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COMPLIANCE INFO_KRISTAL BETANCOURT
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4100 – Safe Body Art
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PR0539346
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COMPLIANCE INFO_KRISTAL BETANCOURT
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Entry Properties
Last modified
8/21/2023 3:16:23 PM
Creation date
3/13/2023 3:09:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0539346
PE
4110
FACILITY_ID
FA0022495
FACILITY_NAME
12 MONKEYS TATTOO STUDIO (BETANCOURT, KRISTAL)
STREET_NUMBER
911
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
23505611
CURRENT_STATUS
01
SITE_LOCATION
911 N CENTRAL BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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J <br />�+ J COW( <br />,. 10� <br />Jut <br />(� �, <br />Presented to <br />KRISTAL, BETANCOURT <br />having successfully completed Cathy Montie's Body Art Training Company's <br />'Ne"(41t as"i <br />010'sift"On 42; - XX ty <br />J�JT%, �; I'V1,112,121 A <br />xv,pa"Jux"'it, fou <br />and has passed a test in accordance with the educational requirements for tattoo artists <br />as specified under Cal/OSHA Title 8, section 5193 and Federal OSHA 29CFR 1910.1030. <br />20141 <br />Vann THROUGH 03/17/2015 <br />BBP53271c875c390 <br />Cathy Montie <br />Authorized General Industry <br />Outreach Trainer <br />
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