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COMPLIANCE INFO_VICTOR LARA
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0537130
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COMPLIANCE INFO_VICTOR LARA
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Entry Properties
Last modified
6/4/2024 11:27:50 AM
Creation date
7/3/2020 10:15:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537130
PE
4121
FACILITY_ID
FA0021313
FACILITY_NAME
TRUE CLASSIC TATTOO (LARA, VICTOR R)
STREET_NUMBER
423
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13924018
CURRENT_STATUS
01
SITE_LOCATION
423 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537130_423 E MINER_.tif
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EHD - Public
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onfirm MonitoringSyMm btip://www.coemmnonitDring.comtresWtsDeWl.asp9testld=YW9653 <br /> HOME <br /> I � � <br /> k � <br /> e e <br /> I <br /> _ ACCT U8 P W8 w <br /> co t�ta <br /> Wednesday,October 2,2013 j <br /> i <br /> ConFirm Test Results `I Pent <br /> 1 <br /> 1 13 Test No: YW9653 <br /> Print Dgw. CTRUE LASS <br /> 423 <br /> TATTOO Customer No: 1477 <br /> 423 E MINER AVE <br /> j STOCKTON,CA 95202 <br /> k <br /> phone. <br /> 209-937-0937 Operator: Date Tested: 7/31/2013 <br /> i <br /> Brand of Sterilizer: No: . SerialNo: tf477 I <br /> Sterilizing : S Time. <br /> � Pressure: <br /> RecWMW Date-. 8126=13 <br /> I Transfer Data. 812612D13 Exp.Date: Strip: Resta: Date: I <br /> T L at Na 1 11130/2014 -est Strip#1 Negativej <br /> Media Lot No: 8120/2014 Test Strip#2 Ne9a I <br /> incubation Tom: 55A°C Gontrol Strip <br /> Positive <br /> Fff rd Review Data. 8/27/2013 <br /> i <br /> I l <br /> +ion irm <br /> Service Performed through: Monitoring Systems, Inc. <br /> Results: <br /> Passed.No gr incc>aaton period. <br /> i in this form as part of your records as verification that a Bi ical Monitoring Service is ufi as a part of a formal Asepsis <br /> I <br /> i Program <br /> LWi <br /> Leann Keefer,RDK NSM <br /> General Manager 1 <br /> Hom I Comaanv I Products I Test Results I Contact I Press Releases I Educabon/Links <br /> j 0 2011.ConF'ufre Monkoft Systems AN rights neseneacl. _ <br /> 10/2/2013 2:26 PP <br /> loft <br />
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