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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
Tags
EHD - Public
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N. i Sink: List the locations of the handwash sins and describe the items supplied at <br /> e c ink. (California He f e 11 1 (b)(3)) <br /> 0. <br /> Aftercare CDescribe the written recommendations and careprovided to the client after <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> pro. lure. (California Hpa and safetye 1 3 3 ( n 11. 3Q (b. <br /> uzidi <br /> WnAAKAth 0111< { y <br /> r r c' i t ill: scri clean-up n disinfection procedure taken when <br /> there is ars accidental spill of shas. (California fe ode 119309 ( )( )(c)) <br /> Are, t" ler- - <br /> Q. Trash Receptacles and disposal of contaminated trash: List the type of trash receptacles and <br /> their location throughout t e body art facility. c i procedure for the disposal of <br /> contaminated items, such as gloves. (California lsafety e 11 311 ( ) and 119314 <br /> (d}) <br /> " r Ilmdt <br /> s <br /> i j <br /> R. Negative/Failed Spr Test. Describe the procedure conducted when a monthly spore test <br /> has failed. Indicate wheter the facility aint ins a spore test log on-site. (California Health and n <br /> safAty bode 1 31 )(2)O <br /> }Flo ";R . f _ S- s, W'44_ <br /> f 3f. Ad <br /> 1f 8 <br /> / 2 <br /> S. <br /> k <br /> ial Ink or Pigment Manufacturers: List the n a urer for the inks or pigments <br /> used at the body art facility. procedure for dilution of inks. Only sterile water should <br /> be used for dilution of inks of i r (California e n SafetyCoe 119311 (b)(c)(d)(e)) <br /> 1 �s Ay° 4. <br /> T. Permanent Cosmetic Machiner. Provide the model name and number <br /> for the permanent cosmetic machine used. (California Health and Safety Code 119311 (i)fl)) <br /> Page 6 of 10 <br /> 4 <br />
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