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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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PR0536979
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COMPLIANCE INFO
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Entry Properties
Last modified
5/5/2023 3:26:05 PM
Creation date
7/3/2020 10:13:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0536979
PE
4120
FACILITY_ID
FA0021232
FACILITY_NAME
TOBACCO CITY (SOUK RATTANASACK)
STREET_NUMBER
550
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04745018
CURRENT_STATUS
02
SITE_LOCATION
550 S CHEROKEE LN STE G
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0536979_550 S CHEROKEE_.tif
Tags
EHD - Public
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totheir reproduction inprint orelectronic form. <br /> x...............I agree to reimburse each of the Artist and the Business for any attorney's fees and costs <br /> incurred hnany legal action I bring against either the Artist or the Business and in which either the Artist or <br /> the Business isthe prevailing party. <br /> x...............I acknowledge that I have been given adequate opportunity to read and understand this <br /> document,that it was not presented to me at the last minute,and I understand that I am signing a legal <br /> contract waiving certain rights torecover against the Artist and the Business. <br /> If any provision,section, subsection,clause or phrase of this release is found to be unenforceable or invalid, <br /> that portion shall be severed from this contract.The remainder of this contractwill then beconstrued eo <br /> though the unenforceable portion had never been contained in this document. <br /> I hereby declare that I am of legal age,18 or older(and have provided valid proof of age)and I am <br /> competent tosign this Agreement. <br /> UHAVE READ THUS AGREEMENT, 8UNDERSTAND IT,0AGREE TO BE BOUND BY IT. <br /> Print Full Name: Date of <br /> Birth: <br /> Address: Telephone: <br /> Signature of : <br /> Participant: —~~ <br />
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