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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ROSEMARIE
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1412
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4100 – Safe Body Art
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PR0544944
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COMPLIANCE INFO
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Entry Properties
Last modified
1/28/2025 4:05:13 PM
Creation date
7/3/2020 10:16:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544944
PE
4121
FACILITY_ID
FA0025552
FACILITY_NAME
PORT CITY INK (CORREA-AMAYA, MARISA)
STREET_NUMBER
1412
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
1412 ROSEMARIE LN #A
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0544944_1412 ROSEMARIE_.tif
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EHD - Public
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t Ni{ it:��,�� • <br /> BARNETT MEDICAL SERVICES,INC <br /> e't„'S'a60,av r'06 parviw <br /> SERVICE AGREEMENT <br /> This SA-Service Agreement is made by anbetween the STOMER";and Barnett Surgical S ppliesbusiness natne(dba-Barnett Medical <br /> hereafter,referred to as the"CU <br /> Services,Inc.),hereafter,referred to as"BMS". <br /> Business Name: <br /> SERVICE ADDRESS: <br /> 1�/�S �O�/jI'�(-. Ste: — <br /> SID-cam- 9szZ <br /> City: zip: <br /> " ' <br /> Contact Persons Name: <br /> 1v 1 QIQ,iS�CA �V JTTitle: G7- <br /> w ig <br /> Contact Person TEL NO: (% L'�QC) FAX No: <br /> cmw P«sm,E-mail: YY10, �SA <br /> Business Name: a Xak — <br /> Billing Contact MQA s a CoI?.12p�__ A' aUG. E-mail:W10.1e:��c� Z til@+T)1.00. <br /> Con. <br /> Billing Address �qs� ►�L' —�t""�'Y'+� W aC, Ste: <br /> City: 3+0C_-k_t0 zip- <br /> Billing Phone No: 2©`1' lQ I " L(�Cl FAX No: <br /> Service Address Bus Hrs: <br /> - <br /> /To avoid a No Access Charge ofS35-please indicate lunch hours i closed f2r lunch–we w'1 1w <br /> work around mur lunch hour if you have posted oitr hours he' <br /> SERVICE&ACCESS-the"CUSTOMER"has retained BMS to remove from its bus' <br /> RMW-Regulated Medical Waste, and transport the RMW to a State approved Trans <br /> Treatment Facility. The term "Regulated Medical Waste" –RMW as used herein, is <br /> 6.1 of the California Health and Safety Code.The"CUSTOMER"shall readily provide' <br /> premises during business hours as indicated above, and BMS shall remove from <br /> premise/s all RMW properly prepared,identified,properly segregated,labeled and rea <br /> es'g% <br />
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