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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR2500160
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COMPLIANCE INFO
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Entry Properties
Last modified
5/19/2026 4:40:57 PM
Creation date
7/17/2025 1:28:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR2500160
PE
4120 - BODY ART FACILITY - SINGLE USE
FACILITY_ID
FA0002635
FACILITY_NAME
LUX STUDIO ELUSIVE PMU & TATTOO (MONDRAGON, ALEKXIS)
STREET_NUMBER
3200
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
TRACY
Zip
95304
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
3200 116 NAGLEE RD TRACY 95304
Suite #
#116
Tags
EHD - Public
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Singh, Sandie [EHD] <br /> From: Alekxis Mondragon <elusivepmu@gmail.com> <br /> Sent: Tuesday,July 16, 2024 5:01 PM <br /> To: Singh, Sandip [EHD] <br /> Subject: Elusive Pmu forms for the permanent cosmetic part of the business. <br /> Attachments: PMU Sign - Risks hazards complication form.html; Elusive PMU &Tattoo Consent <br /> Form.pdf; Elusive PMU Consent Form and Medical Questionnaire.pdf; PMU Sign - <br /> revised medical hisory form 1.html; PMU Sign - medical history form 2.htm]; PMU Sign - <br /> medical history form 3.html; PMU Sign - medical history form 1.html; PMU Sign - <br /> consent form.html <br /> Here I have included the permanent makeup forms that were requested for revision. <br /> Please let me know if you are able to open them. <br /> Begin forwarded message: <br /> From: Alekxis Mondragon<elusivepmu@gmail.com> <br /> Date: July 16, 2024 at 3:01:01 PM PDT <br /> To: Alekxis Mondragon<elusivepmu@gmail.com> <br /> t <br />
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