,y�.iii �`M1it. fi�� �a: <br />
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