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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
Tags
EHD - Public
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• <br /> H. List the Medical Waste Hauler, Mail-Back System or Alternative Treatment Technology for <br /> the disposal of sharps containers: <br /> Medical Waste Hauler Yz�yxe4+ Iylai od 6ery ice S <br /> Street Address f. b, 60)( <br /> City, ST, Zip Am wm-J , CA q4510 <br /> I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierced skin. <br /> J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br /> Indicate whether instruments are manually washed or machine washed, such as with an <br /> Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br /> suchs Tergazym . ' <br /> Lft <br /> �S <br /> K. Dish ction r is he disinfectant products used at the body art facility. <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. <br /> Time <br /> Temperature �IQ' <br /> Psi �_bb <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. <br /> b u MR Mon <br /> Ja;RB G:Wdmin\HAZMAT\FORMS\MEDICAL WASTE&BODY AFRInfection Prevention and Control Plan Page 5 of 9 <br />
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