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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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NAGLEE
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3200
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4100 – Safe Body Art
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PR2500160
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COMPLIANCE INFO
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Entry Properties
Last modified
5/19/2026 4:40:57 PM
Creation date
7/17/2025 1:28:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR2500160
PE
4120 - BODY ART FACILITY - SINGLE USE
FACILITY_ID
FA0002635
FACILITY_NAME
LUX STUDIO ELUSIVE PMU & TATTOO (MONDRAGON, ALEKXIS)
STREET_NUMBER
3200
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
3200 116 NAGLEE RD TRACY 95304
Suite #
#116
Tags
EHD - Public
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�Ik-Ar��r y qri l�mced(Ire gloves , tk) cif Qf� <br /> l tl overs Gin boivw lat s r� <br /> —=�?►��p arPG Clean Land Sclolil�C �IUf�VI <br /> Prvicec�urn. <br /> N• Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sklCalif�omia Health and safety Code 119314 (b)(3)) <br /> L CA l h%n s IlV 111 h t e <br /> u5(!lbl2 <br /> IA) <br /> cApA ColidWCCfp r S <br /> W1 k 1 ,et <br /> O. 4 Irar�Procedure:lDescribe 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 /> LLs L1P_P�`�0 iJrZXp ltY7' I nr�S�.iar (�YIU��,PSllrrlS Yh en <br /> �c�s rTrdlny, ate, (�r()cPr�cerP �,te . 1 Men' SfIA _�te (' vd <br /> oVv�e a rcL V-,t mn \ dttr tltn! c Pt <br /> �itsVnt ectan t socip, a1-Yd Oil <br /> CbvereOL <br /> P• Procedure for an Accidental Spill: Describe the clean-up and dills fecti nlproceduree tate IS ken when pN <br /> there is an accidental spill of sharps. (California Health and safety Code 119309 (a)(b)(c)) Oc n�a m <br /> r h an Y `i-�en alcvecS. Ptv-l-ecfiv� este wear <br /> a h oflc 'i arra F�11 Urar�S ra P [r r 1� Pttt <br /> s tv,u t be <br /> ock ir\ Cavi 1? CLnLiL Jwkvj�,c CLnck <br /> Q. Trash Receptacles and disposal of contaminated trashh: Lpt t e type of trareceptacles and <br /> their location throughout the body art facility. Describe the procedure for the disposal t <br /> contaminated items, such as gloves. (California Health and safety Code 119311 (a) and 119314 <br /> hqS r \e S s v <br /> \ rm5 a \ b n - Cf 1 <br /> 1S o5gblf n 5 r n OV rar VS. <br /> alcled to\O%jes &t d 4a tR• Negative/Failed d SSpore Test: Describe 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 /> if Scx�resnr� hot t:l tkrCl lr, Ybl r�lr�Y Pyre }tet 1 he SIe1-11t r <br /> d imm� r V. e n n <br /> C�nd tV�e S(� r i c t IrPPeuter� IF t S�cx tet <br /> M6(%0 <br /> p�� 1 eve, ttSe pF {t e stem tt sb�ulc4 be d�SConllnued <br /> S. Cospa'e els <br /> mmercial Ink or Pigment Manufacturers: List the manufacturer for the inks or <br /> uspigments reed lt5 <br /> ed at the body art facility. Describe the procedure for dilution of inks. Only sterile water should C`'re' <br /> be used for dilution of inks or pigments. (California Health and Safety Code 119311 (b)(c)(d)(e)) rec <br /> ►� m C \oar o lnks v b� ltt a <br /> 4 15 1.1Q b1usY�� ptgmen-t5 sty e t..tittP tS usPd tog cu>� <br /> 'oY -1-ultt�o \�nVL dtlu OY� . apt" <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number OR 51A-el <br /> for the permanent cosme't'ic machine used. (California Health and Safety Code 119311 (i)0)) (i-byltJ1�.G1�U� 12V wlrptess Pexlrctn2nt make up 3year5, <br /> Page 6 of 10 <br />
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