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COMPLIANCE INFO_ELISABETH GRAFFIN
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FAIRMONT
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510
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4100 – Safe Body Art
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PR0544022
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COMPLIANCE INFO_ELISABETH GRAFFIN
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Entry Properties
Last modified
7/5/2023 9:59:30 AM
Creation date
7/3/2020 10:14:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544022
PE
4120
FACILITY_ID
FA0025034
FACILITY_NAME
HI PRETTY! PERMANENT BROWS (GRAFFIN, ELISABETH)
STREET_NUMBER
510
Direction
S
STREET_NAME
FAIRMONT
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
510 S FAIRMONT
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0544022_510 S FAIRMONT_.tif
Tags
EHD - Public
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N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. <br /> O. Aftercare Procedure: Describe the written recommendations and care provided to the client after <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> procedure. �_ <br /> Y10 wn�- An In c�L 6r ?oA -wI ske t' e VLa�r uA .Frrii dam. • Ayis)A L'P <br /> [ cd, s a� csu lc� cQarc�u�c A r 7�lct ug• VJc�1n v�i�In Q Y'M <br /> UXL3 4X QV tk Gl, t�(W• MAIa I.i,��. Ag i2a �1cY ve" �t a.Its lc t IL <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an accident ;� ill�of s1.harps or biohazardous waste. <br /> �a tr <br /> r ecAM vie., k V r ✓ ykky <br /> Q. Trash Receptacles and disposal of contaminated trash: List the type of trash receptacles and <br /> their location throughout the body art facility. Describe the procedure for the disposal of <br /> contaminated items, such as gloves. <br /> R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. <br /> Maintain a copy of this document in your files. Submit one copy to the Ventura County Environmental <br /> Health Division (address shown at the top of page 1). <br /> I hereby certify that to the best of my knowledge and belief, the statements made herein are correct <br /> and true. <br /> Signature: Date: it9-1 �5' <br /> ja:RB G:Wdmin\HAZMAT\FORMS\MEDICAI_WASTE&BODY ART\Infection Prevention and Control Plan.docx Page 6 of 9 <br />
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