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SR0086933
Environmental Health - Public
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1110
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4100 – Safe Body Art
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SR0086933
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Entry Properties
Last modified
9/1/2023 11:30:45 AM
Creation date
9/1/2023 9:48:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0086933
PE
4103
FACILITY_NAME
LUXE BEAUTY LOFT LLC
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06037002
ENTERED_DATE
7/10/2023 12:00:00 AM
SITE_LOCATION
1110 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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2. Razors: Z�(lr jl t7� G4�Q, sk tw1'ud i ON 'MAQ kkV - 11 au kew-V <br />3. Other sharps or single -use marking pens used on open skin: <br />QIP <br />H. List the Medical Waste Hauler, Mail -Back System or Alternative Treatment Technology for <br />the disposal of sharps containers: <br />(California Health and Safety Code 119314 (e)) <br />Medical Waste Hauleri�� �r'1QI <br />Street Address is a- pt- <br />City, ST, Zip 1LL VI': c ` !✓��' <br />I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br />newly pierced skin. (California Health and Safety Code 119310 (a) and 119315) <br />t"A1R <br />J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br />and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br />Indicate whether instruments are manually washed or machine washed, such as with an <br />Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br />such as Tergazyme. (California Health and Safety Code 119309 (b)(e)(g), 119314 (c), and 119315 <br />(b)) �A "t UYUt �' Ole (azn i ►ed. <br />K. Disinfection Products: List the disinfectant products used at the body art facility. (California <br />Health and Safety Code 119301 (k) and 119308 (b)(6)) <br />L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br />
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