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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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4100 – Safe Body Art
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PR0548552
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 10:19:27 AM
Creation date
8/11/2023 1:16:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548552
PE
4110
FACILITY_ID
FA0027757
FACILITY_NAME
IN BLOOM TATTOO & PIERCING (BAXTER, KOEDY)
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
18 E ELEVENTH ST
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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Certificate ID:97985 <br />Certificate of Completion <br />presented by <br />>pre iere <br />awarded to <br />Koedy <br />Baxter <br />DOB: 11/02/1998 <br />for successfully completing <br />2 <br />contact hour(s) <br />in the educational activity titled <br />California: Bloodborne Pathogens and Safe Body Art Act Training <br />on <br />07/06/2023 <br />Expires: 07/06/2024 <br />in compliance with California Safe Body Art Act & Cal/OSHA Title 8 Section 5193 & <br />Federal OSHA 29 CFR 1910.1030 <br />3550 North Goldwater Blvd #1092 <br />Scottsdale, AZ 85251 <br />866-806-4CEU <br />su000rtCa)premierece.com <br />www.premierece.com <br />
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