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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2353
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4100 – Safe Body Art
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PR0544633
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COMPLIANCE INFO
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Entry Properties
Last modified
8/28/2023 2:24:16 PM
Creation date
3/31/2021 4:02:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544633
PE
4120
FACILITY_ID
FA0025372
FACILITY_NAME
PRETTY OBSESSED BOUTIQUE (PRECIADO, RAYNELLE)
STREET_NUMBER
2353
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204-5309
CURRENT_STATUS
02
SITE_LOCATION
2353 PACIFIC AVE STE A
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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E� <br />,Tins= I, 2019 <br />To Whore It May Concern, <br />I decline Hepatitis B 'vaccinations at this time. 1 understand that by declining; this vaccine I <br />continue to be at risk of acquiring Hepatitis $.., a serious disease. If in the future I continue to <br />have occupational exposure to blond of other potentially infectiotis materials and I want to be: <br />vaccinated with Hepatitis 13. vaccine, I can receive a vaccination at my discretion. <br />Warm Regard, <br />Raynelle .Preciado <br />
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