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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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PR0537394
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2023 2:44:59 PM
Creation date
6/15/2023 2:11:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537394
PE
4110
FACILITY_ID
FA0021495
FACILITY_NAME
BLACK ROSE TATTOO PARLOR (VILLA, HUGO)
STREET_NUMBER
237
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13914006
CURRENT_STATUS
02
SITE_LOCATION
237 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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LL4BILITEES <br /> The "CUSTOMER" acknowledges the responsibility for the care, custody and control of the medical <br /> waste container/s that &e owned by the "CUSTOMER" or BMS. The "CUSTOMER" accepts <br /> responsibility for these co itainers, their location and contents. Therefore, the "CUSTOMER" agrees to <br /> defend, indemnify and ho less BMS from and against any and all claims for loss or damage to <br /> property, or injury of person or persons resulting from or arising in any manner out of"CUSTOMER'S" <br /> use and possession of such containers. <br /> FORCE hi&a <br /> Except for the,obligation�to pay for services-rendered, neither PARTY shall be liable for its failure to <br /> perform herein, in whole Dr in part, due to contingencies beyond each PAR 's control; including, but <br /> not limited to, riots, war, fire, acts of god, injunction, compliance with any law, regulation, guideline or <br /> order of any governmental body or any instrumental body or any instrumentality thereof,whether existing <br /> or hereafter created. <br /> "CUSTOMEW"and BMS hereby execute this Service Agreement by the signing of an authorized <br /> employee,owner or agent below. <br /> BARNETT MEDICAL SERVICES,Inc <br /> (Name;f Business) <br /> on <br /> by <br /> Customer signature) (electronic sjKature) <br /> jolt <br /> Vill tA, 1 <br /> (Customer Print Name) (PrinilName) <br /> (Date) (Title) (Date) <br /> Page 3-4 <br /> 30620 San Antonio Street, ayward CA 94544 Ph:510429-9911 Fax:510-429-9914 www.barnettmedservices.com <br />
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