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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0542601
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COMPLIANCE INFO
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Entry Properties
Last modified
3/31/2023 9:49:47 AM
Creation date
3/30/2023 3:11:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542601
PE
4110
FACILITY_ID
FA0024503
FACILITY_NAME
MUDVILLE TAT2 STUDIO (MANOKOUN, DONNA)
STREET_NUMBER
127
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
127 W HARDING WAY
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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Harprit S. Mattu [EH] <br /> From: Harprit S. Mattu [EH] <br /> Sent: Friday, March 23, 2018 10:26 AM <br /> To: 'manokoun.donna@yahoo.com' <br /> Subject: Body Art Practitioner Registration <br /> Hi Donna, <br /> I have your paperwork for your permit. The one item that is missing is the hepatitis B declination form (or evidence of <br /> shot records). Before I can mail out the permit I will need evidence of Hepatitis B shots or you will need to fill out a <br /> Hepatitis B declination form. You can google a form on line (osha website), sign it, and email it to me. <br /> If you have any questions just let me know. <br /> Thank you, <br /> Harprit S. Mattu <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 E. Hazelton Ave. <br /> Stockton, CA 95205-6232 <br /> Voice: (209)468-3284 <br /> Email: hmattu@sicehd.com <br /> 1 <br />
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