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SR0083901_3/8/2022
EnvironmentalHealth
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4100 – Safe Body Art
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SR0083901_3/8/2022
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Entry Properties
Last modified
3/29/2023 3:32:45 PM
Creation date
3/29/2023 3:23:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
FileName_PostFix
3/8/2022
RECORD_ID
SR0083901
PE
4103
FACILITY_NAME
ARTISTIC BINGE STUDIO
STREET_NUMBER
1537
STREET_NAME
SECOND
STREET_TYPE
ST
City
ESCALON
Zip
95320
APN
22715203
ENTERED_DATE
6/24/2021
SITE_LOCATION
1537 SECOND ST
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
Tags
EHD - Public
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DocuSign Envelope ID: 672C7C2B-95D8-4A77-8448-218E7B6E1 F57 <br />�i #� Sterllc deo <br />• hotttting hoot, Aedvung klrk: <br />1Vlailback Service Agreement <br />Service Address: <br />Name: <br />Address 1: <br />Address 2: <br />City/State/Zip: <br />E -Mail: <br />Phone: <br />Sales Rep: <br />Artistic Binge Studio <br />1537 2nd St <br />Escalon, CA 953201942 <br />artisticbinge@gmail.com <br />(209)408-5790 Fax na <br />Haley Fittanto <br />Account has multiple sites locations. Yes*� No <br />*If yes see attachment B for list of locations coveted by this agreement. <br />BillingAddress: <br />Name: <br />Address 1: <br />Address 2: <br />City/State/Zip: <br />E -Mail: <br />Phone: <br />Generator ID #: <br />Artistic Binge Shidio <br />1537 2nd St <br />Escalon, CA 953201942 <br />artisticbinge@gmail. com <br />Fax: <br />un <br />Accot/Site # <br />SCOPE OF SERVICES: <br />1. The effective date of this Agreement is 3/1/2022. <br />2. Service includes the provision and use of Stericycle Mailback Program products and services for Regulated Medical, Sharps and Amalgam/Mercury Waste. <br />3. Any additional services or products purchased by Customer shall be billed separately according to then -current Stericycle pricing but subject to the terms and <br />conditions of this Agreement. <br />Mailback Services PI•ovided <br />Product Item # <br />Product Description <br />p <br />Quantity <br />Item Price <br />Total <br />Item Price <br />1GWMV4 <br />1 - I Gallon Widemouth Container <br />1.0 <br />66.02 <br />66.02 <br />By signing below I acknowledge that I am the Customer's authorized officer or agent and that I have the authority to bind Customer• to this Agreement. <br />Customer agrees topebB�r�i�}e�l}py;terms and conditions that appear on following pages hereof. <br />CUSTOMER: <br />STERICYCLE: <br />L�a�t,y �i{�avt�a <br />-7CA34CB30A58438... <br />Name Brittney Sold3/8/2 <br />ana Title owner <br />Name Haley Fittanto Title Inside Sales Executive <br />4010 Commercial Ave., Northbrook, IL 60062 Phone: (847) 943-6920 Fax: <br />3-15-2022 <br />Generated by Haley Fittanto Conhact Number SRCL-01440422 <br />Date 022 <br />Date 3/8/2022 <br />
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