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<br />III Tattooing - Inserting pigment under the surface of the skin by pricking with a needle or, otherwis,
<br />V13— to produce an indelible mark or figure visible through the skin. This includes, but is not limited to:1
<br />• Eyeliner
<br />• Lip color
<br />• Camouflage
<br />• Stencil designs
<br />• Free hand designs
<br />Body Piercing - The creation of an opening in the human body for the purpose of inserting
<br />jewelry or other decoration. This includes, but is not limited to, piercing of an ear, lip, tongue, nose,
<br />or eyebrow. Body piercing does not, for the purpose of this definition, include piercing the leading
<br />edge or earlobe of the ear with a sterile, disposable, single -use stud, or solid needle that is applied
<br />using mechanical device to force the needle or stud through the ear.
<br />Permanent Cosmetics - The application of pigment to or under the skin of a human being for the
<br />purpose of permanently changing the color or other appearance of the skin. This includes, but is
<br />not limited to, permanent eyeliner, eye shadow, or lip color.
<br />I declare that to the best of my knowledge the information that I have provided is true and accurate. I also
<br />agree to conform to all conditions, orders, and directions issued pursuant to the California Health and
<br />Safety Code and all applicable county and city ordinances.
<br />AW=
<br />m] W,
<br />Name (Plegge-PAnt-NaMe)
<br />M-=
<br />e
<br />EHD 41-01 APP FOR REGISTRATION FOR TATTOOING
<br />10/11/07
<br />SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />600 East Main Street, Stockton, CA 95202-3029
<br />RECEIVE
<br />Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.org/ehd
<br />JAN 18 2011
<br />Application for Registration to Perform
<br />ONMENTAL HEA L
<br />Tattooing, Body •Piercing, •or Permanent CosmeftRMIT/SERVICES T
<br />Pursuant to CalI Health and Safety Code, Chapter 7, Section 119300
<br />--
<br />III Tattooing - Inserting pigment under the surface of the skin by pricking with a needle or, otherwis,
<br />V13— to produce an indelible mark or figure visible through the skin. This includes, but is not limited to:1
<br />• Eyeliner
<br />• Lip color
<br />• Camouflage
<br />• Stencil designs
<br />• Free hand designs
<br />Body Piercing - The creation of an opening in the human body for the purpose of inserting
<br />jewelry or other decoration. This includes, but is not limited to, piercing of an ear, lip, tongue, nose,
<br />or eyebrow. Body piercing does not, for the purpose of this definition, include piercing the leading
<br />edge or earlobe of the ear with a sterile, disposable, single -use stud, or solid needle that is applied
<br />using mechanical device to force the needle or stud through the ear.
<br />Permanent Cosmetics - The application of pigment to or under the skin of a human being for the
<br />purpose of permanently changing the color or other appearance of the skin. This includes, but is
<br />not limited to, permanent eyeliner, eye shadow, or lip color.
<br />I declare that to the best of my knowledge the information that I have provided is true and accurate. I also
<br />agree to conform to all conditions, orders, and directions issued pursuant to the California Health and
<br />Safety Code and all applicable county and city ordinances.
<br />AW=
<br />m] W,
<br />Name (Plegge-PAnt-NaMe)
<br />M-=
<br />e
<br />EHD 41-01 APP FOR REGISTRATION FOR TATTOOING
<br />10/11/07
<br />
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