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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0537584
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COMPLIANCE INFO
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Entry Properties
Last modified
5/25/2023 1:37:15 PM
Creation date
5/25/2023 1:21:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537584
PE
4120
FACILITY_ID
FA0021637
FACILITY_NAME
GRAPE CITY TATTOOS (DIAZ, JOSE A)
STREET_NUMBER
830
Direction
S
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04731201
CURRENT_STATUS
02
SITE_LOCATION
830 S CENTRAL AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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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 ster'Iization areas. (Califor is Health and Safety Code 119314 (f)) <br /> -Ljo <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: <br /> Date: °® <br /> Page 7 of 10 <br />
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