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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAMMER
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3422
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4100 – Safe Body Art
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PR0544020
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COMPLIANCE INFO
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Entry Properties
Last modified
3/5/2025 3:16:53 PM
Creation date
7/3/2020 10:14:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0544020
PE
4120
FACILITY_ID
FA0025032
FACILITY_NAME
DREAMSCAPE BROWS (VANG, FONG)
STREET_NUMBER
3422
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95219
CURRENT_STATUS
01
SITE_LOCATION
3422 W HAMMER LN UNIT F
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0544020_3422 W HAMMER_.tif
Tags
EHD - Public
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I agree to reimburse each of die technictand the Body Art Facility for any attorney fees and costs ed in any legal action I bring against either the <br /> Technician or the Body Art Facility and in which either the Technician or the Body Art Facility is the prevailing party.I agree that the courts of California State,in San <br /> Joaquin County,shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of or <br /> related to this agreement. <br /> _I certify that I have initialed the above paragraphs and have had explained to my understanding this consent and the procedure process and what to expect <br /> following the procedure.I accept full responsibility for the decision to have this cosmetic tattoo work done. <br /> CLIENT SIGNATURE: DATE: <br /> TECHNICIAN: DATE: <br /> Technician Information only: <br /> EQUIPMENT USED: <br />
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