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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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1110
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4100 – Safe Body Art
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PR0541142
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COMPLIANCE INFO
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Last modified
6/15/2023 8:54:50 AM
Creation date
6/15/2023 8:53:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0541142
PE
4110
FACILITY_ID
FA0023558
FACILITY_NAME
THE FRECKLED ROSE TATTOO (ESTLIN, ALLEN)
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
1110 W KETTLEMAN LN STE #30
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
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EHD - Public
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of <br />Presented to <br />ALLEN JAMES ESTLIN <br />BBPLUVYOR212647 <br />having successfully completed Cathy Montie's Body Art Training Company's <br />I oj I I'UK / um oxr./ �. I. <br />r O/ Jov �j ' <br />0 K/. 0 Gvell( TV OR". (0, 1/1 UK 'If/ .1, Of OFUR <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 />ICS?/io 16 <br />VAUD THROUGH 07/07/2017 <br />Cathy Montie <br />Authorized General Industry <br />Outreach Trainer <br />
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