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COMPLIANCE INFO
Environmental Health - Public
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4100 – Safe Body Art
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PR0548536
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COMPLIANCE INFO
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Last modified
8/11/2023 1:37:10 PM
Creation date
8/11/2023 1:24:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548536
PE
4110
FACILITY_ID
FA0027741
FACILITY_NAME
ONE TIME TATTOO STUDIO (HERNANDEZ ABARCA, VICTOR)
STREET_NUMBER
407
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
407 N MAIN ST
P_LOCATION
04
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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J 43/1 <br />/ ' J <br />Pre n <br />se ted to 4, <br />®r <br />i <br />VICTOR Y HERNANDEZ <br />ABARCA <br />BBP:21465-168-701-3438 <br />having successfully completed Cathy Montie's Body Art Training Company's <br />1 ,01(01, ant, <br />40/1 <br />I('�If I'/ i.�l uif I'I'I(( � t rill, <br />I � ,r ,r <br />H �. � <br />' J <br />as required under under Cal/OSHA Title 8, section 5193 and Federal OSHA 29CFR 1910.1030 <br />and as outlined in Accordance with California AB 300 (Safe Body Art Act) <br />and Training Requirements of Los Angeles County Body Art Programs. <br />' f Cathy Montic <br />ISSUED: o6 -n-2023 Los Angeles Count' Authorised Trainer <br />VALID THROUGH: 06-16-2024 Accreditation No. 14-113 <br />4SHAAuthorized General Industry <br />Spcciric Trainer <br />�lr=r1 <br />f <br />
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