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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2738
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4100 – Safe Body Art
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PR0541677
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COMPLIANCE INFO
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Entry Properties
Last modified
4/27/2023 11:28:05 AM
Creation date
4/27/2023 10:59:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541677
PE
4110
FACILITY_ID
FA0023886
FACILITY_NAME
IN 2 SKIN (PHASAVATH, NATHAN)
STREET_NUMBER
2738
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2738 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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v <br />i <br />t�,xflx <br />r , .-10 <br />i <br />j " We, <br />ew <br />Presented to <br />NATHAN J. PHASAVATH <br />BBPPJVGUL003950 <br />having successfully completed Cathy Montie's Body Art Training Company's <br />OJ10i. �� I I- � 1, I � � � OR <br />.�P <br />�� , p, ' p, <br />I) ( I oj�If I'/i f�I ITr/'� �`I� �UfI,��;r;rj I <br />i <br />,�. <br />Y <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 />IssUF. � 2 17 Cathy Montle <br />Ai <br />,,. VALID THROUGH 02/19/2018 Authorized General Industry <br />-- -- Outreach Trainer <br />r <br />
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