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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ELEVENTH
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606
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4100 – Safe Body Art
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PR0539015
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COMPLIANCE INFO
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Last modified
11/19/2024 10:21:04 AM
Creation date
6/13/2023 1:18:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539015
PE
4120
FACILITY_ID
FA0021597
FACILITY_NAME
FOREVER YOURS TATTOO (HULLAR, JOHN J)
STREET_NUMBER
606
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23502302
CURRENT_STATUS
02
SITE_LOCATION
606 W 11TH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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H. List the Medical Waste Hauler, Mail43ack System or Alternative Treatment Technology for <br /> disposalthe i . <br /> (California HeaIt n 1 )) <br /> Medical st r <br /> Street Address <br /> City, Tr f <br /> 1. Sterilization of Jewelry: Describe the procedure for the sterilization1 r to placing into <br /> newlyi t i . (California and Safety1 O and 119315) <br /> IAr <br /> J. <br /> Sterilization i List the equipmentused in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments ri to placinginside v . <br /> Indicate hthr instruments are manually washedr machine washed, such as with an <br /> Ultrasonic machine. Include to ` for soaking i instruments in the machine, <br /> such-as Tergazyme. (Falifornia Health and Safety Code 119309 )(g), 119314 (c), and <br /> 119315 O) MA 10 <br /> K. ® i c ' : List the disinfectant productsfacility. (California <br /> Health 1 3 1 ( and 11 ) <br /> I r''V" r S 't^ <br /> L. Time r : List the durationf time and temperature 1 ve required for <br /> the sterilization of clean instruments. In i to whether a sterilization log is maintained on-site. <br /> Indicate whether each sterilization load is tested usingl integrators. (California <br /> Safety a 119315 O(3)(r- <br /> Time <br /> ) <br /> i e <br /> Temperature <br /> Psi <br /> ProtectiveM. Personal Equipment: List the personal protective equipment used during a body art <br /> pro (Californiaa It a 1193 (a) and 119309 )) <br /> Page 5 of 10 <br />
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