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SR0085959
EnvironmentalHealth
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QUAIL LAKES
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4525
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4100 – Safe Body Art
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SR0085959
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Entry Properties
Last modified
8/22/2023 12:39:01 PM
Creation date
8/22/2023 11:46:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085959
PE
4103
STREET_NUMBER
4525
STREET_NAME
QUAIL LAKES
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11222003
ENTERED_DATE
10/27/2022 12:00:00 AM
SITE_LOCATION
4525 QUAIL LAKES DR STE A
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
Tags
EHD - Public
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Faoea Etc. & Huntington Acadomy of <br />Permanent Cosmetics 14K I <br />Mailing Address: 740 NE 3rd St., Ste 36 #221 <br />Bend, OR 97701 US <br />(714) 7148415442 <br />into@huntingtonacademy.com <br />www.huntrngtonacaderny.com <br />INVOICE <br />t31LL To <br />JAMIE SANCHEZ <br />442 COLUMBIA DR <br />LODI, CA 95240 <br />ACTIVITY <br />SHIP TO <br />JAMIE SANCHEZ <br />442 COLUMBIA DR <br />LODI, CA 95240 <br />Tag45 ToptcalAnesthettc <br />Topical Anesthetic - Tag 45 (Topical 4pk <br />Price) <br />1 tm Dumd an ToptcaLAneathettc LO oz_ <br />Topical Anesthetic - Ultra Duration (Topical <br />4pk Price) <br />ROTC Blue To&aLAnesthetit; _.513 oL <br />Topical Anesthetic DOTC Blue (Topical 4pk <br />Price) <br />Vertix i hound Lfier <br />Vertix Tattoo Neodle Cartridges i Round Liner <br />20pk (Sale Price) <br />Veritx 3 Round Llmr <br />Vertix Tattoo Needle Cartridges 3 Round Liner <br />20pk (Sale Price) <br />QTY <br />1 <br />1 <br />INVOICE # 70t34 <br />DATE 10/12/2022 <br />DUE DATE 10/12/2022 <br />TERMS Due on recelpt <br />RATE AMOUNT <br />'30 50 30.50T <br />:13 5t) '13 50 T <br />30 50 61.00T <br />22.30 22 30T <br />23 75 23.75T <br />SUBTOTAL 171.05 <br />TAX 0.00 <br />TOTAL ► 71.05 <br />BALANCE DUE $171405 <br />
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