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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
Scanner
SJGOV\cfield
Tags
EHD - Public
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Certificate Of Completion <br />Envelopeld:672C7C2B95D84A77B448218E7B6E1F57 <br />Subject: Stericycle Document(s) for your Signature on Artistic Binge Studio <br />Source Envelope: <br />Document Pages: 4 Signatures: 2 <br />Certificate Pages: 5 Initials: 0 <br />AutoNav: Enabled <br />Envelopeld Stamping: Enabled <br />Time Zone: (UTC -06:00) Central Time (US & Canada) <br />DocuSigng <br />Status: Completed <br />Envelope Originator: <br />Haley Fittanto <br />2355 Waukegan Road <br />Bannockburn, IL 60062 <br />Haley.Fittanto@STERICYCLE.com <br />IP Address: 13.110.78.8 <br />Record Tracking <br />Status: Original Holder: Haley Fittanto Location: DocuSign <br />3/8/2022 4:34:23 PM Haley,Fittanto@STERICYCLE.com <br />Signer Events Signature Timestamp <br />Brittney Soldana <br />Sent: 3/8/2022 4:34:26 PM <br />artisticbinge@gmail.com <br />Owner <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 3/8/2022 4:38:44 PM <br />ID:157494d9-0285-48e6-98bf-821b9dd2735f <br />Haley Fittanto <br />haley.fittanto@stericycle. com <br />Inside Sales Executive <br />Stericycle Inc. - Shred -it <br />Security Level: Email, Account Authentication <br />(None) <br />Electronic Record and Signature Disclosure: <br />Accepted: 6/16/2021 11:27:14 AM <br />ID:332bOb3b-feca-4932-bced-22672cdcOcbc <br />ii Big] 14 1 <br />Signature Adoption: Drawn on Device <br />Using IP Address: 47.32.168.99 <br />Signed using mobile <br />CDocuSigned 6y: <br />ct(,t,t1 �t�}ctLt�b <br />7CA34C830A58438... <br />Signature Adoption: Pre -selected Style <br />Using IP Address: 73.75.15.15 <br />Viewed: 3/8/2022 4:38:44 PM <br />Signed: 3/8/2022 4:40:48 PM <br />Sent: 3/8/2022 4:40:50 PM <br />Viewed: 3/8/2022 4:45:25 PM <br />Signed: 3/8/2022 4:45:29 PM <br />In Person Signer Events Signature Timestamp <br />Editor <br />:Delivery Events Status Timestamp <br />Agent Delivery <br />Events Status ' Timestamp , <br />Intermediary Delivery Events Status Timestamp <br />Certified Delivery Events StatusTimestamp <br />Carbon Copy Events Status Timestamp <br />Witness Events Signature Timestamp <br />Notary Events Signature Timestamp <br />Envelope Summary ;Events Status Timestamps <br />Envelope Sent Hashed/Encrypted 3/8/2022 4:34:26 PM <br />Certified Delivered Security Checked 3/8/2022 4:45:25 PM <br />
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