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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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4100 – Safe Body Art
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PR0546258
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COMPLIANCE INFO
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Entry Properties
Last modified
3/5/2025 3:30:14 PM
Creation date
4/18/2023 11:18:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546258
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0026192
FACILITY_NAME
OLD VINE TATTOO (PALMER, JOSH)
STREET_NUMBER
521
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
521 W KETTLEMAN LN LODI 95242
Tags
EHD - Public
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Address: Old Vine Tattoo— 521 W Kettleman Ln, Stockton, CA 95242 Record ID: PR0546258 <br /> Date: 7/27/21 <br /> PHOTO 11: Updated BBP for Juancarlo Vela. <br /> 'E aI I ( f ��4 <br /> Presented to <br /> JUANGARLO VELA <br /> BBPEDQ161GIDCTEH8D <br /> having successfully completed Cathy Montie's Body Art Training Company's <br /> ( f <br /> I t ii 1 ( i r/' ' <br /> u a'f <br /> Dom <br /> " pfj�� 7., i t x/":1, ,- " Y �'-V, V. Y0), <br /> and has passed a test in accordance with the educational requirements for tattoo artists <br /> as specified under Cal/OSHA Title 8, section 5193 and Federal OSHA 29CFR 1910.1030. <br /> INIMM�22/2o2t Cathy Montic <br /> VAuO THROUl3H 07/22/2022 Audhoiiaed Ccncrul Indu�tr}' <br /> Outreach Trainer <br /> Pinne Chao, Environmental Health Specialist Page 11 of 12 <br />
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