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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0537584
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COMPLIANCE INFO
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Last modified
5/25/2023 1:37:15 PM
Creation date
5/25/2023 1:21:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537584
PE
4120
FACILITY_ID
FA0021637
FACILITY_NAME
GRAPE CITY TATTOOS (DIAZ, JOSE A)
STREET_NUMBER
830
Direction
S
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04731201
CURRENT_STATUS
02
SITE_LOCATION
830 S CENTRAL AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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vim a&qK) . SAU ma�K ' w mcn <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 /> e r d, <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 /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an aSccide�ntal spill of sharps. (California Health and safety Code 119309 (a)( )(c) <br /> p F x <br /> C <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 /> 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 /> —�— <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 usl ford dilution of inks or pigments. (California Health and Safety Code 119311 (b)(c)(d)(e)) <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> fort a permanent cosmetic machine used. (California Health and Safety Code 119311 (i)a)) <br /> Page 6 of 10 <br />
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