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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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THORNTON
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8909
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4100 – Safe Body Art
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PR0538064
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COMPLIANCE INFO
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Entry Properties
Last modified
5/15/2023 1:09:36 PM
Creation date
4/27/2023 4:29:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0538064
PE
4120
FACILITY_ID
FA0021985
FACILITY_NAME
GYPSY LANTERN TATTOO PARLOR (ELIEXSER OLAVARRIETA II)
STREET_NUMBER
8909
Direction
S
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
8909 S THORNTON RD #10
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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disposable instruments. Describe the record keeping logs and procedure logs maintained on-site <br />when using 100% pre -sterilized, single -use and disposable instruments. (California Health and <br />Safety Code 119309 and 119315) <br />1. Needle tubes: <br />S i nil Ie- y <br />2. Calipers: <br />W I APPOcAPLF <br />3. Other instruments: <br />C. Storage: Describe the storage location and equipment used for the storage of clean and sterilized <br />instrument peel packs to protect the packages from exposure to dust and moisture. (California <br />Health and Safety Code 119315 (c)) <br />ice p+ in i oc- %mak I box,[ s <br />D. Set Up and Tear Down of Workstation: Describe the procedure for setting up and tearing down <br />the workstation for the following procedures. (California Health and Safety Code 119308, 119309 <br />(c), 119311, and 119313 (b)(4)) <br />1. <br />2 <br />T <br />0 <br />Di5 iN Fcc-r <br />Piercing: <br />NI ),- <br />3. Permanent <br />Page 3 of 10 <br />s.v(;riC otre-o' ct^A 5vf4�C&S . <br />`net <br />d <br />
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