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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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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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P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br />there, an accidental spill of sharp4 or,biohazardous waste. 'I/ / O <br />19 <br />Trash Receptacles and cffsposal of contaminated trash: List the type of trash receptacles and <br />their location throughout the body art facility. Describe the procedure for the disposal of <br />R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br />has failed. ,,/ <br />� v�,�. K� S U ✓�— A tJ�G' G.v'e-- 0 <br />Ck n.a -rte- d 7f/ v G I-) d ( aw 1-.2 <br />Maintain a copy of this document in yo r files. Submit one copy to the local enforcement agency. <br />I hereby certify that to the best of my knowledge and belief, the statements made herein are correct <br />and true. d-7 <br />Signature: Date: d 9 a U o� <br />0 <br />Page 6 of 9 <br />
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