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4100 – Safe Body Art
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PR0548032
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COMPLIANCE INFO
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Entry Properties
Last modified
3/5/2025 3:51:20 PM
Creation date
8/21/2023 12:44:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548032
PE
4110
FACILITY_ID
FA0027407
FACILITY_NAME
LOST DREAMS TATTOOS & PIERCING (JAVIER, DAVID)
STREET_NUMBER
5920
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
5920 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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�0 <br />r.11 <br />tPresented to 4�rr <br />DAVID JOHN .1AVIER .1R <br />BBPVPWQWQZMZVTVVI8 <br />having successfully completed Cathy Montie's Body Art Training Company's <br />Ll!,00,00f <br />1 tho" ! <br />, <br />- I OR 1 0011 i k �fb <br />r F0 <br />i ul P/ - <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 />Fc�►> <br />Atontle's <br />IODY ART <br />MENING <br />.OMPANy <br />902.2 <br />VALID THROUGH 09/19/2023 <br />Cathy Montie <br />Authorized General Industry <br />Outreach Trainer <br />
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