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SR0086863
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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14051
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4100 – Safe Body Art
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SR0086863
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Entry Properties
Last modified
11/20/2024 9:24:02 AM
Creation date
9/1/2023 9:47:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0086863
FACILITY_NAME
LUCKY YOU TATTOO LOCKEFORD
STREET_NUMBER
14051
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01937032
ENTERED_DATE
6/20/2023 12:00:00 AM
SITE_LOCATION
14051 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
Tags
EHD - Public
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disposable instruments. Describe the record keeping logs and procedure logs maintained on-site <br />when using 100% pre -sterilized, single -use and disposable instruments. (California Health and <br />Safety Code 119309 and 119315) <br />1. Needle tubes: <br />L ' .W S' <br />1aill c LiG l IA- <br />2. Calipers: <br />Pe_mw� a-(y%aUm u`- <br />3. Other instruments: <br />a_," 1 A -r fl S'y' U S -PL ¢ r i1° /Lt/1 f- 1 �' 1,4T l� l J✓Y1 el�'f"5 . <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. (California <br />Health and Safety Code 119315 (c)) <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. (California Health and Safety Code 119308, 119309 <br />(c), 119311, and 119313 (b)(4)) <br />(SbA %'p <br />Tattoo: <br />2. Piercing: <br />3. Permanent Cosmetics - <br />Page 3 of 10 <br />
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