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4100 – Safe Body Art
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PR0537394
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2023 2:44:59 PM
Creation date
6/15/2023 2:11:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537394
PE
4110
FACILITY_ID
FA0021495
FACILITY_NAME
BLACK ROSE TATTOO PARLOR (VILLA, HUGO)
STREET_NUMBER
237
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13914006
CURRENT_STATUS
02
SITE_LOCATION
237 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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I <br /> I <br /> 'BARNEIT MEDICAL SERVICES,INC <br /> G T <br /> This Service Agreement is i nade by and between the"CUSTOMER"(billing name o ;hereafter, <br /> referred to as the" UST ";and Barnett Surgical Supplies( -Barnett Medical Services,Inc.), <br /> hereafter,referred to as"BMS". <br /> Billing Name <br /> Billing Address / CA(zip): <br /> Service Address: IM <br /> CA(zip): <br /> Contact Person: ii P t ttt name) Tide: <br /> Tel Number 6 F Number <br /> E-maik 4a ' <br /> Business Hours <br /> (please indicate lunch hours if closed for lunch) <br /> aEMCE ES - theCUSTOMER!'has retained BMS to remove from its business p e/s the Regulated <br /> Medical Waste— ;and hen transport the RMW to a State approved Transfer-Station /or Treatment Facility. <br /> The t "Regulated Media I Waste"— RMW as used herein, is defined in Chapter 6.1 0£the California Health and <br /> Safety Code. The"CUSTO " shall readily provide BMS access to,and BMS shall remove from"CUSTOMER'S" <br /> premise/s, "proper pre y"for pick-up. <br /> t: <br /> the"CU Q "is required to prepare the SHARPS collectors,red bags and storage container <br /> for pick-up. SHARPS Coll or lids should be.secured by locking and/or taping shut, Red-Bags should tied or taped <br /> closed to prevent AWcage and lids should be snappedshut on the storagecontainers. o Containers,Sharps <br /> Collectors or ° be picked that t or leaking. If MORE THAN 20lbs per monthis <br /> generated at the site,Sectin 25081-d(1)of the Health and Safety Code states,"Bio Hazardous Waste shall NOT be <br /> contained or stored above 32 degrees Fahrenheit for mote than 7 days". IF LESST s /per month is <br /> generated at the site in a moi ith,30 days storage is allowed.The"CUSTQ "is responsible for properly securing <br /> the medical waste containeri containers and lid/s with all medical waste contained 'made.There could be additional charges for <br /> overflow,should the"CUST DMER7 want the overflow removed at time visit. <br /> PIEASE CQVER YOUR STAU <br /> MIXING F I' CUTICAL WITH SHARPS or - T —The"CUSTO "understands <br /> putting pharmaceutical Waste into SffikRPS or Red-Bag waste renders the mixed waste a RMW that is requir6d to be <br /> destroyed through the incineration process. pharmaceutical prices will apply to this mixed RMW. pharmaceutical <br /> pricing is significantly higher(by over 2.5 times more)than red-bag/SHARPS Waste. <br /> Neepir gyour Phamoccurical to separated rvvill save v ou money. <br /> Customer initial: r` -) Page 1-4 <br /> 30620 San Antmio Str t,Hayward CA 94544 Ph:510-429-9911 Pax:510429-9914 www.baractunedservices.com <br />
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