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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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14051
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4100 – Safe Body Art
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PR0537449
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COMPLIANCE INFO
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Last modified
11/20/2024 9:23:08 AM
Creation date
5/12/2023 2:25:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537449
PE
4110
FACILITY_ID
FA0021540
FACILITY_NAME
LUCKY YOU TATTOO (MENDOZA, PHILLIP)
STREET_NUMBER
14051
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
01
SITE_LOCATION
14051 HWY 88
P_LOCATION
04
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 /> :L-Rn-6 o Z �3u r V - <br /> f L�—� ► ice. S ��v�C 1-�'c� ` <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 /> vv(, 5x I kA i� cvS o\ -a7 <br /> (Ail y.1" Jai Vv'tkln VA4,k 2"VAnZ4 0,>y®.- $30- -- C&A O <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 /> j2 pitLj q sjl',Aw di&i VWi <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 /> (d)) <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 /> ® ` 5 sera S c_ <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 of inks or pigments. (California Health and Safety Code 119311 (b) c)(d)(e)) <br /> v ®a vn ca L v( - ®' '-1 <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)Q)) <br /> Page 6 of 10 <br />
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