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4100 – Safe Body Art
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PR0544790
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COMPLIANCE INFO
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Entry Properties
Last modified
9/13/2024 12:10:55 PM
Creation date
7/20/2023 11:00:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544790
PE
4120
FACILITY_ID
FA0025460
FACILITY_NAME
SALON DE BELLEZZA (TY, LORLIE)
STREET_NUMBER
5940
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5940 PACIFIC AVE STE C
P_LOCATION
01
QC Status
Approved
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SJGOV\cfield
Tags
EHD - Public
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Salon De Bellezza — 5940 Pacific Ave. #C, Stockton CA 95207 <br />March 21, 2022 <br />PHOTO 2: Sharps waste was mailed back to GRP for disposal in January 2022. <br />C4h•�Z n <br />t <br />tmu4 c. <br />' �n staahi� <br />(Not a P.O. Box) <br />SYoelfion CA <br />r.f.,..___. yip, 95207 <br />TRANSPORTER INFORMA'�ON, <br />United Stares Postal Service <br />DESTINATION FACILITY <br />GRP & Associates, Inc. <br />218 10th Avenue North <br />Clear Lake, IA 50428-0094 <br />800-207-0976 <br />FaciliTy <br />Permit ## I W - 205 <br />" DESTINATION FACILITY <br />I cerrifv that contents of (his package have been received, <br />and <br />pate: <br />!lp Code= <br />leotto\ & \ desue to <br />Q <br />JDEF(6ROW <br />\\ as the spedi\c <br />disposed o[ in accordantt with all loch nam, and <br />2d Name Signa[ure DatO <br />7. <br />:now. <br />COALVIENTS <br />ale of Body A�• <br />i Food &Oc�9 <br />PR0544790 <br />Acl. A. total of tb <br />D1V,S <br />The <br />CO <br />anlOn and a ca <br />body an tai <br />nttOt ala„ to <br />d sted\'aaGq <br />Ttatt\mg shall <br />anytime theca <br />the body aril <br />fofkhceeyea <br />Name of Bc <br />S\te Addfe <br />City, State <br />type of E <br />Cocttacf <br />oSten�eo�\itn9 <br />:\s aPlocess, <br />:spons�`o\C�y to( de'<e((�trvr9 <br />t�c•,�sF of E ,L�z �^r� .�, r.. Tt�r ntscovExiof a:��t:�fyr•. c�uLr.A�ac?u, ca\.�.: p(ao('<o�ep(oe eai(� <br />1-500.424-9300 <br />�.. SEE RE4ERSE FOR DETAILED INSTAUCiIONB B((�5.� 29(ee�0 aa% <br />-- - - -.. •-s>LLcssnus�nl=rss]�.t^_Ttnt�—. ._-e-. <br />Sandip Singh, REHS Page 2 of 4 <br />
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