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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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PR0547270
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COMPLIANCE INFO
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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
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SJGOV\cfield
Tags
EHD - Public
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N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br />each sink. <br />V%6A <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 />Drocedure. <br />r --e_ <br />' P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br />there is an accidental spill of sharps or biohazardous waste. n <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. <br />R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br />has failed. _ i . <br />Maintain a copy of this document in your files. Submit one copy to the Ventura County Environmental <br />Health Division (address shown at the top of page 1). <br />I hereby certify that to the best of my knowledge and belief, the statements made herein are correct <br />and true. <br />Signature: <br />Date: .2./ '2Z/ j <br />dated 9�II�2t <br />ja:RB G:1AdmlMHAZMATIFORMSIMEDICAL WASTE & BODY ARUnfection Prevention and Control Plan Page 5 of 9 <br />
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