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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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5759
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4100 – Safe Body Art
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PR0548626
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COMPLIANCE INFO
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Entry Properties
Last modified
5/7/2026 2:42:03 PM
Creation date
4/3/2025 11:46:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548626
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0026472
FACILITY_NAME
ADORN ME TATTOO (BOU, JENNIFER)
STREET_NUMBER
5759
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
5759 B145 PACIFIC AVE STOCKTON 95207
Suite #
B145
Tags
EHD - Public
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Adorn Me Tattoo-5759 Pacific Ave#13145, Stockton CA 95207 PR0548626 <br /> May 1, 2026 <br /> PHOTO 3: A sterilization certificate was provided for the Aqua needle cartridges with the lot#202603. <br /> 5 <br /> 4 - <br /> 3� M Zn l <br /> m <br /> per' F m <br /> i ax A 3e Noz aa <br /> G57400.90G2 Ya '•774-243-4307 FAX p ' m 0 0� wOO lam?C L <br /> k"W-ElementTattooSupply.com O ®� mow mGl 3 ` <br /> w inmI <br /> CERTIFICATE OF STERILIZATION <br /> PART#: DESCRIPTION: <br /> AA0603RL AQUA Cartridges Round Liners 1 Oct 03 super Bugpin ELT#06 202602 <br /> AA0803RL AQUA Cartridges Round Liners 1 Oct 03 super Bugpin ELT#08 202602 l <br /> AA7003RL AQUA Cartridges Round Liners 1 Oct 03 Bugpin ELT#10 202603 <br /> The validation and routine control of the sterilization process are carried out in accordance with the following <br /> standards: <br /> EN ISO 11135-1:2007 <br /> Sterilization of health care products—Ethylene oxide—Part 1:Requirements for development,validation and <br /> routine control of sterilizations process for medical devices <br /> EN 556-1:2001 <br /> Sterilization of medical devices—Requirements for medical devices to be designated"Sterile" —Part 1: <br /> Requirements for terminally sterilized medical devices <br /> y ISO 10993-7:2008 <br /> • Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residuals <br /> • Routine control: The criteria for product release from sterilization Conformity with the specified physical <br /> parameters for the sterilization cycle <br /> No growth of the biological indicators <br /> Provided appropriately stored, products remain sterile for at least 5 years from the sterilization date. <br /> CERTIFICATE OF CONFORMITY <br /> Sandip Singh, REHS Page 3 of 4 <br />
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