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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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7C4fW-,Doc.No. HYST/QR2-25-06 <br /> Certification of E0 Sterilization � ��Version No.: 0/B <br /> IIU.WYi sn:uuzn}toN 1t Q JW Effective date: 2021-(M05 <br /> Sterility Testing of Bls Record <br /> _3�P_18 8 Yiwu Limem tattoo equipment co.,Ltd <br /> Customer <br /> STterMilizHat'iM date 2022-08-30 STteMi2RFt batch 2022083005A <br /> PCD_4M X EPCD; ❑IPCD BI$lute_) M0111 P11P <br /> PCD Type Manufacturer Hangzhou fujie Disinfection Products Co.,Ltd <br /> Vp `i #TM'-M ATCC9372 BI M-�— 20220615 <br /> Strain Bacillus atrophaeus Lot no. <br /> �R lqH )EMIgN eAIl A (PCs) 20 <br /> Test Item Sterility testing Test Qty. <br /> &MR9 ISO11138-2:2017 &AM79— it <br /> Test basis Test method Direct immersion <br /> (TSB) 201214 <br /> Culture medium �� Y4tA Medium batch <br /> ArFaA 35°C *0111tlul 7 days <br /> Incubation temp. I Incubation period <br /> ftM4Xgg F WRHAAP OS Electric Constant-temp Incubation Container; <br /> Apparatus Wf 14"P A Ultra-Clean Bench; <br /> t9il Fi M 2022-08-31-2022-09-07 <br /> Test date <br /> JJaT9JfvFi'ts BI incubation and examination record <br /> BI# 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 <br /> 24h — — — — — — — — — — — — — — — — — — — — <br /> 48h — — — — — — — — — — — — — — — — — — — — <br /> 72h — — — — — — — — — — — — — — — — — — — — <br /> 96h — — — — — — — — — — — — — — — — — — — — <br /> 120h — — — — — — — — — — — — — — — — — — — — <br /> 144h — — — — — — — — — — — — — — — — — — — — <br /> 168h — — — — — — — — — — — — — — — — — — — — <br /> BI# Positive control Negative control <br /> 24h + — <br /> 48h + — <br /> 72h + _ �Note: <br /> „+„4-t*,9Mt-k° is meaning <br /> 96h + — . ,. <br /> no growth"; +„Is meaning"growth". <br /> 120h + — <br /> 144h + — <br /> 168h + — <br /> �h R3 fU IT; PH'fttPA�E#aZtA0111l JR;q-M .t_10 <br /> Result There are no growth with testing items and negative control,while positive control is growth well after specific Incubation <br /> period. <br /> Conclusion L p Conformity; ❑T A 4 non-conformity. <br /> insp <br /> ector: \�� ~` <br /> Il ector: F� oat <br /> Y_�Reviewer: y^Y Q Date: <br /> 2/2 <br /> 7 QUALITY RECORD <br />
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