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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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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\ I ® � �- {{3 p jCQ'};�i i Doc. No. HYST/QR2-25-06 <br />h f� 7V� jV.; A y- version No.: 0/B <br />11UAN19S ILLM(ION Certification of EO Sterilization I ±�CBIV] Effective date: 2021-04-05 <br />Sterility Testing of Bls Record <br />�KP 1_�0 <br />Yiwu Limem tattoo equipment co., Ltd <br />Customer <br />Sterilization date <br />2022-08-23 <br />Sterilization batch <br />2022082305A <br />PCD <br />BI l� l <br />iii l—l�# m44 -A "�'wlel p7 <br />PCD Type <br />�X EPCD; ❑IPCD <br />Manufacturer <br />Hangzhou Fujie Disinfection Products Co., Ltd <br />VIP <br />'MVJf4fY l ATCC9372 <br />BI M; <br />Strain <br />Bacillus atrophaeus <br />Lot no. <br />20220615 <br />*VJMN <br />�cMtl VV,1 <br />aMia (PCS) <br />Test Item <br />Sterility testing <br />Test Qty. <br />20 <br />4i�LlMf1 A <br />* J;69 <br />{ <br />Test basis <br />Iso 11138-2:2017 <br />Test method <br />Direct immersion <br />fA (TSB) <br />* IM 9tMedium <br />Culture ltture medium <br />batch201214 <br />AnaA <br />f"_)14F�10 <br />Incubation temp. <br />35°C <br />Incubation period <br />Ida s <br />y <br />ftMfkaF <br />#ihe{�igrr%ElectricConstant-temp incubation Container; <br />Apparatus <br />,'a�=1�- A Ultra -Clean Bench; <br />4M R rM <br />Test date <br />2022-08-242022-08-31 <br />AaTlJjn3FPL#1G3RA BI incubation and examination record <br />BI# <br />1 2 3 4 5 6 7 <br />8 <br />9 10 11 12 13 14 15 16 17 18 19 20 <br />24h- <br />- - - - - - <br />- <br />- - - - - - - - - - - - <br />48h- <br />- - - - - - <br />- <br />- - - - - - - - - - - - <br />72h- <br />- - - - - - <br />- <br />- - - - - - - - - - - - <br />96h- <br />- - - - - - <br />- <br />- - - - - - - - - - - - <br />120h <br />- - I - - - - - <br />- <br />- - - - - - - - - - - - <br />144h <br />— — — — — — — <br />— <br />— — — — — — — — — — — — <br />168h <br />— I — I — — — I — — <br />— <br />— — — — — — — — — — — — <br />BI# <br />Positive control Negative control <br />Note: <br />24h + — <br />48h + — <br />72h + — <br />is meaning <br />no growth"; "+" is meaning "growth". <br />96h + - <br />120h + - <br />144h + - <br />168h + - <br />There are no growth with testing items and negative control, while positive control is growth well after specific Incubation <br />Result <br />period. <br />MX A Conformity; ElA 4 non -conformity. �:!� <br />-.•1 <br />Conclusion <br /><' 1x 1' 11 <br />Inspector: At FIM Date:. <br />1L n, _4- <br />b -Y -r' <br />Reviewer: / Q Date: i; , <br />�i� QUALITY RECORD 2/2 <br />
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