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COMPLIANCE INFO_INACT
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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PR0537532
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COMPLIANCE INFO_INACT
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Last modified
4/20/2023 12:46:07 PM
Creation date
4/5/2023 2:12:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537532
PE
4120
FACILITY_ID
FA0021603
FACILITY_NAME
WRONG SIDE OF THE TRACKS TATTOO (BROCKMAN, A)
STREET_NUMBER
512
Direction
N
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
CURRENT_STATUS
02
SITE_LOCATION
512 N UNION RD
P_LOCATION
04
P_DISTRICT
001
QC Status
Approved
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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. (California Health and safety Code 119314 (b)(3)) <br /> x v+ V <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. (California Health and safety Code 119303 (4) and 119308 (b)) <br /> e-, A-0 rA!:, a*'\ i.A <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an accidental spill of sharps. (California Health and safety Code 119309.(a)(b)(c)) <br /> C Je4,_ nrjf, - c;j0jc ;.Ap &,r S4.cCc 12cA ei IN <br /> 6-Z <br /> arc baeA S n'AQ&A A0%Z sx. are4 064 L;�dx� 101- v� <br /> f- <br /> m <br /> or%wA- s . 4-ht d N -,o I,tK pre-- seyk-ed Rmp er fy w e, <br /> , + L <br /> Wt -k M ,Cje, <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. (California Health and safety Code 119311 (a) and 119314 <br /> ot A <br /> R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. Indicate whether the facility maintains a spore test log on-site. (California Health and <br /> safety Code 119315 (b)(2)(4)) <br /> _e rj c� 12(o 0 jj Q1 <br /> CCLI 'I In fr+%QK 5'er --e— <br /> S. Commercial Ink or Pigment Manufacturers: List the manufacturer for the inks or pigments <br /> used at the body art facility. Describe the procedure for dilution of inks. Only sterile water should <br /> be used for dilution o inkTor pigments. (California Health and Safety Code 119311 (b)(c)(d)(e)) <br /> ,qj�L <br /> 'i f C'kt <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine used. (California Health and Safety Code 119311 (i)O)) <br /> vJ e_ A0 lx�� C)0 pe-C ty\,a&eAAA C_0_-'M e� C-lb M Ar4 <br /> Page 6 of 10 <br />
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