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COMPLIANCE INFO
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4100 – Safe Body Art
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PR0544790
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COMPLIANCE INFO
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Entry Properties
Last modified
9/13/2024 12:10:55 PM
Creation date
7/20/2023 11:00:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544790
PE
4120
FACILITY_ID
FA0025460
FACILITY_NAME
SALON DE BELLEZZA (TY, LORLIE)
STREET_NUMBER
5940
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5940 PACIFIC AVE STE C
P_LOCATION
01
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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N, Handwas hing Sink: List t i <br />the lions <br />each sink <br />. <br />-�inVIVI ra_. A of the handwash sinks and describe the items supplied at <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 />procedure. I <br />SLI�,}h,� �1'd�,u,l'o1 felU7( �IGiG�Gh,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 bloha7ardni m WnQfa <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. p <br />C1 Ari' PuU lbA nAaQ u SfA\M .� (,4 i�Oxr /2 MA /1,1s)ftJL `fpE atCL uQ <br />R. Negative/Failed <br />Spore Test: <br />Describe the procedure <br />conducted when a monthly spore test <br />has failed.. • <br />, _ <br />1 .n , <br />n <br />0:. <br />. <br />-�inVIVI ra_. A of the handwash sinks and describe the items supplied at <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 />procedure. I <br />SLI�,}h,� �1'd�,u,l'o1 felU7( �IGiG�Gh,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 bloha7ardni m WnQfa <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. p <br />C1 Ari' PuU lbA nAaQ u SfA\M .� (,4 i�Oxr /2 MA /1,1s)ftJL `fpE atCL uQ <br />R. Negative/Failed <br />Spore Test: <br />Describe the procedure <br />conducted when a monthly spore test <br />has failed.. • <br />, _ <br />1 .n , <br />n <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 />z8 <br />Signature: �" I v Dater rll I �d <br />m <br />
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