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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0515394
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COMPLIANCE INFO
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Entry Properties
Last modified
2/27/2024 2:49:34 PM
Creation date
7/3/2020 10:13:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0515394
PE
4120
FACILITY_ID
FA0012119
FACILITY_NAME
12 MONKEYS TATTOO STUDIO (HIGHLAND, JON)
STREET_NUMBER
911
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
23505611
CURRENT_STATUS
01
SITE_LOCATION
911 CENTRAL AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0515394_911 CENTRAL_.tif
Tags
EHD - Public
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S iaaf, <br /> Anthony Zepeda <br /> S 0 L U T. 1 0 N S -------- <br /> Account I Site Number <br /> Service Address <br /> 12 Monkeys 9-339-1265 <br /> 911 Central Ave 12mk@sbcglobal.net <br /> Tracy/CA/95376 John Highland -Owner <br /> Billing Address(if different than above) <br /> 12 Monkeys 1209-839-1265 <br /> 911 Central Ave 12mk@sboglobal.net <br /> Tracy/CA/95376 John Highland-Owner <br /> Services to be Provided by Waste Stream Solutions <br /> s3un,,— <br /> Per Year 0 Dental Waste 0 Pharm 0 Chemo Path <br /> up to 32 gallons of Sharps and Bio Medium NA NA NA <br /> =-GO eaM a up to 32 gaftml Per Pickup 1$125.00 NA NA NA <br /> By signing below i affirm that I an authorized,the authorized officer or agent of the Customer and have the authority to bird the Customer to this Agreemant.The Customer' <br /> hereby agrees to be bound to Stet and oondm that appear on the second page hereof and comply with Waste Stream Sol utionsWaste Acceptance P014 both of <br /> what are integral parts of this Agreement <br /> 03/22/11Anthony Zepeda Sales Manager <br /> x f I I <br /> Wage Strew solutions reserve the right to deal solely with the custormer and not with any third party agents of the customer for all purposes relating to this agreement <br /> Customer represents and WWXft to Waste ShWIn-qdUbDM that it is the medcal waste genei—ator and a acting for its am account and not to liquidated damages,In the <br /> wount set forth hem for Customer's breach of representation and warranty. <br /> Promo Code. <br /> 2 , 0 : 0� 12 0 , 01 <br /> 0 Mon 0 Tues OWed 0 Thurs 0 Fri SEDC Record Number <br /> Ii EPA Gen ID# <br /> 1j, <br /> 0 Yes 0 No <br /> P0 Box 1015 Claremont CA 95711-Phone:80 59 <br />
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