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COMPLIANCE INFO
Environmental Health - Public
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4100 – Safe Body Art
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PR0537807
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COMPLIANCE INFO
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Entry Properties
Last modified
5/5/2023 3:27:56 PM
Creation date
3/30/2023 1:03:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537807
PE
4120
FACILITY_ID
FA0021685
FACILITY_NAME
TELEIOS TATTOO STUDIO (HIRSCHLER, DANIEL M)
STREET_NUMBER
21
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
21 S SACRAMENTO ST
QC Status
Approved
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EHD - Public
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Body Art -Facility Infection Prevention And Control Plan Guideline <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 Health <br />and Safety Code 119315 (c)). <br />iL4L/ TVS&91tLe-6- 'r06C—:::5 AAtm 415- <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 />f,12f Leh <br />2. Piercing: <br />64ZA <br />3. Permanent Cosmetics: <br />4. Branding: <br />1A - <br />E. Prevention of Cross Contamination: Describe the techniques used to prevent the contamination <br />of instruments, tattoo machines, trays, tables, chairs, zlip-con:ls,,power mWlies, -squeeze.bottles, <br />inks, pigments, lamps, stools, soaps, procedure sites and additional areas of potential contamination <br />during body art procedures. Include barriers provided to prevent cross contamination. Describe how <br />procedure sites are prepared for a body art procedures. (California health and Safety Code 119308, <br />119309, and 119311 (c)(d)(e)(f)). <br />WASM'- J 'b" HAIO,1�4 C-4,QAO Afr-,Od bjt6f_ :1)pQ C4,pMA& <br />uhA60 5 k 4 I-rV- CQ gj%j S&M gZ:68%,167 XkW -Mepq 7> =AOD <br />P -A <br />Page 4 of I I Wrb tP5. C6X'7-A1A1W-- - JPI#+C4r VJ�--D XGE:De-R� <br />g <br />C&t1-rA1XW -S A A( -Z> &87t'- C -M <br />5,tfFACr <br />IX PR,0CZ-O()AC' AP-V.A- 177iA-7- n n.Ae— enh-nIC7' eAj r7%1 VV19- <br />
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