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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2714
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4100 – Safe Body Art
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PR0526733
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COMPLIANCE INFO
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Entry Properties
Last modified
10/6/2023 5:11:43 PM
Creation date
7/3/2020 10:13:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0526733
PE
4120
FACILITY_ID
FA0018099
FACILITY_NAME
THE PIRATES LOUNGE TATTOO PARLOR (HOLCOMB, JOHN)
STREET_NUMBER
2714
STREET_NAME
COUNTRY CLUB
STREET_TYPE
DR
City
STOCKTON
Zip
95204
APN
23517511
CURRENT_STATUS
01
SITE_LOCATION
2714 COUNTRY CLUB DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\lsauers
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0526733_2714 COUNTRY CLUB_.tif
Tags
EHD - Public
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U () <br /> Taky rani: <br /> Regional Account Manager <br /> Rynocarc <br /> 916.690.6904 <br /> CONVIMNTtALITY str)nvk:.Thu nwryroml,mw aat iPxu—,wtaclwd till may smmin<onluk+�tw!mf,ar,waw mm i. <br /> .1.katlly pti•ileyxd,try.ar<nw d,r irl,"-'d raipiem.w a per.nn r N rwhk fur ddi—iny n to the ineenkd recipient,p. <br /> .R I.+rhy rvwintd thm.ny,u,cl," «Kryinle dim;hmi,M�„n,n"r any nr nK mon,rwm,n.,.ntnin„+In nr wtarh,ai�„u,i. <br /> Ito-1.1iin Is pmhihllyd.It'yrw have radval dna aamraluitm in oma.plcix lir medkkty nwi the Benda WW immKdauly <br /> dnuoy the aril{inal uenrmi+,:nn card ib wuelnnena vrallam loulma w saeme in am normo I owns y,w <br /> 1705 North Wells Ave. 884.230AYNO(79%) 11350 Kiefer Blvd. <br /> Reno,NV 89512 rynocare.Ciaro Sacramento,CA 95830 <br /> RYNOCARE <br /> r . <br /> Rynocare Regulated Mcdical Waste Agmement <br /> Ibis Medical Waste Services Agreement.including the terms and emditions and otter <br /> documents attached hereto,(hercin colloc(ively the"Agrernnerlt")is entered into by and helwcrn <br /> Rynoc=and The Pirate lounge Tattoo on July 31.2023.and is based on the following 14CLs: <br /> A. Customer's hushtesss generates medical waste and customer desires to retain the services <br /> orcompmmy to dispose orsuch wase. <br /> B. Compuny is licentied and qualified to dispose regulated medical waste for its <br /> customers. <br /> Customer Name: The Pirate Lounge Tattoo <br /> Service Address: 2714 Contrary Club Blvd Ste F Stockton,Ca 95284 <br /> Phone: 209.200.3614 <br /> I cmms of Agreement: 12 Months <br /> Service Description: Will Call <br /> Primary Containers: 20-gallon Barrel(Bio-hazardous waste) <br /> Price Slructure: <br /> Service Frequency: Will Call <br /> SiaNazardous Waste 1 <br /> Description RatespaContainer 1 . <br /> ._..__._... 20-Callon Barret(BIIHinuardoua wattle) St2.S.a� <br /> 1705 North Wells Ave. 884,130.RYNp(7966) 11350 Kiefer Blvd. <br /> Reno,NV 89511 rynocare.com Sacramento,CA 95830 <br /> RYNOCARE <br /> a,iialliw2xw, 5 <br /> No Fuel Surcharge Fee <br /> No Environmental Cost or Recovery Charges <br /> No Delivery Fee's <br /> No Start Up Cost's <br /> No Manifest Foes <br /> By signing below,l acknowledge that I can Cuctomcr's authorized olTiccr or agent and that 1 <br /> have the authority to bind the Customer to this Agrcerntern.Customer agrees to he Nond by the <br /> terms and conditions that appear in the Terms and Conditions attached hereto and comply with <br /> RyooC.are Waste Acceptance Policy,both of which arc integral pans of this Agreement. <br />
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