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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0537371
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COMPLIANCE INFO
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Last modified
2/27/2024 3:15:20 PM
Creation date
3/13/2023 3:12:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537371
PE
4110
FACILITY_ID
FA0021475
FACILITY_NAME
12 MONKEYS TATTOO STUDIO (JUGE, DANIEL)
STREET_NUMBER
911
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
13708003
CURRENT_STATUS
01
SITE_LOCATION
911 N CENTRAL AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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Daniel Juge <br />has successfully completed and competently performed <br />the required knowledge and skill objectives for this program. <br />ASHI-Approved Certification Card <br />LYR*e <br />Authorized Instructor (Print Name <br />6-26-2012 neglstryNo. <br />Cla�ss jCompletion Date 6-2 6 —2014 <br />3.2 y C .� Ex7iration Date <br />AMERICAN paining Center7Phone No. _ �U472-" 2331 <br />NSAFETY& paining Canter <br />HEALTH This card certifies the holder hay completed the <br />course <br />INSTI ®TfO1 TE authorized ASHI Instructor. Certification does not requirements as <br />credentialing, Course guarantee future ProNded by a currently <br />U.S. content assists in satisfying the information and tmraini e. a Imply licensure or <br />Department of Labor O <br />12 ( SHA, MSH <br />-.. A) and other agencies. Certification Od May <br />not <br />of the <br />months from class completion date. <br />period ma <br />Y not exceed <br />C7 <br />11 <br />
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