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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ROSEMARIE
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1412
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4100 – Safe Body Art
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PR0544944
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COMPLIANCE INFO
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Entry Properties
Last modified
1/28/2025 4:05:13 PM
Creation date
7/3/2020 10:16:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544944
PE
4121
FACILITY_ID
FA0025552
FACILITY_NAME
PORT CITY INK (CORREA-AMAYA, MARISA)
STREET_NUMBER
1412
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
1412 ROSEMARIE LN #A
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0544944_1412 ROSEMARIE_.tif
Tags
EHD - Public
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04002 Pagel of 1 <br /> ETO Sterilisation Certificate <br /> JAMA General Information <br /> X-1 .F e Wn' o. 11604108 <br /> )R4�jrjnTJ*L-A4 (Au*) TATSOUL <br /> Customer name/order NO.(delivery note) ` <br /> 0t 1�H M Date of reception 2016-04-08' <br /> -44-&fA Temperature of Environment 21`C <br /> i RSV, Name of `roudct --VIType/Model il"A'AA-Vy Product LOT Vft Cases <br /> TATTOO NEEDLE 160401 50CS <br /> it V V Physl*Pr ►+cess Data <br /> Bilttgfllh7 Preconditioning time 9h <br /> .# q Date of sterilization 2016-04-08 <br /> Chamber No. 1 <br /> X290f Sterilization No. 11604108 <br /> A*rliffe-1 Aeration time 12h <br /> The detail date of the preconditioning.stehlization,aeration process lease refers to GOALS. <br /> xjV *, Result of physical+process control <br /> The physical acceptance criteria of the preconditioning ,the cycle and the aeration were in <br /> compliance with the validated specifications of c cle no.: <br /> 4. <br /> Microblological Process Data <br /> Itra;r#J9RBI)ENiA' S0P3Aff Til*q. <br /> o <br /> The microbiological process control with biological indicators has been performed according to the <br /> BI sterili test SOP(032005 . <br /> f#X-ffif A)WW19 I^Blo ##1.jA4W5.r�11 Biological Indicator strip <br /> No of biological indicators 19 per chamber load. *111 "* Manufacture:Future <br /> 901-LOT.: 160405 <br /> Expiration Date:20170904 <br /> I <br /> . �t,,rp M Date of incubation 2016-0408 <br /> ;A44 incubation conditions 7 days at 35t2°C. <br /> OttARWA Result of microbiological process control <br /> D No rowth from Bacillus subtilis has been detected. <br /> s. <br /> Remarks: <br /> 1 GOALS QA A 'val <br /> Date of release: VA Sign QA: <br /> i6 - IC� <br />
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