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SR0071253_PORT CITY INK
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ROSEMARIE
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1415
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4100 – Safe Body Art
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SR0071253_PORT CITY INK
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Entry Properties
Last modified
9/24/2024 3:21:52 PM
Creation date
9/24/2024 3:19:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
FileName_PostFix
PORT CITY INK
RECORD_ID
SR0071253
PE
4103
FACILITY_NAME
PORT CITY INK
STREET_NUMBER
1415
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
APN
11017006
ENTERED_DATE
1/2/2015 12:00:00 AM
SITE_LOCATION
1415 ROSEMARIE LN STE B
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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H. List the Medical Waste Hauler, Mail-Back System or Alternative Treatment Technology for <br /> the disposal of sharps containers: <br /> Medical Waste Hauler -5Lkx-141^ Pra;6cw-cto(A-5 W <br /> Street Address __79 0 <br /> City, ST, Zip 'S+D <br /> I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierced skin. <br /> VAA <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. W)A <br /> K. Disinfection Pro4ucts: List the disinfectant product used at the body art facility. <br /> La 0 0-k CQ VNL) Idip 01-V-N—" <br /> C'-)nAAC'A- 4icp <br /> ry <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. <br /> Time <br /> Temperature <br /> Psi <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. <br /> akovts, �10'/Ack <br /> ja:RB G:\Adrnin\HAZMAT\FORlV1S\lVlEDlCAL WASTE&BODY ART\Infection Prevention and Control Plan Page 5 of 9 <br />
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