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SR0087001
Environmental Health - Public
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4100 – Safe Body Art
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SR0087001
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Entry Properties
Last modified
9/1/2023 11:28:31 AM
Creation date
9/1/2023 9:50:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0087001
PE
4103
FACILITY_NAME
MY SALON SUITES
STREET_NUMBER
5759
STREET_NAME
PACIFIC
City
STOCKTON
Zip
95207
ENTERED_DATE
7/27/2023 12:00:00 AM
SITE_LOCATION
5759 PACIFIC B145
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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Virgii Medical <br />el"44R A (BI Test Report) <br />81$VJ-, <br />81 Name O * M)tATCC9372 of 4X*Itpopulation <br />F045 -F <br />#��Lot 2.4x10�CFU pAW <br />33DPH3j Use b Company 3M <br />Y date 2023.03.30 <br />PCD �t+1 �I CD <br />Incubation equipment }� •pCD <br />9 Incubation Box <br />TCffift-g Incubation Number SpOq Temperature <br />Sterilization Lot 1a1ZoS ) 3�SzpF] CIA _ <br />BIS, 29H 48H Incubation Date )6�1. S. A�QM <br />(g <br />1n 7211 96H F,nd Date -2 Z S <br />120H ] if1 <br />1 <br />jl ( 1 : lssfl <br />0 <br />2 <br />3 _ — — — —�� re®: 37±1`C <br />4 <br />5 <br />6 <br />7 <br />8 <br />9- <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 — — — — — — <br />18 — — — — — — <br />19 <br />20 — — — — — <br />21 — — — — <br />22 <br />23 <br />24 <br />25 <br />26 <br />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />35 <br />36 <br />37 <br />38 <br />39 <br />40 <br />PRA fPn <br />Positive + <br />Control + -1 <br />-f- <br />i QUA: <br />+ + + <br />Reportr/Date;"/ �j-, �. <br />2b). '�.�5 Auditur;'Dat, <br />for Positive and "-" for Negative. <br />
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