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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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H. List the Medical Waste Hauler, Mail-Back System or Alternative Treatment Technology for <br /> the disposal of sharps containers: <br /> (California Health and Safety Code 119314 (e)) <br /> Medical Waste Hauler C.a. <br /> Street Address -30<e,�kc-> 5A&4AeL-1Qi4 )v �s4 <br /> I r <br /> City, ST, Zip r4:1 <br /> . P A <br /> 1. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierce I skin. (California Health and Safety Code 119310 (a) and 119315) <br /> A <br /> J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br /> Indicate whether instruments are manually washed or machine washed, such as with an <br /> Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br /> such as Tergazyme. alifornia Health and Safety Code 119309 (b)(e)(g), 119314 (c), and <br /> 119315 (b)) <br /> K. Disinfection Products: List the disinfectant products used at the body art facility. (California <br /> Heal and Safety Code 119301 (k) and 119308 (b)(6)) <br /> 1 <br /> Y% e A V rj-- 04 aree 4 2L,/Li C' -44-t, vo j p s j 1q,-" I A416 C4 <br /> A C-r- <br /> L. Time and Temperature' List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. Indicate whether a sterilization log is maintained on-site. <br /> Indicate whether each sterilization load is tested using Class 5 integrators. (California Health and <br /> Safety Code 119315 (b) <br /> Time <br /> Temperature <br /> Psi <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. (California Health and Safety Code 119308 (a) and 119309 (j)) <br /> Page 5 of 10 <br />
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