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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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1. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pier d sin. I/ , <br /> vs SQr+f 6��GL Qtl� <br /> W 1 tl m4d+n w 'e- vx <br /> �� qn G.� t7✓Ci <br /> i <br /> cy"-No el-Ap <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 Ter azyme. K �� S � <br /> t�erc —rod)s a.e4Sow n CAV LJ2 P,v,_ <br /> uc, <br /> i^ <br /> e r-e sc) .2A ` <br /> ac/ <br /> K. Disinfection Pro ucts: Qst t e disirfectant products sed at th bgdy rrt fa ility. <br /> lotti e Lac, r a�. <br /> a <br /> 1, a 2 a <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 J? V mt h <br /> Temperature I G <br /> Psi 166v��t )S`bIZr12 <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. <br /> r ' of <br /> ci s <br /> N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. t <br /> L l -F e s rt) clv re Wo , fq, <br /> A^ C ga a--�P_ c <br /> CO o ` a�-e .e ae -s <br /> c,�,-1 �c� • SJ��Q �L� S�,n��'zer' t s loc,+e s+ ecic ov\E <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 /> proce ure. <br /> \ ✓% cv 1 I Uv 11 V ee war <br /> i r <br /> p0 Wort' S-J2_ <br /> ``SeUt/ T `� of 9 �N <br /> -Tc��-+Qv.s - Vi ass k Q -�- y �,.>>�� MA t I R �,L�{- S a r a C( <br /> t ks f <br /> '1�D! I D 1G1 G►C� wrl-T ev\ u.��� C� 4.4e Ur <br />
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