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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PESCADERO
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1005
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4100 – Safe Body Art
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PR2500286
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COMPLIANCE INFO
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Entry Properties
Last modified
3/20/2026 10:00:04 AM
Creation date
10/20/2025 11:59:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR2500286
PE
4120 - Single Use
FACILITY_ID
FA0027261
FACILITY_NAME
STUDIO 111 (CHAVES, FABIAN)
STREET_NUMBER
1005
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
1005 155 E PESCADERO AVE TRACY 95304
Suite #
155
Tags
EHD - Public
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Nitrile, Latex-free Gloves. <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 /> Built-in sink on the west side of the studio space (communal bathrooms outside the hallway <br /> also have sinks) will have an automatic soap dispenser with antibacterial soap mounted on <br /> wall. Paper towel dispenser mounted on the wall. <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 /> **See attached document for the Aftercare procedure.** <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 /> With clean gloves worn, use paper towels to absorb as much of the spill as possible and <br /> discard. Spray spilled area with Madacide-FD and allow kill time if 6 minutes before cleaning <br /> with paper towels. Once cleaned, Mop floors with cleaning solution and discard disposable <br /> pads. <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 /> (d)) <br /> Two trash receptacles will be in the studio space. One receptacle will be designated to the sink <br /> area for general trash like used paper towels. The second receptacle is used for the procedure <br /> area. This will contain gloves, barriers, inks, paper towels used during the procedure. <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 /> Not Applicable since this business uses disposable items. <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 /> Panthera Ink - MSDS Sheet will be attached. Distilled water is used to dilute inks. <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 /> Not applicable. PMU not done in this business <br /> Page 6 of 10 <br />
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