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COMPLIANCE INFO_TAYLOR MULROONEY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1110
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4100 – Safe Body Art
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PR0544830
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COMPLIANCE INFO_TAYLOR MULROONEY
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Last modified
6/13/2023 3:02:28 PM
Creation date
7/3/2020 10:14:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544830
PE
4120
FACILITY_ID
FA0025477
FACILITY_NAME
THE LOFT (MULROONEY, TAYLOR)
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
1110 W KETTLEMAN LN STE 41
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0544830_1110 W KETTLEMAN_.tif
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EHD - Public
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Body Art Facility Infection i Plan Guideline <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine(s) u (California Heafth and Safety Code 119311 (i)a)). <br /> U. Service Animals: the facility's policy regarding service animal presence in procedure, <br /> decontamination, and sterilization are (California Health and Safety Code 119314 <br /> Maintain a copy of this completed document in your files. Submit one copy to the Local Enforcement <br /> Agency. <br /> I hereby cerft that all body art practitioners 1ng body art at this facility andl <br /> or individbals Involved with o in and stedlizatlonprocedures ve been trained <br /> the procedures and Information contained in this dDcument. To the best of my knowledge an <br /> Ilef, the sat;9ments made herein are co and hm <br /> Signature: Date: l <br /> Title: <br /> Page 8 of 11 <br />
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