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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LUCILE
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1955
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4100 – Safe Body Art
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PR0545501
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COMPLIANCE INFO
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Entry Properties
Last modified
7/26/2024 9:54:28 AM
Creation date
3/16/2023 2:24:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0545501
PE
4110
FACILITY_ID
FA0025829
FACILITY_NAME
AESTHETICS LASH INK (GODINEZ, LIZARDO)
STREET_NUMBER
1955
STREET_NAME
LUCILE
STREET_TYPE
AVE
City
STOCKTON
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
1955 LUCILE AVE STE B
P_LOCATION
01
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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drow <br /> '00 <br /> . r , V #MIX( <br /> 10(ir <br /> - � i �• <br /> • Presented to .. <br /> LIZARDO AYILA GODINEZ <br /> BBP4BT 1 DH40B4DUMV6 <br /> having successfully completed Cathy Montie's Body Art Training Company's <br /> _ IVAR <br /> .. . P �I U.. O O JI <br /> t 0 <br /> .. , <br /> A <br /> I I , i ( 1 (. ' ' . ��.. <br /> 0 � <br /> �1 <br /> / / / , i <br /> go <br /> and has passed a test in accordance with the educational requirements for tattoo artists <br /> as specified under Cal/OSHA Title 8, section 5193 and Federal OSHA 29CFR 1910.1030. 49 <br /> e <br /> 212412020 Cathy Montie <br /> ._ VALID THROUGH 02,/24/2021 Authorized General Industry <br /> lJ <br /> w.- _ Outreach Trainer <br />
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