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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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5920
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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
8/13/2025 3:24:30 PM
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\cfield
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 />ne <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. 01w <br />��e vd •e sow <br />ACAv �2 P,v� c�JJ <br />►..Q ,.A.\ T .�rfl.�►�_ _ e. ,o 1v -P.n ri"P11 an .0 fAil P (n 4 <br />me <br />K. Disinfection"P <br />Ic CL/ <br />Pd( <br />'s, <br />11 <br />�'vn ` <br />avq <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 G \ <br />Psi v��t )Sib%Zr12 J <br />M. Personal Protective Equipment: List the personal protective equipment used during a body art <br />procedure. <br />N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br />each sink_ I . r / _ 6 <br />M <br />I <br />Ell <br />loc JeA c, ec,Gtl ohE <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 />. I - - - . •ems -��y WO -'l w,; I a k'��C � ;� ( S. <br />
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