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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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13500
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4100 – Safe Body Art
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PR0537651
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COMPLIANCE INFO
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Entry Properties
Last modified
11/20/2024 9:23:08 AM
Creation date
5/18/2023 10:58:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537651
PE
4110
FACILITY_ID
FA0023492
FACILITY_NAME
FORSAKEN TATTOO (HENSON, ANTHONY)
STREET_NUMBER
13500
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
13500 HWY 88
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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U. Service Animals: Describe the facility's policy regarding service animals allowance in procedure <br /> or decontamination and sterilization areas. (California Health and Safety Code 119314 (f)) <br /> Maintain a copy of this document in your files. Submit one copy to the Local Enforcement Agency. <br /> I hereby certify that all body art practitioners performing body art at this facility and <br /> employees or individuals involved with decontamination and sterilization procedures have <br /> been trained with the procedures and information contained in this document and to the best <br /> of my knowledge and belief, the statements made herein are correct and true. <br /> Signature: Date: -� �7 l <br /> Page 7 of 10 <br />
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