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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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PR0545030
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COMPLIANCE INFO
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Entry Properties
Last modified
4/4/2023 12:45:54 PM
Creation date
4/4/2023 9:19:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0545030
PE
4110
FACILITY_ID
FA0025619
FACILITY_NAME
ONE SIXTEEN TATTOO (CERVANTES, ROBERTO)
STREET_NUMBER
181
Direction
S
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337
CURRENT_STATUS
02
SITE_LOCATION
181 S UNION RD #105
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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Montana Department of Public Health & Human Services <br /> Certificate of Completion <br /> This document certifies that <br /> Bobby A Imieda j <br /> has successfiflly completed testing for General Sanitation 4-1 Tattooing as required by the <br /> Administrative Rules of Montana Title 3 7, Chapter 112, subchapter 1. <br /> Validation Date: AuOList 3, 2018 Attest: Ala4 �S <br /> Melanie Shaw, R.S. <br /> 1 <br />
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