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COMPLIANCE INFO
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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PR0542033
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COMPLIANCE INFO
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Entry Properties
Last modified
3/8/2024 12:25:30 PM
Creation date
3/22/2021 9:48:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542033
PE
4120
FACILITY_ID
FA0024127
FACILITY_NAME
LUMIERE SPA (CARRANZA, GEORGINA)
STREET_NUMBER
15
Direction
W
STREET_NAME
OAK
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
15 W OAK ST
P_LOCATION
02
QC Status
Approved
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EHD - Public
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Body Art Facility Infection Prevention And Control Plan Guideline <br /> T. Permnot CosmeW Machiner. ftwoe the mname and number <br /> for the permanent cosmetic machine(s)u {California H G 119311 {"i}W. <br /> i 7 <br /> U. Service Animals: Describe the WlitYs poficY regarding service animal presence in ProceWfe, <br /> decontamination, sterilization (California Health 11 14(f?} <br /> Q d4,74 filazi <br /> Maintain a copy of this oDmpkftd document in your files, Submit one copy to the Local Enforcement <br /> Agency. <br /> hereby cwft OW al/body Olt <br /> pectWoners pertwming body art at this facility and erW10yew <br /> or kxUWdu&fs Inand t <br /> Me procedurest e t lrtaris documentTo ghe bow of my kxmdedge and <br /> We soternents made t►am conreat and&M <br /> Signature: Datw. -- <br /> T <br /> i� <br />
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