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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0543585
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2023 2:46:00 PM
Creation date
7/3/2020 10:15:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0543585
PE
4121
FACILITY_ID
FA0021614
FACILITY_NAME
BLACK ROSE TATTOO PARLOR, THE (VASQUEZ, SAMUEL)
STREET_NUMBER
237
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
237 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0543585_237 E MINER_.tif
Tags
EHD - Public
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perform cosmetic tattoos. <br /> U.Service als be the facility's polio regarding service animals allowance in <br /> procedure or decontamination and sterilization - <br /> There are no animal allowed in this establishment at anytime.If a person needed a <br /> service animal such as a seeing eye dog they-would be asked to leave and return with a <br /> person to assist them. <br /> Maintain a copy of this document in your files. Submit one copy to the local enforcement <br /> agency. <br /> ,t hereby at aff body anpraciftioners performing bo art at this facility and <br /> empIzyeAffs or individuals involved.with decontamination and sterNzadonprocedures <br /> have been trained with the procedures rand information contained in this document <br /> and to the best o�f my knowledge and belief,the statements made herein are correct and <br /> true. <br /> Date: Mov <br /> Signature: <br /> 1 ' �� <br />
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