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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
Tags
EHD - Public
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N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. <br /> qIVIV__ %VI 6adfile-OOM ib qkA0j0LAR_L( k-P'ttl,, +DtkCSj (p ,,,S <br /> P mdoucs to <br /> O. Aftercare Procedure: Describe the written recommendations and care provided to the client.after <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> procedure. <br /> CAA-C"- . <br /> Q&O&U- QtQJAA QQ W_ le, <br /> Vs <br /> -�D QQ.4nr, <br /> oy,k- <br /> %0ak a'ck <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an accidental spill of sharps or biohazardous waste. <br /> ove_s , rn�k_ 4— <br /> C4&26f::�',Atel u��_A� InaaLue-icu., L4 CLO, VIaIIC4_IS_LUI:_LI� <br /> 3c) <br /> Q. Trash Receptacles and disposal of contaminated trash: List the type of trash receptacles and <br /> their location throughout the body art facility. Describe the procedure for the disposal of <br /> coqta;iminated6, ditems, such as gloves., <br /> IaCAA-CA In wc>yk- <br /> R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. <br /> Maintain a copy of this document in your files. Submit one copy to the Ventura County Environmental <br /> Health Division (address shown at the top of page 1). <br /> I hereby certify that to the 9,est of my knowledge and belief, the statements made herein are correct <br /> and true. <br /> Signature: Date: 1 2- <br /> 1115- <br /> ja:RB GAAdrn in\HAZMAI-\FORMS\MEDI CAL WASTE&BODY ART\Infection Prevention and Control Plan Page 6 of 9 <br />
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