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4100 – Safe Body Art
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PR2500145
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Entry Properties
Last modified
2/9/2026 11:41:44 AM
Creation date
7/17/2025 10:10:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
BILLING
RECORD_ID
PR2500145
PE
4120 - BODY ART FACILITY - SINGLE USE
FACILITY_ID
FA0002556
FACILITY_NAME
SKIN & SHADES STUDIO (RODRIGUEZ, JENNIE)
STREET_NUMBER
37
Direction
W
STREET_NAME
YOKUTS
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
37 B W Yokuts AVE Stockton 95207
Suite #
B STUDIO
Tags
EHD - Public
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Artist must wear a disposable mask, disposable gloves and apron during each procedure <br /> N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. (California Health and safety Code 119314 (b)(3)) <br /> There is only one workstation. There is a sink next to the workstation that is designated only for washing <br /> hands and cleaning the workstation. There is an automatic hands free towel dispenser hand soap dispenser. <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. (California Health and safety Code 119303 (4) and 119308 (b)) <br /> Keep area clean, but do not wash with soap for 4 days; don't rub or traumatize the procedure area(s)while it is <br /> ea ling. AVOID contact with animas,the sun and, seam room or ays. voi swimming inpoo s or FoT Tubs for <br /> 39 days; <br /> don't use products with AHA's on the procedure area(s). Advise client that Inks are not FDA-approved and not all <br /> consequences are known. Place dressing on procedure area and provide ointment recommendation. <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an accidental spill of sharps. (California Health and safety Code 119309 (a)(b)(c)) <br /> All solid surfaces and ohiects in the procedure area and the decontamination and sterilization area that have <br /> come into contact with the client or the materials used in performing the body art. The surfaces and ohiects in the <br /> procedure area will be disinfected again before using. Artist must wear disposable gloves on both hands when <br /> touching, decontaminating, or handling a surface, o tec , or instrument a is soiled with human oo . <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 /> contaminated items, such as gloves. (California Health and safety Code 119311 (a) and 119314 <br /> (d)) <br /> A product applied to the skin prior to tattooing or application of permanent cosmetics, including, but not limited to, <br /> stencils and marking and transfer agents, including pens, shall be single use and discarded into a waste <br /> container at the end of the procedure unless the product can be disinfected for reuse. The procedure area <br /> will have a waste basket with a plastic liner. <br /> R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. Indicate whether the facility maintains a spore test log on-site. (California Health and <br /> safety Code 119315 (b)(2)(4)) <br /> We use single use sterilized packaged needles;therefore a sterilization procedure is not needed. <br /> S. Commercial Ink or Pigment Manufacturers: List the manufacturer for the inks or pigments <br /> used at the body art facility. Describe the procedure for dilution of inks. Only sterile water should <br /> be used for dilution of inks or pigments. (California Health and Safety Code 119311 (b)(c)(d)(e)) <br /> Manufacturers include: Eternal Ink, Derma International, Viper Ink, Iron Works, and World Famous fifiattttoo Ilnkk <br /> The dilution used is World Famous Tattoo ink's Special Shading Solution, which is a sterile solution. <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine used. (California Health and Safety Code 119311 (i)O)) <br /> Only a tattoo machine is used-not a cosmetic machine. <br /> Page 6 of 10 <br />
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