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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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4100 – Safe Body Art
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PR0539015
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COMPLIANCE INFO
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Last modified
11/19/2024 10:21:04 AM
Creation date
6/13/2023 1:18:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539015
PE
4120
FACILITY_ID
FA0021597
FACILITY_NAME
FOREVER YOURS TATTOO (HULLAR, JOHN J)
STREET_NUMBER
606
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23502302
CURRENT_STATUS
02
SITE_LOCATION
606 W 11TH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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3. Trays: <br /> --fit 6 k ,JA . f T� an t-A a z. + 4,rf c 0<1 <br /> �._2"F tit 4^i 1d, <br /> 4. Armrests: 7 <br /> s ! <br /> _te ����P�� a�a �M► �4 _,�®� �� c3���Y' �ili"t Yl`7 dc _t.Jt t���t.1��s'�.. <br /> 5. Headrests: <br /> 7 <br /> l nk ►, <br /> y:!L Juetno; j,. el At-?,,,L ��.z. . <br /> 6. Procedur area: <br /> '.4r t a.0u.! kL 'fir .kr kA4% r4fin coe" l:-'t <br /> 7. Tables: <br /> n <br /> TCm,_�L.A.i,r _ 'S.12�ri 5 .2 r l 12 150 1 V " . r Q <br /> 8. Tattoo machine and Clip Cord: <br /> C'(& 6t cr vc r <br /> r=_1 --" - I C1, ' 'I- CILL-ge <br /> 9. Reusable instruments, calipers, needle tubes, etc., portable light fixtures or other: <br /> Jet <br /> A <br /> 10. Permanent Cosmetic Machine: <br /> B. Reusable Instruments orDisposable: 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 /> r <br /> Page 2 of 10 <br />
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