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4100 – Safe Body Art
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PR0546559
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COMPLIANCE INFO
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Entry Properties
Last modified
9/20/2024 11:33:35 AM
Creation date
6/18/2024 12:06:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546559
PE
4120
FACILITY_ID
FA0026407
FACILITY_NAME
SYLVER LEE BEAUTY & CO (DEHART, SYLVER)
STREET_NUMBER
1126
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
1126 N MAIN ST
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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fD <br />IlJ <br />`a Cerlifl d - - <br />nl Ex Moon eclC , add fee as oppmpT(e) <br />OR mRecelpt aN4on $ <br />❑ Return Receipt (0ac o Icf $ <br />❑Certified Mall Residcterl OeOvery g \ <br />OO Adult Signature Required § <br />OAduft Signature Restricted Delivery § <br />� Postage <br />rR g <br />ra <br />o SYLVER DE HART <br />a <br />U48 ORGULLO LANE <br />M1 MANTECA CA 95336-8760 <br />■ Complete items 1, 2, and 3. <br />■ Print ySA a �lii�c eps on the reverse <br />so tha r 1�� lard to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />�YLifEf� DE HARr <br />1448 ORGULLO LANE <br />MANTECA CA 95336-8760 <br />A. Signe <br />X \�i✓0 ❑ Agent <br />❑ ddressee <br />B. Recei by(Pri ted d Narne C. D D ]it <br />p v�rv�i <br />D. Is delivery addressdifferent from iteinI Yes <br />If YE$ enter daddi <br />elivery bIoW: No <br />APR 06 2022 <br />IIIIIIIIIliiIIIIIIIIIIIIIitIIIIIIIIII VIII III 3. SeNicelyre F I 4 Req.1ty Ma l ExWese® <br />❑ Atlult Signature I.1 � � � ❑ lalered Mall*u <br />(�Adult Signature Restricted Delivery ❑ �hteretl Mall Restricted <br />ry <br />9590 9402 6812 1074 8925 98 9 RIftedMall® Delivery El Signature ❑ Cadlfletl Mall Restricted <br />❑ Collect on Delivery ❑ Signature Confimtation <br />2. Article Number (rmpsfef from serv(ce IabeO. ❑ Collect on Delivery Restricted Delivery Restricted Delivery <br />7022 1812 0000 3998 6527all Restricted Delivery <br />PS Form 3811, July 2020 PSN 7530-02-000.8053 Domestic Return Receipt !, <br />
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