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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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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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3. Trays: <br /> 4. Armrests: <br /> / PC AJ LJ I &tl / f: <br /> �s <br /> 5. AZU4 <br /> 6. Procedure area: <br /> c L_&_ MOVE' Al2-AIA 147' 2D69L CAM OE � <br /> 1�_ T <br /> 7. Tables: IQ <br /> 8. Tattoo machine and Clip Cord: <br /> 'A_ <br /> 9. Reusable instruments, calipers, needle tubes, etc., portable light fixtures or other: <br /> 5 T t2u m N jTc;, nl F D t_K_ "('k 6 SAggg FLjac-kr-f::> t al <br /> 2=,nn t4fito <br /> 10. Permanent Cosmetic Machines 0�,,, , <br /> B. Reusable Instruments or Disposable: Describe the procedures used for decontaminating, <br /> sterilizing, packaging and storing of reusable instruments. Include the procedures for labeling of <br /> sterilized peel-packs. Indicate whether the body art facility uses all pre-sterilized, single-use and <br /> Page 2 of 10 <br />
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