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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PINE
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4100 – Safe Body Art
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PR0524524
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COMPLIANCE INFO
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Entry Properties
Last modified
11/13/2025 8:31:57 AM
Creation date
7/3/2020 10:15:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0524524
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0016445
FACILITY_NAME
HARD LUCK TATTOO (NGUYEN, BAO)
STREET_NUMBER
1
Direction
W
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0524524_1 W PINE_.tif
Site Address
1 W PINE ST LODI 95240
Tags
EHD - Public
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SharpsTVCER 4anifest Detail Repo <br /> , <br /> Report Generated on Tuesday,May OT,2019 3:26.18 PM <br /> Issue Date: 03/16/2018 <br /> Ship Date: 03/16/2018 ��W <br /> Received Date: 03/26/2018 ftu R aw.d:uaran <br /> am Aare:UWAISM <br /> wave SLtb& <br /> Treated Date: 03/29/2018 `'cO"KA <br /> Void Date: H,RP� <br /> . Cow�p7.ane�,lac. 37SOM7 <br /> Tw}cnAwio�y"'ft—w ay iyMom Tenetkipp Dermsnwnt <br /> I.aw1r ONAWN 10arr w rrrw rw«wrri <br /> ..- ...... w wr+r� slim r%M Qurw�h�s <br /> wS mrwt be on" <br /> Tudoo <br /> 7 H 84artnWn1D 9t <br /> Serial Number: 3789537 LAA"ri°6�'O <br /> eOO§QL-NEW <br /> Description: 30 GAL TakeAway Recovery <br /> System, SB, returned weight <br /> in excess of the maximum �aawlwe°aea•+�+•••*so.rseTwNrcow.te..ieR <br /> specified pounds per item <br /> will bear a charge of$1 <br /> Bar Code: 634188800307 <br /> TO BE COMPLErM BY DI8FM AL SUB ONLY <br /> Client Name: Hard Luck Tattoo •— �w� - -M- <br /> ...r..L <br /> Status: TREATED <br /> Model ID: 80030 W"` ° �^ <br /> Receive Weight: 34.70 <br /> nr CA=or SEN".w V=C&V=V or MM"S at LEAVAGi.CA"6....W"ft, <br /> WIMr•Pf./Voft*•TIMpMN Bb l Vlnt- <br /> Generator Informetlo» <br /> ID: <br /> Name: Hard Luck Tattoo <br /> Address: 7 N Sacramento St <br /> City: Lodi <br /> State: CA <br /> 2113: 95240 <br />
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