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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0530664
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COMPLIANCE INFO
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Entry Properties
Last modified
11/19/2024 10:19:29 AM
Creation date
7/3/2020 10:13:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0530664
PE
4120
FACILITY_ID
FA0019890
FACILITY_NAME
SECRET SIDEWALK TATTOO (REYES, ARACELI)
STREET_NUMBER
8
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23505516
CURRENT_STATUS
02
SITE_LOCATION
8 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0530664_8 W ELEVENTH_.tif
Tags
EHD - Public
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is healing. I agree that any touch-up work needed, due to my negligence, <br />will be done at my own expense. <br />• I realize that variations in color and design may exist between any tattoos <br />selected by me and as ultimately applied to my body. I understand that if <br />my skin color is dark, the colors will not appear as bright as they do on <br />lighter skin. <br />• I understand that if I have any skin treatments, laser removal, plastic <br />surgery or other skin altering procedures, it may result in adverse <br />changes to my tattoo. <br />• I acknowledge that a tattoo is a permanent change to my appearance and <br />that no representations have been made to me as to the ability to later <br />change or remove my tattoo. To my knowledge, I do not have a physical, <br />mental, or medical impairment or disability: which might affect my well <br />being as a direct or indirect result of my decision to have a tattoo. <br />• I acknowledge I am over the age of eighteen and that I have truthfully <br />represented to my tattoo artist that the obtaining of a tattoo is by my <br />choice alone. I consent to the application of the tattoo and to any actions <br />or conduct of the representatives and employees of the tattoo shop <br />reasonably necessary to perform the tattoo procedure. <br />CLIENT <br />ARTIST <br />(Signature) <br />(Signature) <br />DATE <br />DATE <br />
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