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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CENTRAL
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902
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4100 – Safe Body Art
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PR0547270
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COMPLIANCE INFO
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Entry Properties
Last modified
8/21/2023 4:53:55 PM
Creation date
7/6/2023 9:48:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547270
PE
4120
FACILITY_ID
FA0026842
FACILITY_NAME
PEACHES AND CREAM SKIN CARE (COLVIN, KYLIE)
STREET_NUMBER
902
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
902 CENTRAL AVE STE 5
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\cfield
Tags
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 />Medical Waste Hauler —s-DTlu( <br />Street Address�J i Ii Q k e,,td� d . �'- - , <br />T <br />City, ST, Zip <br />y Ci <br />I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br />newly pierced skin. <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. <br />K. Disinfection Products: List the disinfectant products used at the body art facility. <br />Lj�h' c dl�L. - <br />L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br />the sterilization of clean instruments. <br />Time t� <br />Temperature <br />Psi <br />M. Personal Protective Equipment: List the personal protective equipment used during a body art <br />procedure. <br />fly\ 1 Q:5 <br />—J_ <br />Ja:RB G:\Admin\HAZMAT\FORMSWEDICAL WASTE & BODY ART\Infection Prevention and Control Plan Page 5 of 9 <br />
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