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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SCHOOL
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4100 – Safe Body Art
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PR0547909
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COMPLIANCE INFO
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Entry Properties
Last modified
7/9/2026 2:12:19 PM
Creation date
7/28/2023 10:14:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547909
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0027313
FACILITY_NAME
OOH LA! LASH & BROW ROOM (DIAZ, BELEN)
STREET_NUMBER
115
Direction
N
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
115 #3 N SCHOOL ST LODI 95240
Suite #
#3
Tags
EHD - Public
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INSTRUMENT LOG <br /> If singl&we,pra-padmW,pre4edlW Iratmmem,and needles are used please maintain the following records: <br /> (1) A record of purchase and use of all single OSe lydtruments. <br /> (2) A log of all procedures,indudlns the names of the PacUtlonerand deem and the date ofthe procedure. <br /> (3) Witten proof on company or laboratory letterhead stowing that the prestrrllized lmtrumems have undergone a stedllnUon process.Wrlttmpoolshall <br /> dearly Identify the Instruments steriibed by time or Item number and shall Identifythe later batch number of the sterilizer run. <br /> Supplier Info mem/Needle lrs[/IDa Sterilization Data Expiration Lomita ikaiha <br /> AFTERCARE INSTRUCTIONS <br /> CUENTNAME: <br /> The following verbal and/orwrtlten instructions were communicated to the deem: <br /> 1.Irdarmation on the are of the procedure site. <br /> 2.ReemrUOM on physical actNttks such as batting,recreattonal water activities,gardemn&w conbct with animals,and the duration of the restrictions. <br /> 3.Signs and symptoms of Infection Including but not hmited to redness,swelling.tenderness of the procedure she,red speaks going fom thepmadum site toxands <br /> the heart,elevated body temperature,a purulent drainage from the procedure site. <br /> a.Imtructbns to act a physidan If any of the addressed sigma and symptoms appear or for wryother reason related to the Body Art procedure(s). <br /> S.if physidan ore is required by the client related to the Body Art procedure(s),the client Is no notify the Body Art facility and practitioner of the problem and the <br /> resolution by physidan or clinic This Information shall be placed In the diem'sfile. <br /> COMMENTS: <br /> To the best of my Imowledge this InPormatlon N comet <br /> Practltiuna5lgnature: Date: <br /> I have received aftercare Instructions: <br /> caerrygrature: Dare: <br /> Sioce the situation with C.OVID-19 pandemic,by signing this notice,I are acknowledging that an inherent risk Of espoaure to COVID-19 esistsin wining <br /> �mt where people�pmsent.By attending the ing ,mt,you and my guests w1marfly,=me all risks <br /> to hold Miaoblading Academy-Brauko Bzbf rim USA Aademy Beauty School,Muter Jocelyn,Matter Darcy or related my of their' ales,OMQWM aoplWeesnot ar <br /> volunteers liable for any Illness or injury. <br /> Signature: <br /> Fulinamr. <br /> Dal. <br /> 8/15/17 <br /> SWP-152 <br /> •.vww.mecrobled incdchba.com <br />
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