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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ACACIA
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4100 – Safe Body Art
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PR0538749
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COMPLIANCE INFO
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Entry Properties
Last modified
4/25/2023 9:14:09 AM
Creation date
7/3/2020 10:13:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0538749
PE
4120
FACILITY_ID
FA0021596
FACILITY_NAME
WORD OF MOUTH TATTOO
STREET_NUMBER
32
Direction
E
STREET_NAME
ACACIA
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
32 E ACACIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0538749_32 E ACACIA_.tif
Tags
EHD - Public
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LIABILITIES <br /> The"CUSTOMER"acknowledges the responsibility for the care,custody and control of the medical waste container/s <br /> that are owned by the "CUSTOMER" or BMS. The "CUSTOMER"accepts responsibility for these containers, their <br /> location and contents. Therefore, the "CUSTOMER" agrees to defend, indemnify and hold harmless BMS from and <br /> against any and all claims for loss or damage to property,or injury of person or persons resulting from or arising in any <br /> manner out of"CUSTOMER'S"use and possession of such containers. <br /> FORCE M=URE <br /> Except for the obligation to pay for services rendered,neither PARTY shall be liable for its failure to perform herein,in <br /> whole or in part,due to contingencies beyond each PARTY's control;including,but not limited to,riots,war, fire,acts <br /> of god, injunction, compliance with any law, regulation, guideline or order of any governmental body or any <br /> instrumental body or any,instrumentality thereof,whether existing or hereafter created. <br /> "CUSTOMER"and BMS hereby execute this Service Agreement by the signing of an authorized employee,owner or <br /> agent below. <br /> .J/ R <br /> BARNETT MEDICAL SERVICES Inc <br /> (Name of Business) <br /> 0W.1y.1rW byMW"G.%- <br /> Michael GaStellum � �«� �aMmud <br /> r <br /> by by <br /> (Custo er Signature) (electmnic signature) <br /> �/� ✓� Y-\ Michael Gastellum <br /> T <br /> (Customer Print Name) (Print Name <br /> %1 <br /> � ��• t _ Managing Partner <br /> (Title d� 1 (Date) (Tide) (Date) <br /> Page 3/4 <br /> (page 4 of 4 is the `Price List"-please e-mail of fax with Service Agreement) <br /> 30620 San Antonio Street,Hayward CA 94544 Ph:510-429-9911 Fax: 510-429-9914 wnw.barnettmedservices.com <br />
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