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SR0085614
EnvironmentalHealth
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ALDER
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4100 – Safe Body Art
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SR0085614
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Entry Properties
Last modified
8/24/2023 9:10:44 AM
Creation date
8/22/2023 2:35:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085614
PE
4103
FACILITY_NAME
PRETTY OBSESSED BOUTIQUE
STREET_NUMBER
147
Direction
W
STREET_NAME
ALDER
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
NEAR 12704218
ENTERED_DATE
8/3/2022 12:00:00 AM
SITE_LOCATION
147 W ALDER ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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Medical Waste Hauler <br />Street Address <br />City, ST, Zip <br />SHARPS ASSURE <br />845 TOBIN AVE <br />LAKEWOOD, NJ. 08701 <br />I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br />newly pierced skin. (California Health and Safety Code 119310 (a) and 119315) <br />N/A <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. (California Health and Safety Code 119309 (b)(e)(g), 119314 (c), and <br />119315 (b)) <br />N/A <br />K. Disinfection Products: List the disinfectant products used at the body art facility. (California <br />Health and Safety Code 119301 (k) and 119308 (b)(6)) <br />- Green Works All -Purpose Cleaner <br />- Green Soap <br />- CaviCide <br />L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br />the sterilization of clean instruments. Indicate whether a sterilization log is maintained on-site. <br />Indicate whether each sterilization load is tested using Class 5 integrators. (California Health and <br />Safety Code 119315 (b)(3)(5)) <br />Time N/A <br />Temperature N/A <br />Psi N/A <br />M. Personal Protective Equipment: List the personal protective equipment used during a body art <br />procedure. (California Health and Safety Code 119308 (a) and 119309 (j)) <br />7 <br />- Gloves - Hairnet - Safety Glasses - Mouth Guard <br />Page 6 of 12 <br />
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