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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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disposable instruments. Describe the record keeping logs and procedure logs maintain 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: t <br /> 6��tt� r11 ..-�gd- c6�.d ida.•�t�„���.. ��r �� �`�a ��e�-.�ci_ e �"�y�'�-- � <br /> 2. Calipers: <br /> 3. Other instruments: <br /> C. rage: 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 and Safety Code 119315 (c)) <br /> OkIt a i k' 'l aJ c! s IGJ is 't I'j j <br /> `' Q�`t ��Ni��a� d►z-� trte t1s2 e'er _44C..IeL <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),X11 311, and 119313 (b)(4�)) <br /> 1. Tatto <br /> z I1 64 ,� , <br /> r� �� ,AJ A <br /> i +`► �� Ci ri t� � ��� i� ry:r c $ �t �a r� �t �ti�o' � ' I'P v S . <br /> 2. Piercing: <br /> 3. Permanent Cosmetics: <br /> h <br /> Page 3 of 10 <br />
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