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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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• Frorn, MITHRA COMPANY CALIFORNIA mithratattooca@gmaii.com <br /> Subject: UPS TRACKING / Invoice / Sterilization Certificates <br /> Date: May 24, 2017, 3:09:55 PM <br /> To: orkozero@yahoo.com <br /> 1ZY9475W4240974006 <br /> 1ZY9415-Y- 4-242-82-2012 <br /> 1Z)T-4-7-5A4:Z41Aaa22-8 <br /> Mithra Art <br /> 10-1-0-wif%et.Amme Unit <br /> EI Monte,QA 91132 <br /> 800-820-7660 <br /> Virus-free. www.avast.com <br />
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