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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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Entry Properties
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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disposable instruments. Describe the record keeping logs and procedure logs maintained on-site <br /> when using 100% pre-sterilized, single-use and disposable instruments. (California Health and <br /> Safety Code 119309 and 119315) <br /> 1. Needle tubes: <br /> ' � R <br /> Cern <br /> 2. Calipers: <br /> 3. Other instruments: <br /> C. Storage: Describe the storage location and equipment used for the storage of clean and sterilized <br /> instrument peel packs to protect the packages from exposure to dust and moisture. (California <br /> Health and Safety Code 119315 (c)) <br /> D. Set Up and Tear Down of Workstation: Describe the procedure for setting up and tearing down <br /> the workstation for the following procedures. (California Health and Safety Code 119308, 119309 <br /> (c), 119311, and 119313 (b)(4)) <br /> 1. Tattoo: <br /> Spj rem'.' ..'i 2 k � rn j -e �\S WArevAj Zv, 2S,&%r, <br /> 2. Piercing: <br /> 3. Permanent Cosmetics: <br /> Page 3 of 10 <br />
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