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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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PR0548004
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COMPLIANCE INFO
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Entry Properties
Last modified
4/27/2026 11:14:46 AM
Creation date
3/5/2024 9:14:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548004
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0027381
FACILITY_NAME
LOST DREAMS TATTOOS & PIERCING (CARTER, MICHAEL)
STREET_NUMBER
5920
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
5920 PACIFIC AVE STOCKTON 95207
Tags
EHD - Public
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BODY ART FACILITY INFECTION PREVENTION AND CONTROL PLAN GUIDELJNE <br /> In accordance with the California Health and Safety Code, Section 119313, a body art facility shal <br /> maintain and follo\N a N%ritten Infection Prevention and Control Plan, provided by the owner or <br /> established by the practitioners, specifying procedures to achieve compliance with the Safe Body,art <br /> Act. A copy of the Infection Prevention and Control Plan shall be filed with the Environmental Health <br /> Division and a cop,i maintained in the body art facility. <br /> The body art facility ovvier shall provide onsite training on the facility's Infection Prevention and <br /> Co-itrol Plan to the body art practitioners and employees or individuals involved with decontamination <br /> and sterilization procedures. <br /> Training shall be provided when tasks where occupational exposures may occur are initial y assigned, <br /> anytime there are changes in the procedures or tasks and when new technology is adopted for use in <br /> the body art facility, but not less than once each year. Records of training shall be maintained on-site <br /> for three years. <br /> Name of Body Art Facc,l'ty: Lds� re ms a,. j�wc k_ <br /> Site Address: S0 0 f <br /> City, State, Zip: S ';vC,�K-Iry C A � 5 zo <br /> Type of Body Art F acil4- `A SUS 4% PI1P,r C� I S <br /> Contact Person: J' ' C e � - S 7(hone:Tele 2.4 S 7 <br /> p g �� <br /> A. Decontaminati Dn and Disinfection: Describe the procedures for decontaminating and <br /> P 9 <br /> disinfecting of workEtation and surfaces. <br /> 1. Workstation surac s/counter tops: <br /> AU Svriv,(�s cxrt �v .4-e C-Ald e_ (vo C I cr% <br /> r .P dre <br /> 2. Workstation chi i-s/ tools: <br /> �.�r3 s r S ,�c. Q tn� G 2 t7Lt y ;f i L <br /> S' V\, ace` C. t2r a <br /> 3. Trays: <br /> A-U wAilkl\ C, <br /> { <br /> Page " of 9 <br />
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