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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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PR0537413
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COMPLIANCE INFO
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Entry Properties
Last modified
3/8/2024 10:00:12 AM
Creation date
7/3/2020 10:15:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537413
PE
4121
FACILITY_ID
FA0021512
FACILITY_NAME
IN 2 SKIN TATTOO (AGUIRRE, SANDY)
STREET_NUMBER
2738
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12504002
CURRENT_STATUS
01
SITE_LOCATION
2738 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537413_2738 PACIFIC_.tif
Tags
EHD - Public
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Barnett Medical Services <br />PO Box 4436 <br />Hayward CA 94540 <br />(800) 748-1803 <br />In 2 Skin Tattoo <br />2738 Pacific Ave <br />Stockton CA 95204 <br />BARNETT MEDICAL SERVICES, INC <br />6otawee � 6a fictiaa is Oae PareAr <br />Company ID: bms976037 / Service Address: 2738 Pacific Ave, Stockton, CA 95204 <br />Terms Due Date Account # PO Number <br />INVOICE <br />Invoice Number: 6786 <br />Invoice Date: 06/29/2022 <br />Page: 1 of 1 <br />Invoice Total: 125.00 <br />Previous Balance: 0.00 <br />Credit Applied: 62.00 <br />Autopay Successful <br />Autopay Amount: 63.00 <br />Balance Due: 0.00 <br />Last Payment: 62.00 <br />Last Payment Date: 06/23/2022 <br />Last Payment Type: Credit Card <br />Net 30 07/29/2022 <br />Date Customer Account # Manifest # Qty Description <br />06/29/2022 In 2 Skin Tattoo 4336012 1 20 Gal Bio item/service - #4336012 <br />iNVOICE TOTAL >>> <br />Current 1-30 Days Overdue 31-60 Days Overdue 61-90 Days Overdue <br />0.00 0.00 0.00 0.00 <br />Line Total <br />125.00 <br />125.00 <br />90+ Days Overdue Credits Balance <br />0.00 0.00 0.00 <br />
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