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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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SWAIN
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505
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4100 – Safe Body Art
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PR0547315
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COMPLIANCE INFO
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Entry Properties
Last modified
1/28/2025 4:19:26 PM
Creation date
7/27/2023 3:10:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547315
PE
4110 - BODY ART PRACTITIONER REGISTRATION
FACILITY_ID
FA0026881
FACILITY_NAME
PORT CITY INK (LUCERO, MARISSA)
STREET_NUMBER
505
Direction
W
STREET_NAME
SWAIN
STREET_TYPE
RD
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
SITE_LOCATION
1412 ROSEMARIE LN # A
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
505 W SWAIN RD STOCKTON 95207
Tags
EHD - Public
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SRO S'1731$- IKl2 I�.o aEMAICIE M A <br /> � J � <br /> SIR III/ Ot <br /> Presented to <br /> MARISSA MONET LUCERO <br /> B BP:16767-167-477-4960 <br /> having successfully conipieted C'athv Niuntie's Body Art Training Ctn1>pany's <br /> ov, 10'-AV[blAirt T/Uy"W- / I V(tv hv!! <br /> oUP. <br /> a <br /> 01 DOM A I , 'a . <br /> ON U7W <br /> and has passed u test in accordance with the educational requirements forbod%,artiso <br /> as specified under Cal/OSHA Title 8, section 5193 and Federal OSHA 29CFR 1910.1030. <br /> x,01*�'N <br /> ISSUED:Ot-zs-zo2a <br /> Q ?I <br /> Ft 111.26-zo <br /> 24 CatM Nlontie <br /> OSHA Anthoriiid General Industrti <br /> Specific Outreach Trainer <br /> *�USiR11� <br />
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