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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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YOSEMITE
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4100 – Safe Body Art
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PR0546977
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COMPLIANCE INFO
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Entry Properties
Last modified
10/10/2024 1:59:28 PM
Creation date
6/7/2023 2:20:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546977
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0022860
FACILITY_NAME
PURE FORM GALLERY & TATTOO (EDGINGTON,WILLIAM)
STREET_NUMBER
213
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
213 W YOSEMITE AVE MANTECA 95336
Tags
EHD - Public
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�) AboveTrci <br /> ' i jl 11 M <br /> 1 T 7t �Ij 1 <br /> (erstificate of Training <br /> issued to William Edgington <br /> forsuccessfullycompletiug the <br /> California Bloodborne Pathogens Course for Body Artists <br /> (Compliant with OSHA Standards and the California Safe BodyArtAct) s <br /> LM54-R7148A <br /> Certificate Verification Number ) r <br /> Verify at www.foodhandlervedfi(ation.com l <br /> Vernon W.Stout,President <br /> Apr 09, 2015 Vali <br /> Date of Completion(valid 1 year) <br /> ------------------------------------------------------------------------------------------------------- <br /> Cut on line. Cut on line. Cut on line. _; <br /> You have successfully completed the AboveTraining.com <br /> Bloodborne Pathogens Course for Body Artists. <br /> Please keep this proof of training for your records. <br /> A b Ove-1 r,-a i a <br /> J$ t_L I <br /> A LE17T E R.'LEA Ria 1 PIG {PO ., <br />
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