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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GEORGETOWN
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4545
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4100 – Safe Body Art
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PR0547232
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COMPLIANCE INFO
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Entry Properties
Last modified
12/27/2024 12:01:32 PM
Creation date
6/27/2023 9:35:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547232
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0026809
FACILITY_NAME
THE HIDDEN GEM (HOANG, LIANA)
STREET_NUMBER
4545
STREET_NAME
GEORGETOWN
STREET_TYPE
PL
City
STOCKTON
Zip
95207
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
4545 F-42 GEORGETOWN PL STOCKTON 95207
Suite #
F-42
Tags
EHD - Public
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Virgil Medical <br /> 01Aili0R <br /> kMUR)J -J� ( CTO Sterilization Certificate ) <br /> ��� �, : F053—D <br /> i�� 1q ,% General Information <br /> XIMAgSterilization Lot : 202110190301 <br /> !9PI?1R iT* I Oflim * ) <br /> Customer name /order N0.(delivery nate) <br /> SIR F1 }Date of Reception : <br /> ?° Iw $ UProduct Name PA1 $94gi, Type/Model Y� a°n # bji Product Lot OtlpcsQ oCases <br /> Kwadron 0907 20 <br /> Kwadron 1015 53 <br /> Kwadron 1017 17 <br /> Kwadron 1017 1 <br /> Kwadron 1018 11 <br /> Kwadron 1010 24 <br /> Kwadron 0909 20 <br /> XNAR#!VISterilization process control <br /> XM# t-qSterilization Lot : 202110190301 <br /> M 111 )a7Time 480"' <br /> WfIl Tc #hi# 15� 1 � �t � #ti JA.T• f 1 P�4` 71 i <br /> The detail of the Pre-conditioning,sterilization,aeratlon process please refers to Virgil Medical <br /> kjWAWt�YAP$1ji*,RControl results of sterilization process parameters <br /> XMM1 a 15011135 : 2014R)N*c <br /> The sterilization process meets the requirements of 15011135:2014 <br /> Tffi �QA1%e9fA ,@.Monitoring Information of sterilization effect <br /> 12111a 05% TO7TGM . culture showed sterility, and sterilization was successful. <br /> )W,FT f, 4+Release Condition <br /> 1 Pt*Warameters qualified <br /> 2 culture revealed sterility <br /> *'aRemark: t #tt IVP Tc frYcTjl , j'f o AfTV+ j *YFV T l <br /> The products are successfully sterilized and meet the release conditiorlls; �jldwing the release-. <br /> #rr � A : <br /> Date of release �ol � , lo , y Seal <br />
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