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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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13500
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4100 – Safe Body Art
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PR0537651
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COMPLIANCE INFO
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Entry Properties
Last modified
11/20/2024 9:23:08 AM
Creation date
5/18/2023 10:58:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537651
PE
4110
FACILITY_ID
FA0023492
FACILITY_NAME
FORSAKEN TATTOO (HENSON, ANTHONY)
STREET_NUMBER
13500
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
13500 HWY 88
QC Status
Approved
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SJGOV\cfield
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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 /> Ins D el �,,o <br /> 2. Calipers: <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 nd Safe Code 119315 (c)) <br /> CA <br /> ("hrr ffV-106 <br /> V <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. Tattoo, . <br /> 5a4 uD &/id hdAjjgv� r3H&AWq a4e, <br /> k/wAR A,11A. gfltp �J,.,O�d Al As. <br /> 2. Piercing: <br /> 3. Permanent Cosmetics: <br /> Paw 3 of 10 <br />
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