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SR0068690
Environmental Health - Public
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4100 – Safe Body Art
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SR0068690
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Last modified
9/10/2024 3:32:38 PM
Creation date
9/10/2024 3:04:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0068690
PE
4103
FACILITY_ID
FA0012125
FACILITY_NAME
RENEW HAIR & BODY LOUNGE
STREET_NUMBER
6231
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08136003
ENTERED_DATE
12/18/2013 12:00:00 AM
SITE_LOCATION
6231 PACIFIC AVE STE 3
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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I <br /> N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. (California Health and safety Code 119314 (b)(3)) <br /> 0 4-ka_ V-0 L e Y_e il K In <br /> ' S <br /> .010alitei er, i i'z V- T- IL <br /> O. Aftercare Procedure: Describe the written recommendations and care provided to the client after <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> procedure. (California Health and safety Code 119303 (4) and 119308 (b)) <br /> 15 Z -e- C. :� 'Ve r C, t. %-C�' 1%% 5 �IC-61 L 1-,")-1 S - <br /> P. Procedure for an Accidental Spill: Describe the clean-up and disinfection procedure taken when <br /> there is an accidental spill of sharps. (California Health and safety Code 119309 (a)(b)(c)) <br /> "I' C(ec" t=U '+j' C '.V <br /> A—, <br /> Q. Trash Receptacles and disposal of contaminated trash: List the type of trash receptacles and <br /> their location throughout the body art facility. Describe the procedure for the disposal of <br /> contaminated items, such as gloves. (California Health and safety Code 119311 (a) and 119314 <br /> c t- 4-,r %j e <br /> R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. Indicate whether the facility maintains a spore test log on-site. (California Health and <br /> safety Code 119315 (b)(2)(4)) <br /> d1A <br /> S. Commercial Ink or Pigment Manufacturers: List the manufacturer for the inks or pigments <br /> used at the body art facility. Describe the procedure for dilution of inks. Only sterile water should <br /> be used for dilution of inks or pigments. (California Health and Safety Code 119311 (b)(c)(d)(e)) <br /> K '0 1 r, V-S r- "r:c e. , 13 " C' + 61 C 1"' <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine used. (California Health and Safety Code 119311 (i)O)) <br /> JL' i's e <br /> Page 6 of 10 <br />
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