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SR0086933
Environmental Health - Public
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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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the sterilization of clean instruments. Indicate whether a sterilization log is maintained on-site. <br />Indicate whether each sterilization load is tested using Class 5 integrators. (California Health and <br />Safety Code 119315 (b)(3)(5)) <br />Time <br />Temperature <br />Psi <br />M. Personal Protective Equipment: List the personal protective equipment used during a body art <br />procedure. (California Health and Safety Code 119308 (a) and 119309 (j)) <br />Awes uuwl <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 />AL'w\ems '5C)AP, � Anex, (Ayi 1 6A\<'(-tV �-V-L-el s eA',Y 0-V <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 and safety Code 119303 (4) and 119308 (b)) <br />P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br />there is an accidental spill of sharps. (California Health and safety Code 119309 (a)(b)(c)) <br />G)�' ► s t, p APC) <br />iI�ie � ����T� .arena. t0 � ��n !tette-tAV.e. <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)) ,—ty- & -jyw5 C c�.rl r � c1s Y uvC t/ r conn. 00 <br />r <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 />()A� d0_� <br />
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