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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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I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing inb <br /> newt er ed s in. <br /> Y P 1S C'CA 2o" J(Adu'�IV'14 GCS <br /> Pvx <br /> J. Sterilization quipment: 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 ma,:hine. Include/the material used for soaking dirty instruments in the machine, <br /> such as Tergazyme. <br /> IXP-ro..� —r.C' (-Cr%i bb�o/ <br /> Uc" �^ 'T <br /> w� <br /> K. Disinfection Pro ucts: Ust t e disi 91ectant pro ucts sed at th bgdyfirt facility. <br /> r I <br /> 4 <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. <br /> Time 3 0 <br /> Temperature <br /> Psi n� <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body ar. <br /> procedure. <br /> v (C A(-r\`e.r -zee- <br /> r �F S a,r <br /> t,J�, -4 <br /> N. Handwashinq Sink: List the locations of the handwash sinks and describe the items suppliec at <br /> each sink. 1 J <br /> k, L l -F e s ry e wv � ,.� <br /> rd 0c, de-e rs c►t 1, -�f <br /> 10c'- e c,+ eGcll c n2 <br /> O. Aftercare Procedure: Describe the written recommendations and care provided to the client afer <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> proce urge. 1 <br /> eff I, r v ( Y, `O <br /> - (-1 , L-)� Ci ^iC l <br /> \ ✓'v t!� ✓� Iiae UV "— <br /> � 15e Mat/ �V�'N u[,,,,I ie yvtC)'-) `�S� tag 5 <br /> ��'�rc ,� <br /> r9 <br /> W� -' inn l Ot k:�aL � •s C S v a r a�. ' F l�S e <br /> ��e� 1- �1•. lc�.l Qr O�- 7L)tfV( � rn\\ oc)✓� 4W"�Wfke� vJ\4 C 4-c4e Ur <br />
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