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COMPLIANCE INFO_TERI EISERT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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2009
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4100 – Safe Body Art
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PR0538753
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COMPLIANCE INFO_TERI EISERT
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Last modified
7/5/2023 12:09:13 PM
Creation date
5/24/2023 4:27:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0538753
PE
4120
FACILITY_ID
FA0022239
FACILITY_NAME
PRETTY IN INK @ KHARMA SPA
STREET_NUMBER
2009
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11336408
CURRENT_STATUS
02
SITE_LOCATION
2009 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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1 <br /> ,.. <br /> Rom (NVN 4y, uaf? � tv7u <br /> 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 /> 1 <br /> i 1 I <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 d safety Code 119303 (4) and 119308 (b)) <br /> Allt <br /> r <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an accidental spill of sha ps. (California Health and safety Coyde 11 19309 a)(b)(c)) <br /> It YYUPV <br /> i <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 /> 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 /> 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 diluti n of inks or pigments. (California Health and Safety Code 119311 (b)(c)(d)(e)) <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> f r the ermanent cosmeti machine used. (Califo is Health nd Safety Code 119311 (i)Q)) <br /> _ <br /> Page 6 of lb <br />
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