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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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PR0539655
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COMPLIANCE INFO
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Entry Properties
Last modified
10/10/2024 4:01:04 PM
Creation date
7/19/2023 10:57:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539655
PE
4120
FACILITY_ID
FA0022695
FACILITY_NAME
DEATH RAY TATTOO (GOFF, IAN)
STREET_NUMBER
181
Direction
S
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
APN
22208027
CURRENT_STATUS
01
SITE_LOCATION
181 S UNION RD STE 105
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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a�q <br /> ° <br /> I hereby Dainty that all body art practitioners performing batty art at this Witty and <br /> employees or Individuals Involved with decontamination procedures have been trained ". <br /> Body Art Facility infection Prevention and Control Plan G,' kw a ures andtarma#lori co"i�tatn6d to th[s document and to the best of my <br /> edge and belle state m sin ar ..correct and true. <br /> Name, ' Ars Facility:One SixteenTaYtoo Slgnature:� - 2`ti " <br /> San i81 5.Union Road#105 Date: , <br /> C ' teca,Ca 95336 <br /> Type;, ' anility:Tattoo Shop <br /> ContactPerson.SteveThompson <br /> 0 ^} <br /> Telephone:(702)375-2362 ah <br /> --� "�� <br /> A.De+connand action: <br /> The <br /> Of <br /> s <br /> e Y <br /> •7attOo in Ino and clip cord <br /> • Reusable instruments,light fixtures,etp ° �� r <br /> Ve.(-(\ <br /> taatitioner shall maintain a clean and sanitary ,� , <br /> er`fnment. <br /> Ali lid surfaces and objects in the procedure area and the decarifamtnat(On <br /> sterilization area that have come into contact with the client or the materials use <br /> rrning the body art,including,but not limited to,chairs,armrests tables, <br /> mops,and trays,shall be immediately decontaminated after,each use an <br /> d <br /> ted by application of a disinfectant,used according to manufacturer's di .=-'f-- <br /> rrfaces and objects in the procedure area shag be disinfected again hater` <br /> a has been used for any activity following, tior7. <br /> ctitioner shall wear disposable gloves aping; <br /> urinating,or handling a surfaae>obj <br /> t <br /> is Sat, <br /> potentiallysoiled with human blood. <br /> i <br /> B.Reusable Inst P nstrurzt <br /> On , <br /> All, cords for pre <br /> iers and kept o, <br /> se needles an <br /> � <br /> nyprct u <br /> o <br /> 1i€ <br /> O1 <br />
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