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SR0085619
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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SR0085619
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Entry Properties
Last modified
11/19/2024 10:19:58 AM
Creation date
8/11/2023 4:23:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085619
PE
4103
FACILITY_NAME
IN BLOOM TATTOO & PIERCING STUDIO
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95377
APN
23517130
ENTERED_DATE
8/4/2022 12:00:00 AM
SITE_LOCATION
18 E ELEVENTH ST STE B
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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3. Other instruments <br />5ec A J. + 13 1 . <br />C. Storage: Describe the storage location and equipment used for the storage of clean and sterilized <br />instrument peel packs to protect the packages from exposure to dust and moisture. <br />Toa( h 1)((rc , ever., <br />D. Set Up and Tear Down of Workstation: Describe the procedure for setting up and tearing down <br />the workstation for the following procedures. <br />1. Tattoo. <br />m n d a (At Ir r' 0, 1 , (NrPP (.�G,.li'Ai _ �u <br />E <br />-k,,- <br />�^rtGk �•'CS/��j'ir+� /'p�fr 2tC . (v/�� � �r'eri( ,S�(ivJ o.KcaG �t'k-Slf /S-�kru �h' / <br />3. Permanent Cosmetics: <br />4. Branding: <br />uro� <br />Ga)3nl ChUri� �\O\jtS GV\d QfTC()C%`(e �- OYkS(Cjo � C�(A"C ti)U\le� <br />ct jk y- v,e rct'(-cn Akms to e e -DY e , Y) 01 ! `F4.w rro Q cA o Q . A Wo jJ <br />MUS Vcs U'`f�V Cof)A6j'n)tr,aF-Ctt r,nbk Qrf woYVSf64Ck 5aO�P�i2<<( <br />E. Prevention of Cross Contamination: Describe the techniques used to prevent the contamination <br />of instruments, tattoo machine, trays, tables, chairs, clip cords, power supplies, squeeze bottles, <br />inks, pigments, lamps, stools, soaps and the procedure site or other items during a body art <br />procedure. Include barriers provided to prevent cross contamination. Describe how the <br />procedure site is prepared for a body art procedure. <br />Page 3 019 <br />
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