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SR0085863
Environmental Health - Public
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4100 – Safe Body Art
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SR0085863
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Last modified
3/8/2024 11:51:19 AM
Creation date
3/5/2024 9:31:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085863
PE
4103
FACILITY_NAME
LOST DREAMS TATTOO AND PIERCING
STREET_NUMBER
5920
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08142103
ENTERED_DATE
10/4/2022 12:00:00 AM
SITE_LOCATION
5920 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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BODY ART FACILITY INFECTION PREVENTION AND CONTROL PLAN GUIDELINE <br />In accordance with the California Health and Safety Code, Section 119313, a body art facility shall <br />maintain and follow a written Infection Prevention and Control Plan, provided by the owner or <br />established by the practitioners, specifying procedures to achieve compliance with the Safe Body Art <br />Act. A copy of the Infection Prevention and Control Plan shall be filed with the Environmental Health <br />Division and a copy maintained in the body art facility. <br />The body art facility owner shall provide onsite training on the facility's Infection Prevention and <br />Control Plan to the body art practitioners and employees or individuals involved with decontamination <br />and sterilization procedures. <br />Training shall be provided when tasks where occupational exposures may occur are initially assigned, <br />anytime there are changes in the procedures or tasks and when new technology is adopted for use in <br />the body art facility, but not less than once each year. Records of training shall be maintained on-site <br />for three years. <br />Name of Body Art Facility <br />Site Address: s9 2 <br />City, State, Zip: <br />t d S i ['\ r e-,&rn s �h o d A." I -r- C_ c <br />Q <br />C, ,:^,c- t \:�- <br />r I --A-0^ 0 . <br />Type of Body Art Facility. Se -1 c. i ,S <br />Contact Person: 1"1"ael , � - Telephone: <br />A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br />disinfecting of workstation and surfaces. <br />1. Workstation su <br />2 <br />3. Trays: / o_ <br />Page 1 of 9 <br />I <br />e4 <br />
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