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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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EHD - Public
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lav <br /> 6W <br /> N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. (Califo is Health and safety Code 1193 4 4 1b)(3)) <br /> 0. 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 1 308 (b) " <br /> L",%A, h1JAA /Ah L/�M7nA rJ Afil 17A g z-A <br /> Igo F - <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is-on accidental pill of sharps. (California tea and safety Code 1 9309 (a2(b)(c)�,,, <br /> "AdY, 1k. AAIJ fh%r�. 1_,A4 AMA A A/ , <br /> Q. Traih 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 /> L/ <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 /> safeode1J93 <br /> q41 <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 o inks or pigments."(California+Health and Safety Cod 1 311 b)(C)iT <br /> f <br /> &A404 n-h dite - f- jwn 4itA0y., <br /> iUL <br /> jq% lik<�k <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the perman Tiretic machine used. (California Health and Safety Code 119311 (i)0)) <br /> Page 6 of 10 <br />
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