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SR0080862
EnvironmentalHealth
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4100 – Safe Body Art
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SR0080862
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Last modified
9/16/2024 12:26:42 PM
Creation date
9/16/2024 12:20:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0080862
PE
4103
FACILITY_NAME
SOLA SALON
STREET_NUMBER
37
Direction
W
STREET_NAME
YOKUTS
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10220077
ENTERED_DATE
7/8/2019 12:00:00 AM
SITE_LOCATION
37 W YOKUTS AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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• <br /> I certify that I have initialed the above paragraphs and have hal explained to my understanding this consent and <br /> the procedure process and what to expect following the procedure. I accept full responsibility for the decision <br /> to have this cosmetic tattoo work done. <br /> CLIENT: DATE <br /> TECHNICIAN DATE <br />
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