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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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M
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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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Sys :/1 .c nitc)rin&com/ sults il.asg`?wdd--XU1745 <br /> ? ! I <br /> t T. <br /> i <br /> HOME COMPANY RR TS V CT us E 'i 1 NKS• <br /> j <br /> I <br /> Wednesday,October 2,2013 j <br /> i } <br /> E Back(Prirrt LQQOut <br /> [ ConFirm(Test Results <br /> prw Date: 10/2!2013 Test No: XU1745 i <br /> IC TATTOO CustomerNo: FE477 <br /> TRUE CLASS} 423 E R AVE <br /> STOCKTOR CA 95202 <br /> l <br /> Rro : 209-937-=7 or:Model Tested: 513W2013 <br /> Brand er: KKkrsrk <br /> No: . No: l E477 i <br /> T { <br /> f Sterillaing Ate: Steam Time: l <br /> Pressure: <br /> f Received Date: 6/14/2013 <br /> TmrWw Daw. 6/14/2013 Exp.Date: Strip: Result: Date: <br /> } Test Lot No: 1233902 11/30/2014 T Strip <br /> Media Lot No: 6/10/2014 'fest Strip#2 Nega#w � <br /> Incubation Temp: 55A°C Control Slip Posititie <br /> � i <br /> F•�i Review Date: 6117/2D13 <br /> i <br /> Confirm. <br /> I <br /> jnitoCing S, Inc. <br /> Service P j <br /> R <br /> passed.No growrth observed after incubation period. <br /> Retain this corrpleted form as part of your records as verification that a�oiogica!Monitoring Service is utilized as a part of a formal Asepsis <br /> IProgram <br /> e <br /> Dann Keefer.RDIA MSM <br /> i Geral Manager <br /> "° p <br /> Home(Company I Products'Test Results(Contact Us(Press Releases(Educabon/Links " # <br /> ®2011,ConFhm Aionitoring SYStem All rights reserved. <br /> 10/2/2013 2:29 PT <br /> 1 of 1 <br />
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