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COMPLIANCE INFO_INA
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4100 – Safe Body Art
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PR0515392
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COMPLIANCE INFO_INA
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Last modified
4/19/2023 4:20:35 PM
Creation date
4/18/2023 4:11:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0515392
PE
4120
FACILITY_ID
FA0012118
FACILITY_NAME
DESIGNER EYES@ BELLA GENTE SALON (LUKE, ERNESTINE)
STREET_NUMBER
4343
Direction
E
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11024033
CURRENT_STATUS
02
SITE_LOCATION
4343 E PACIFIC AVE #A-12
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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�o <br /> N <br /> N. Mandwashiing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. (California Health and safety Code 11 314 ( )( )) <br /> 4,1 ij;I) vC-04-CA <br /> 0. Aftercare Procedure: Describe the written recommendatioandcare provided to the client after <br /> a body art procedure. List the type of bandagesr wrappings providedafter a body art <br /> procedure. (California Health an safety Code 1 (4) and 119308 ( )) <br /> car _ r, Iv ► �/-� <br /> P. Procedure i AccidentalSpill: Describe the clean-up and disinfection procedure taken when <br /> there is an accidentals ill of sharps. (California Health and safety Code 11 309 (a)( )(c)) <br /> Q. Trash Receptaclesdisposal of contaminated trash: List the type of trash receptacles an <br /> their location throughout the body art facility. Describethe procedure for the disposal of <br /> contaminated items, such as gloves. (California Health and safety Code 119311 ( ) and 11 314 <br /> (d)) <br /> _dj4 S6 r l ,® <br /> R. Negative/Failed rDescribe the procedure conducted hen a monthly spore test <br /> s failed. Indicate het er the facility itin spore test log on-site. (California Ha [t n <br /> safety Code 11 315 (b)( )(4)) 11A <br /> rj <br /> S. Commercial Ink or Pigment Manufacturers: List the manufacturer for the inks or pigments <br /> used at the body art facility. Describethe procedure for dilution of inks. Only sterile water should <br /> be used for dilution of inks or pigments. (California Health and Safety Coe 11 311 O(c)( )O) <br /> -i s <br /> T. Permanent tic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine used. (Californialth and Safetyo 11 311 (i) °)) <br /> v T <br /> Pages- <br /> of 10 <br />
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