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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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�7 �g YC4�%;-Doc.No. HYST/QR2-25-06 <br /> NI,C_1 � i` 7Uc GI }MA-9 Version No.: 0/B <br /> ❑UANY15nXI1.I7.A'n0N Certification of EO Sterilization tt.,1 F!Aq Effective date: 2021-04-05 <br /> Sterility Testing of Bls Record <br /> 1P IM Yiwu Limem tattoo equipment co.,Ltd <br /> Customer <br /> STtei�-ilizHatiM T date 2022-08-24 Sterilization batch <br /> 2022082405A <br /> PCD Af 0 EPCD; ❑IPCD BI$IJjj�A vt)'11 m l� �AaifPRoa�-j <br /> PCD Type Manufacturer Hangzhou Fuile Disinfection Products Co.,Ltd <br /> _M# _4VTP_f1�ATCC9372 BI At4j 20220615 <br /> Strain Bacillus atrophaeus Lot no. <br /> tMiNH )c IUM &NJ IR (PCs) 20 <br /> Test Item Sterility testing Test Qty. <br /> &Mf�M ISO11138-2:2017 69117M A 4Jk R& <br /> Test basis Test method Direct immersion <br /> AnrF z 4� to F (TSB) igrMIV. 201214 <br /> Culture medium Medium batch <br /> *rFME 35°C WrW113 7 days <br /> Incubation temp. I Incubation period <br /> a'i IR;M L'P�%>mto fi Electric Constant-temp Incubation Container; <br /> Apparatus IAEI( q Ultra-Clean Bench; <br /> &"A H M 2022-08-25-2022-09-01 <br /> Test date <br /> 410M,T, fiA.rMAANE cue BI incubation and examination record <br /> BI# 1 2 3 4 5 6 7 8 9 10 it 12 13 14 15 16 17 18 19 20 <br /> 24h — — — — — — — — — — — — — — — — — — — — <br /> 48h — — — — — — — — — — — — — — — — — — — — <br /> 72h — — — — — — — — — — — — — — — — — — — — <br /> 96h — — — — — — — — — — — — — — — — — — — — <br /> 120h — — — — — — — — — — — — — — — — — — — — <br /> 144h — I — — — — — — — — — — — — — — — — — — — <br /> 168h — — — — — — — — — — — — — — — — — — — — <br /> BI# Positive control Negative control <br /> 24h + — <br /> 48h + — <br /> 72h + — i Note: <br /> 96h + _ — � ' + � � — is meaning <br /> no growth";"+"is meaning"growth". <br /> 120h + — <br /> 144h + — <br /> 168h + — <br /> "Result There are no growth with testing items and negative control,while positive control is growth well after specific Incubation <br /> period. <br /> n <br /> Conclusions A Conformity; ElT A non-conformity. <br /> it inspector: Q t <br /> 1 <br /> Reviewer: (NiQ Q Date: L <br /> 11lti'E.�I�.'QUALITY RECORD 2/2 <br />
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