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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1110
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4100 – Safe Body Art
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PR0542329
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COMPLIANCE INFO
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Last modified
6/15/2023 8:55:39 AM
Creation date
7/3/2020 10:14:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542329
PE
4120
FACILITY_ID
FA0024314
FACILITY_NAME
THE FRECKLED ROSE TATTOO (BRYANT, DANIEL)
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
02
SITE_LOCATION
1110 W KETTLEMAN LN STE 20B
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0542329_1110 W KETTLEMAN_.tif
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EHD - Public
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Body Art Facility Infection Prevention And Control Plan Guideline <br /> 1. Sterilization of Jewelry: Describe the procedure used for the sterilization of jewelry prior to placing <br /> into newly pierced skin(California Health and Safety Code 119310(a)and 119315). <br /> v1\\ <br /> J. Sterilization room: Describe the procedure used for decontaminating instruments prior to placing <br /> them into the autoclave. Indicate whether instruments are manually washed or machine washed, <br /> such as With an Ultrasonic machine. Describe the material used for soaking dirty instruments in the <br /> machine, such as Tergazyme (California Health and Safety Code 119309 (b)(e)(g). 119314 (c), and <br /> 119315 (b)). <br /> t"M Y- <br /> V <br /> K. Disinfection Products: List the disinfectant products used at the body art facility (California Health <br /> and�0-;fety Code 119301 (k)and 119308(b)(6)). <br /> L. Time and Temperature: List the temperature of the autoclave and duration of time at that <br /> temperature required for the sterilization of clean instruments. Indicate where the sterilization log is <br /> maintained on-site. Indicate whether each sterilization load is tested using Class 5 integrators <br /> (California health and Safety Code 119315(b)(3)(5)). <br /> Time: <br /> Temperature: <br /> Psi: <br /> I �I ' <br /> M. Personal Protective Equipment: List <br /> st thepersonal protective equipment used during a body art <br /> procedure for the practitioner and the client (California Health and Safety Code 119308 (a) and <br /> 1193090)). <br /> Ve,- IA WY'AP <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 /> Page 6of 11 <br />
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