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COMPLIANCE INFO
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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PR0523952
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COMPLIANCE INFO
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Entry Properties
Last modified
4/17/2026 2:33:54 PM
Creation date
4/25/2023 12:53:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0523952
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0014791
FACILITY_NAME
CANVAS TATTOO (BAMBULA-SANTOS, MELISSA)
STREET_NUMBER
304
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13708003
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
304 B W HARDING WAY STOCKTON 95204
Suite #
B
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EHD - Public
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3. Trays: IVA i�F 1)t1 6wv", wAvS <br />= }AMPLACED <br />4. Armrests: <br />tiff t��� I�Fi C�Ci!t/r S : �tL MI Izrjai �, �� 1;� � �EI� t�iC�JEr; �tiif�4 �► C iu� �c�1 t�'r c► <br />U(2 (gR'4t>Ae'_ 1 J:)c SWAY o i-7 W,1 l E� 110 0 L C-Fy- IV 13/ Fnt�!- TI OAC_ <br />5. Headrests: <br />I Iii TO ( S1- 3txl K/I AN (t: e C'_ Ar '� <br />6. Procedure area: <br />.-I --- _ .-- - _ <br />tu(jollyS� i�in� �ti� i�i2i`�12� � is Cray t� IiL a(►9-�`i1G <br />Tables:7. <br />i 'u l rs► e. - i <br />l mss► • 1 <br />8. Tattoo machine and Clip Cord: <br />bS►1t 4S°�,n�� t I►C•r-IiNC IS L'��I��7 'I;v(i 1l41I�,� til: VfSIN�Z: <br />9. Reusable instrumen s, ca ipe1 <br />rs, need e ubes, etc., portable light fixtures or other: <br />AV -IF PLACeU ANS '10 "t-jWWAUN ui w5o4N , <br />G�� ,��[ r Lt D l)'!v >a i7zUi+�t, t t< p �) tist�El.) ICI r C EOt Lalli=1. -1) Otic <br />10. Permanent Cosmetic Machine: 1( 5© Vr�, jt2t_LEC$ j A!U! WAC f)j �;i✓ A jvb <br />7151 tVMCTU) sy l > L 1 N) *_ �� <br />B. Reusable Instruments or Disposable: Describe the procedures used for decontaminating, <br />sterilizing, packaging and storing of reusable instruments. Include the procedures for labeling of <br />sterilized peel -packs. Indicate whether the body art facility uses all pre -sterilized, single -use and <br />Page 2 of 10 <br />'1 <br />
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