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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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V+T 3 Doc.No. HYST/QRZ-25-06 <br /> I�st��'�Version No.: 0/B <br /> ❑uANY1S'n:RO.IY.A110N Certification of EO Sterilization J;ScElM Effective date: 2021-04-05 <br /> Sterility Testing of Bls Record <br /> p ' Yiwu Limem tattoo equipment co.,Ltd <br /> Customer <br /> Sterilization ati date 2022-08-29 STtTrW�i�lR on batch 2022082905A <br /> PCD AA! X EPCD; ❑IPCD BI IJi i i MU+I m Mrm AMP;WK�_] <br /> PCD Type Manufacturer Hangzhou Fujie Disinfection Products Co.,Ltd <br /> Vp `ti 3f ATCC9372 BI 4V' 20220615 <br /> Strain Bacillus atrophaeus Lot no. <br /> f9JA R JEVftM &MOCA (PCs) 20 <br /> Test Item Sterility testing Test Qty. <br /> 69MCE # MIM AMMA <br /> Test basis ISO 11138 2:2017 Test method Direct immersion <br /> iAA:Cult�Fur�emedium .�t��KlA� (TSB) M d A a 201214 <br /> batch <br /> A_4r&A 35°C A.rf511'01 7days <br /> Incubation temp. Incubation period <br /> VNIk9 *,A'f_ffMfp rF$9 Electric Constant-temp Incubation Container; <br /> Apparatus ;-41_f�Q Ultra-Clean Bench; <br /> 49J El M 2022-08-30-2022-09-06 <br /> Test date <br /> JJ !�9JfaFUti2 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 + — it Note: <br /> is meaning <br /> 96h + — no growth";"+"is meaning"growth". <br /> 120h + — <br /> 144h + — <br /> 168h + — <br /> �� <br /> There are no growth with testing items and negative control,while positive control is growth well after specific Incubation <br /> Result period. <br /> Mit Conformity;y ❑TA'4 non-conformity. <br /> Conclusion A <br /> Inspector: Q Dat Z <br /> c <br /> Reviewer: �' Q Date: <br /> AjRja-.f fit IOI ITY RECORD 2/2 <br />
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