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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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5920
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4100 – Safe Body Art
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PR0548004
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COMPLIANCE INFO
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Entry Properties
Last modified
4/27/2026 11:14:46 AM
Creation date
3/5/2024 9:14:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548004
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0027381
FACILITY_NAME
LOST DREAMS TATTOOS & PIERCING (CARTER, MICHAEL)
STREET_NUMBER
5920
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
5920 PACIFIC AVE STOCKTON 95207
Tags
EHD - Public
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CARPENTER 195 Museum Road PRODUCT CERTIFICATION <br /> Washington,PA 15301 WORK ORDER SALES ORDER/RLS <br /> TITANIUM Phone 724.228.1000 542847 081095/001 <br /> OC byDynamet° Fax 724.229.4195 <br /> SHIP TO <br /> Performance Titanium Group <br /> 8400 Miramar Rd <br /> Suite#200-248C <br /> San Diego,CA 92126 <br /> USA <br /> CUSTOMER P.O. CUSTOMER PART QUANTITY LADING NO SHIPMENT DATE <br /> PTG65416 521 Ibs 00118792 03/29/2023 <br /> CERTIFICATION REQUIREMENTS <br /> UNS R56400 <br /> Hydrogen analysis from final product. <br /> Material free of alpha case or other surface contamination. <br /> Macrostructure and microstructure meet all requirements of MIL-T-9047G AM.2. <br /> Material tested in 4D and SD gage lengths. <br /> Material annealed In accordance with MIL-H-81200, <br /> Material certified to the requirements of MIL-T-9047G Cond.A(Dated-12115178),MIL- <br /> T-9047G Amendment 2(Dated-09/30/86),MIL-T-9047G Notice 1(Dated-218193)and MIL- <br /> T-9047G Notice 2(Dated-414198). <br /> Material conforms to the requirements of DFARS 252.225.7009 Issued Oct.28,2022 <br /> Dynamet Inc has complied with all producer requirements of AS6279. <br /> Material free of mercury and radioactive contamination. <br /> DRC conflict free material. <br /> Mechanical properties,hydrogen analysis,and microstructure performed at Product <br /> Evaluation System.Nadcap&GE approved supplier code:T9377 <br /> Complete copy of the original material chemistry attached. <br /> Ken Pike <br /> Authorized Quality Release Agent <br /> End of Certification <br /> This is to certify that the above test results are correct as contained in the records of the company <br /> Certification shall not be reproduced except in full without the approval of Dynamet Inc. The <br /> recording of false,fictitious or fraudulent statements or entries on this document may be <br /> punished as a felony under Federal Law. PTG <br /> QA5 <br /> APPROVED <br /> 3/31/2023 <br /> Qtc302(v6.0) Page 3 of 3 Date Printed: 0312912023 <br />
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