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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
Scanner
SJGOV\cfield
Tags
EHD - Public
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Docu . <br /> r s[cu R[o <br /> Certificate Of Completion <br /> Envelope Id:2EFACEA2F68945B284869DEAB9FCB10C Status:Completed <br /> Subject:Stericycle Document(s)for your Signature on Lumiere Spa <br /> Source Envelope: <br /> Document Pages:4 Signatures:2 Envelope Originator: <br /> Certificate Pages:2 Initials:0 Eric Levy <br /> AutoNav: Enabled 2355 Waukegan Road <br /> Envelopeld Stamping: Enabled Bannockburn,IL 60062 <br /> Time Zone:(UTC-06:00)Central Time(US&Canada) eric.levy@stericycle.com <br /> IP Address: 13.108.254.8 <br /> Record Tracking <br /> Status:Original Holder: Eric Levy Location: DocuSign <br /> 7/8/2020 2:59:46 PM eric.levy@stericycle.com <br /> Signer Events Signature Timestamp <br /> Georgina Anaya °ocu"pni°°y Sent:7/8/2020 2:59:47 PM <br /> lumierethespa@gmail.com � Viewed:7/8/20203:00:21 PM <br /> Owner --4n56neOVA304M Signed: 7/8/2020 3:01:31 PM <br /> Security Level: Email,Account Authentication <br /> (None) Signature Adoption:Drawn on Device <br /> Using IP Address:67.182.71.60 <br /> Signed using mobile <br /> Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign <br /> Eric Levy °ocu"pnitl° Sent: 7/8/2020 3:01:32 PM <br /> eric.levy 0stericycle.com ( � Viewed:7/8/2020 3:01:52 PM <br /> � <br /> ISE +` Signed:7/8/2020 3:01:56 PM <br /> Stericycle Inc.-HCS <br /> Security Level: Email,Account Authentication Signature Adoption:Pre selected Style <br /> (None) Using IP Address:73.9.117.46 <br /> Electronic Record and Signature Disclosure: <br /> Not Offered via DocuSign <br /> In Person Signer Events Signature Timestamp <br /> Editor Delivery Events Status Timestamp <br /> Agent Delivery Events Status Timestamp <br /> Intermediary Delivery Events Status Timestamp <br /> Certified Delivery Events Status Timestamp <br /> Carbon Copy Events Status Timestamp <br /> Witness Events Signature Timestamp <br /> Notary Events Signature Timestamp <br /> Envelope Summary Events Status Tlmestamps <br /> Envelope Sent Hashed/Encrypted 7/8/2020 3:01:32 PM <br /> Certified Delivered Security Checked 7/8/2020 3:01:53 PM <br /> Signing Complete Security Chocked 7/8/2020 1011 56 PM <br />
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