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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CALIFORNIA
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1805
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4100 – Safe Body Art
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PR0541625
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COMPLIANCE INFO
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Entry Properties
Last modified
3/31/2023 12:44:55 PM
Creation date
7/3/2020 10:13:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541625
PE
4120
FACILITY_ID
FA0023858
FACILITY_NAME
NATHAN A KLUDT MD INC (JOHNSON, HEIDI)
STREET_NUMBER
1805
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
1805 N CALIFORNIA ST STE 407
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0541625_1805 N CALIFORNIA_.tif
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EHD - Public
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i • <br /> 3. Trays: <br /> 4. Armrests: <br /> 5. Headrests: <br /> I <br /> 6. Procedure area: <br /> i <br /> I <br /> I <br /> I <br /> I <br /> 7. Tables: <br /> 3 <br /> I <br /> i <br /> 8. Tattoo machine: <br /> .—T <br /> 9. Reusable instruments, calipers, needle tubes, etc., or other: <br /> 1 <br /> B. Reusable Instruments: Describe the procedures used for decontaminating, sterilizing, packaging <br /> and storing of reusable instruments. Include the procedures for labeling of sterilized peel-packs. <br /> 1. Needle tubes: <br /> 1 . <br /> ja:RB G:1Admin\HAZMATIFORMSNEDICAL WASTE&BODY ARTUnfection Prevention and Control Plan Page 2 of 9 <br />
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