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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0537378
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COMPLIANCE INFO
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Entry Properties
Last modified
3/21/2024 1:37:57 PM
Creation date
7/3/2020 10:15:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537378
PE
4121
FACILITY_ID
FA0021482
FACILITY_NAME
WICKED WAYZ (MOHAMED ABDULLAH)
STREET_NUMBER
920
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742011
CURRENT_STATUS
01
SITE_LOCATION
920 S CHEROKEE LN #A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537378_920 S CHEROKEE_.tif
Tags
EHD - Public
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Confifm MomtonngSystems Page 1 of 1 <br /> H0ME COMPANY PR0DUCTS TEST RESULTS CONTACT US PRESS RELEASES EDUCATIONJ1JkKS <br /> T ursday,Fabruary 14,201-3 <br /> ,.�or,Firrn Test Results <br /> Print gate: 2114i2013 Test No: V'Y'z,95 <br /> VV'V'ICKE€�?. ifs A..Y% Customer No: FIC3 f'8 <br /> 920 S.CHEROKEE LANE <br /> LORI,CA 95240 <br /> Phone: 209-3 3 CjL-17 7 9aeratcar: ,era a e .."e to 2i6/2013 <br /> Brand of Sterilizer: Tutinauer Model No: 1731 MIK erial lio: 1212819 <br /> Sterilizing Agent: Stearn Time: 35 Tenip. 260 <br /> Pressure: 25 <br /> Received Data: 2111312013 <br /> Transfer Date: 21'12013 10,13 EXp,spate: Str P: ResuIt.: a":'t3: <br /> Test Lot No: 1204401 1/3112014 Test Strip,#1 `'dega;v <br /> leti`sa tact No: 2/8W2014 Tes'Strip#2 Nega,rve <br /> Incubation Temp: 550'C Control Strip Positive <br /> Final Review Date: 2;14!2013 <br /> ervice Performed tnro n: &P (.�ontirm, <br /> Morllt6r#ng Systems, Inc. <br /> Results: <br /> Passed. No gro%vti^,obse ied after incubation period. <br /> Retain this completed form as part of'your records as Vorli cati n tha a Biological 1;onitoring Ser'vit.e ut i z-,ed as a pa0of a tormal sepsis <br /> Proaram. <br /> (Rim, fftsw <br /> Leann Keeler,RDH,ir`{Si 1 <br /> Genemi NlanacJ^,er <br /> ,-force Companyj Pro-J t est?esUlts�Contact Us f Press Releases i Educa io<.:i_#rG s <br /> 20- .C--,,:rm IMionitoffna Systems Aii right's`eeerve 1. <br /> h4://confirmmonitoring.com/resultsDetail.asp?testld=VY4951 2/14/2013 <br />
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