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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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MEDICOPLAST <br /> Sterilization certfied in fine with Elm I <br /> DIN EN ISO 13485:20121 EN ISO 11135-1:2007 <br /> Confirmationterl'1 l <br /> Method:VA 7-5-1-6 <br /> Sterilization date: 2017-02-28 <br /> Sterilization lot: 15759 <br /> Customer. MT.Derm GmbH <br /> Your delivery note: 17-EB0849,17-EB0850, <br /> Your requisition no.: 17-EB0857,17-EB0868 <br /> Our delivery note: 234521 from 2017-03-02 <br /> Item: 9900031 <br /> Sterilisation Pal. MP01 1 d NK <br /> Pr.70 <br /> Quantity: 4 Pal. <br /> Nominal values Actual values <br /> bXWIna time: min. 12 h 6 h <br /> PEIRWOoning <br /> Dwell: min. 16 h 16h <br /> Conditions: 35-45°C 50-80%rel.humidtiy 35-45°C 50.80%rel. ittity <br /> rllizatlon <br /> Cycle: MP1 <br /> Temperature: 40 t3°C 38°C <br /> Preva 120 t10 mbar abs 130 mbar abs <br /> Humidity: 50-800 rel.humidity 65%rel.humidity <br /> Dwell time: 3 h 3 h <br /> EO concentration (talc.): 1.000±50 mgt{ 1.000 mgil <br /> Air washes: min.3 3 <br /> Aeration <br /> Dwell: min. 1 Days 2 Days <br /> Condition: 35-45°C 35 ®C <br /> Rema[h§: Shortened incoming time because outside temperature well above 0°C. <br /> The physical parameters were in accordance to the specifications. <br /> No growth was observed for the microbiological inprocess control with biological <br /> Indicators(Bacillus atrophaeus,3M Attest). <br /> The sterilization was conducted in tine with the customer validation parameter. <br /> Approval <br /> Signature QS: .�'` Date: 11 (�L- <br />
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