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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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521
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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 12: Updated BBP for Victor Hernandez. <br /> I . i i>>t,�•tltia tQ <br /> VICTOR ANTOMO HERNA[* DEZ JR <br /> BBPKHIGFNIFOQWLODC it <br /> it <br /> j hetrin�sirccessfidl�'cctinlleice!('cithy N•tuntic's Budv Art Trctirlirtt ('Mnlwny. <br /> ;I <br /> �6' totokil_- <br /> 41 <br /> i, <br /> I <br /> and heir Im-1—d a test in accordance tvith the educational requirements jor tattoo artists <br /> ctc x1pecifiecl icj,drr Cul/OSHA Titic• 8. si'ctiun S 1 3 cincl F c dcrctl OSHA 29CFR 1910.1030. _ <br /> �`0 V qpm <br /> *£::nc ut Ti(xaxdi4l/i'.+f,� J All borized General Iild.ilstr\" <br /> Outreach Trainer <br /> Pinne Chao, Environmental Health Specialist Page 12 of 12 <br />
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