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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PINE
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103
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4100 – Safe Body Art
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PR0547498
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COMPLIANCE INFO
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Entry Properties
Last modified
7/11/2023 3:03:00 PM
Creation date
7/11/2023 2:59:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547498
PE
4110
FACILITY_ID
FA0027005
FACILITY_NAME
EXHALE SALON & SPA (ACAYA, AMY)
STREET_NUMBER
103
Direction
W
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95242
CURRENT_STATUS
01
SITE_LOCATION
103 W PINE ST
P_LOCATION
02
QC Status
Approved
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SJGOV\cfield
Tags
EHD - Public
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Singh, Sandip [EHD] <br />From: Amy Acaya <amyacaya.pc@gmaiLcom> <br />Sent: Friday, January 21, 2022 3:44 PM <br />To: Singh, Sandip [EHD] <br />Subject: Re: Body Art - Permanent Cosmetics <br />Attachments: MASTERFILE_RECORD_PINK 2022.pdf; Hep_B_Declination 2022.pdf; <br />MASTERFILE_RECORD_GREEN_9-14-20 2022.pdf; Cal ifornia- Blood borne-Pathogens- <br />Certificate.pdf; <br />BA_Registration_San_Joaquin_County_ _ba_registration_san joaquin_county_2022.pdf <br />CAUTION: This email is originated from outside of the organization. Do not click links or open attachments unless you recognize the <br />sender and know the content is safe. <br />Here are all the filled out forms. I am submitting payment now. <br />On Thu, Jan 20, 2022 at 10:01 AM Singh, Sandip [EHD] <ssingheh@sj¢ov.org> wrote: <br />I prefer that you register today, if possible. You can submit the following documents to me at this email address: <br />1. Body Art Registration form (attached) <br />2. Masterfile Record Green form (attached) <br />3. Masterfile Record Pink form (attached) <br />4. Current photo ID <br />5. Current Bloodborne Pathogen Training Certificate <br />6. Hepatitis B vaccination record, demonstration of immunity or a Hep. B declination <br />The $152 permit fee can be paid online at the following link: https://www.sisov.orQ/department/envhealth/online- <br />gavment <br />or it can be paid at the EHD office. <br />We can set up the routine inspection after you return from your trip. When is your planned return date? <br />Let me know if you have any questions. <br />
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