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4100 – Safe Body Art
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PR0546901
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COMPLIANCE INFO
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Last modified
3/5/2025 3:49:54 PM
Creation date
5/16/2023 11:58:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546901
PE
4120
FACILITY_ID
FA0026577
FACILITY_NAME
LUCKY YOU TATTOO (MENDOZA, ESAU)
STREET_NUMBER
1138
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1138 N MAIN ST
P_LOCATION
04
QC Status
Pending
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SJGOV\cfield
Tags
EHD - Public
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®t <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 (b)(3)) <br /> A- « r <br /> k \ ' <br /> 9-C t <br /> O. Aftercare Procedure: Describe the written recommendations and care provided to the client after <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> procedure. (California Health and safety Code 119303 (4) and 119308 (b)) <br /> -- <br /> k�r <br /> CCAf VA GkC C---® QVN5 <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an accidental spill of sharps. (California Health and safety Code 119309 (a)(b)(c)) <br /> 10 Y. Y. k e C 6pmt-1 <br /> Q. Trash Receptacles and disposal of contaminated trash: List the type of trash receptacles and <br /> their location throughout the body art facility. Describe the procedure for the disposal of <br /> contaminated items, such as gloves. (California Health and safety Code 119311 (a) and 119314 <br /> (d)) <br /> Tr A-f, e- <br /> -b �- t®NeV2�dd longs <br /> R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. Indicate whether the facility maintains a spore test log on-site. (California Health and <br /> safety Code 119315 (b)(2)(4)) <br /> S. Commercial Ink or Pigment Manufacturers: List the manufacturer for the inks or pigments <br /> used at the body art facility. Describe the procedure for dilution of inks. Only sterile water should <br /> be used for dilution of inks or pigments. (California Health and Safety Code 119311 (b)(c)(d)(e) <br /> k C2C2 C <br /> Ujt\CV\ \'\CA �1 <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine used. (California Health and Safety Code 119311 (i)O)) <br /> Page 6 of 10 <br />
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