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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CENTRAL
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1010
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4100 – Safe Body Art
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PR0541621
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COMPLIANCE INFO
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Entry Properties
Last modified
4/16/2026 9:04:47 AM
Creation date
4/12/2023 3:50:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541621
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0023856
FACILITY_NAME
VERSAILLES SALON (GREEN-FRESE, ERICA)
STREET_NUMBER
1010
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
1010 CENTRAL AVE TRACY 95376
Tags
EHD - Public
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Ethylene Oxide Sterilization Certificate <br /> 1s1:Customer: Madluvv <br /> it fh :Address 7624 E Kramer St Mesa,AZ 85207 USA <br /> F,i&TeL: 1 (480)459-1655 <br /> X1WHM Date: 2021-01-21-2021-01-21 i1E49fp s No.of Certificate: XMETO/B-GR-2101221 <br /> Xffi t-�- Sterilization Lot NO: MB02201227 MB02201226 MB02201225 MB02201228 <br /> Product name Lot No. Quantity Cartons Comment <br /> Madluw Disposable microblading pen MB02201227 2500 5 <br /> balck handle#9 <br /> Madluw Disposable microblading pen MB02201226 6000 10 <br /> balck handle# 2 <br /> Madluw Disposable microblading pen MB02201226 3500 7 <br /> be ck handle#14U <br /> Madluvv Disposable microblading pen MB02201228 3000 6 <br /> balck handle#18U <br /> A it Total: 28 0 Cartons <br /> •��i1�T1�J: 3MTM��Z,J;ti��I�J3/Jf$�##a%r1�J <br /> Biological Indicator: 3MTM 1264-5 <br /> MB02201227 <br /> Olt s M8022012202201225 Lot NO: M oWMA Temperature:370C t 20C <br /> MB02201228 <br /> *IA.RR No. Placed: lit No. Retrieved: 20 XIM No.on Test: 20 <br /> BI MiA AA RESULT <br /> Hours � nt3 <br /> Quantity 24H 48H No.of Growths of <br /> TestOrganism <br /> ViMft Test Organism 20 0 0 0 <br /> X,f F,# PosltiveControls 12 2 2 2 <br /> 1. tMFT% JAJtt Biological Indicator Test Disposition: A 4 Pass: 7 A 4 Fail: ❑ <br /> 2. Chemical Indicator Test Disposition: p Pass: T,-Jjr Fail: ❑ <br /> 3. TcMOJ AJ)+ Sterilization Parameters Decision: a Pass: I-,**Fail: ❑ <br /> *a Comments: N/A <br /> .Rs7i$jjUKASfHDanakjk-PT `jlAVicjkjjE; ,fiJBVMISO13485:2003, 1809001 :200842164 ryi,1i;&", <br /> Our company has passed the ce ' ' 11issyled by BV of Europe Union of ISO13485 3 1I 9fgb1;2008. <br /> CerificateNo. : IT273975,CNGZ �1 /yj <br /> Test By: yZ Approved by: <br /> 71-1 <br /> Add: Room 3010, Yunjinghui Buildin ,No,.,86 -571,Yuncheng East Road, Baiyun District, Guangzhou China <br /> rhlfl I -rW f`1-11'ri n—RIK iiAWM659-571-�L5YA*73010 <br /> Te1:86-20.86553738 E-mail: Judy@semipermanentmakeuppigments.com charmingtattoo.com <br />
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