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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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H. List the Medical Waste Hauler, Mail-Back System or Alternative Treatment Technology for <br /> the disposal of sharps containers: <br /> C'.-C bt" 5-1 C>- L4zcr I I <br /> '30(a'o S" V4 h+OYC'0 C1 Li Ll <br /> Medical Waste Hauler UA_ <br /> Street Address 36192.0 Ct-O-t-' r'kLo S-Ay"A- <br /> City, ST, Zip <br /> 1. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierced skin. <br /> W 44 hoAdl PwhYZJ,rjr4G &,.W t-,&JA e-r'e-rqiP,1.t <br /> "I�JX) in <br /> ® 0, t4M <br /> Ar ih C4-e.-i4*a-,h <br /> jan <br /> in ktdt. eo�'i <br /> J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br /> Indicate whether instruments are manually washed or machine washed, such as with an <br /> Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br /> such as Tergazyme. <br /> &&OeA_ aS &MLid'I'Ma <br /> 'ift A*frafonAe, c& Z;4i, &-*, jO <br /> brush � d4obj;-it br"k Aw,d rt4,r? LA�QO'140_ 1MAg0h, LA14 IV <br /> d1r, 4owe-h ,t*sv,#nC; il <br /> 5 1 tavia 'F'+ a-CA <br /> 21 cr� b& 9 <br /> K. Di i4ni4ctio�n u cAtsM st disinfectant pro ucts used at the body a facility. <br /> nMA4& SIDaqol dhAQiaV_, &AlviO_4" t..l &nbae&rial <br /> a b kY- -30 S"-Z66 !!5,- W nw-a - <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. <br /> Time 30 "n. <br /> Temperature -2S-VIF <br /> Psi <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. <br /> O�PVA KArj watUviej. /k05LL6U MAkj AArwvsabLt "PIP YL - <br /> L/ <br /> Page 5 of 9 <br />
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