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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
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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WI-Q-12-03 <br /> CERTIFICATE OF STERILIZATION <br /> Sterilization No:SL/211105 P1/2 <br /> We state that below products are sterilized for Customer: <br /> Wujiang City Shenling Medical Device Co.,Ltd. RelyAid Tattoo Supply <br /> Product Name: PIERCING NEEDLES <br /> TATTOO NEEDLES <br /> Lot Number: 2111 Quantity: 9 cartons Total: 9 cartons <br /> Date of sterilization: 2021-11-20 Produce date: 2021-11 Expiry date: 2025-01 } K%"�� <br /> The method of sterilization: By EO Gas �, <br /> The above items have been sterilized by EO gas, After the detection of biological indicator bacteria piece whic' lalz ed i4sterilile- <br /> incase and the confirmation of sterilization parameters, it has already accorded with EN IS011135-1:2014 standard regtr r�ente--- <br /> A <br /> CERTIFICATED BY: Ms. Wang Yan Wen ag � <br /> WUJIANG CITY CLOUD&DRAGON MEDICAL CO.,LTD. <br /> ISO Certificate Registration No. SX 600913670001 <br /> Date: 2021-11-20 <br />
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