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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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PR0523952
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COMPLIANCE INFO
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Entry Properties
Last modified
8/7/2025 12:04:22 PM
Creation date
4/25/2023 12:53:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0523952
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0014791
FACILITY_NAME
CANVAS TATTOO (BAMBILLA-SANTOS, MELISSA)
STREET_NUMBER
304
Direction
W
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13708003
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
304 B W HARDING WAY STOCKTON 95204
Suite #
B
Tags
EHD - Public
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"" -- Canvas Tattoo <br /> Adobe Document Cloud Document June 02, 2015 <br /> History <br /> „< Created: June 02,2015 <br /> wtYr...°iur rw .m5yu+waeuer.-w.+e5. <br /> mxw m.�� sere® <br /> ._ By: Dean Zerby(dzerby@stericycle.com) <br /> tea. a Status: SIGNED <br /> Transaction ID`. XZ6CHSHE6D43L5B <br /> "Canvas Tattoo" History <br /> Document created by Dean Zerby(dzerby@stericycle.com) <br /> June 02,2015-5:01 PM CDT-IP address:136.146.208.8 <br /> Et Document emailed to Melissa Santos (canvas_tat2@sbcglobal.net)for signature <br /> June 02,2015-5:01 PM CDT <br /> 1= Document viewed by Melissa Santos(canvas_tat2@sbcglobal.net) <br /> June 02,2015-5:04 PM CDT-IP address:166.171.250.179 <br /> Document e-signed by Melissa Santos(canvas_tat2@sbcglobal.net) <br /> Signature Date:June 02,2015-5:36 PM CDT-Time Source:server-IP address: 166.171.250.179 <br /> E3 Document emailed to Dean Zerby(dzerby@stericycle.com)for signature <br /> June 02,2015-5:36 PM CDT <br /> Si Document viewed by Dean Zerby(dzerby@stericycle.com) <br /> June 02,2015-5:36 PM CDT-IP address:104.129.196.56 <br /> A Document e-signed by Dean Zerby(dzerby@stedeycle.com) <br /> Signature Date:June 02,2015-5:37 PM CDT-Time Source:server-IP address: 104.129.196.56 <br /> Signed document emailed to Melissa Santos(canvas tat2@sbcglobal.net)and Dean Zerby <br /> (dzerby@stedcycle.com) <br /> June 02,2015-5:37 PM CDT <br /> Adobe Document Cloud <br />
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