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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 MonitDring Systems jap://www.confiminonitc)rirlpcomtresultsDetail-asp9testld=WTI 179 <br /> AWL <br /> ,1! <br /> i <br /> E COMPANY PRODUCTS TEST RESULTS CONTACT US PRESSRELEASES EOUCATIOWLINKS <br /> I <br /> Tuesday,April 16,2013 <br /> Back Print Logoui i <br /> ConFIrm Test Results <br /> 4/16/2013 Test No: W171179 <br /> print Date: TRLE CLASSIC TATTOO Cult No: FtE477 <br /> 423 E L41NER AVE <br /> STOCKTON,CA 95202 <br /> i <br /> Phone: 209-937-0937 Operator: Date Tested: 3/24/2013 <br /> Brand Sterilizer No: W No: HE477/ <br /> { Tern: Tom:Sterilizing Agent: Sim Pressure: <br /> Received Daae: 4/11/2013 <br /> Transfer Date: 4/11/2013 Exp.Date: Strip: Result: Date: <br /> T No: 1 2 11/3012014 Test Strip#1 °e <br /> Lot No: 4/8(2014 Test Strip#2 Negative <br /> Mediaj IncubationTernp: 55°C <br /> Control Strip Positive <br /> Final Review Dater 4/12/2013 <br /> ConFirms <br /> i <br /> fMonitoring Systems, Inc. <br /> Service Performed <br /> Remits: <br /> Epassed.No grojAm observed after incubation period. <br /> Retain tlds complete form as part of your records as verification VW a Biological AAorutarin9 Service is ttii�as apart of a formai Asepsis <br /> Program <br /> 1 <br /> (Rod, Insm <br /> I <br /> ILeann Keeler,RDH,MSM <br /> General MffkW <br /> ii HoegCoManY I Products I Test Results I Contact Us I Press Releases I EducatiordLlnks <br /> { <br /> "SAPt <br /> ®2011,ConFinn Monitoring Systerns AN rights reserved. <br /> 4/16/2013 12:32 PIv <br /> 1 of 1 <br />
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