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B.A.P. <br />Business/Organization Name <br />Address <br />0 Contact Name & Phone # <br />San Joaquin Co. Dept. of Environmental Health <br />City/State <br />07/09/14 <br />Date of Training <br />Zip Code <br />Provider Name ( Print) Phone # Address City State Zip <br />Melissa Santos <br />Jonathan Santos 166 D0 iC� ! ` L( (� E+a� <br />- - - ------ -- ---- <br />Danny Juge <br />Steven Bowers(1--(�j( <br />George Minor <br />Vanessa Jo <br />initials <br />Instructor Name & Certification Number Le --e A- C R- `/7 Cl Instructor Phone # 7 7 5-' 9 �o <br />I hereby state that the above course was taught according to the standards and guidelines for Bloodborne Pathogens training under Federal 29 CFR 1910.1030, CAUOSHA Title 8 Section 5193 <br />and AB300, the California Safe Body Art Act J <br />Instructor Signature 1" / Date — <br />Bloodborne & Airborne Pathogens Training for Body Art Professionals <br />804 W. 3rd Street, Antioch, CA 94509 ( 925 ) 778-9069 <br />