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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0524524
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COMPLIANCE INFO
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Entry Properties
Last modified
8/19/2025 4:10:45 PM
Creation date
7/3/2020 10:15:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0524524
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0016445
FACILITY_NAME
HARD LUCK TATTOO (NGUYEN, BAO)
STREET_NUMBER
1
Direction
W
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0524524_1 W PINE_.tif
Site Address
1 W PINE ST LODI 95240
Tags
EHD - Public
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0 <br /> A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means,which <br /> can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to its exact <br /> Initial appearance before being tattooed. <br /> I release all rights to any photographs taken of me and the tattoo and give consent in advance to their <br /> reproduction in print or electronic form. (If you do not initial this provision, please advise and remind your Tattoo <br /> Initial Artist and the Studio NOT to take any pictures of you and your completed tattoo!). <br /> I agree to reimburse each of the Tattoo Artist and the Studio for any/all attorneys'fees and costs incurred <br /> in any legal action I bring against either the Tattoo Artist or the Studio and in which either the Tattoo Artist <br /> or the Studio is the prevailing party. I agree that the that the courts of State of California, in San Joaquin <br /> Initial County, shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for <br /> the purpose of litigating any dispute arising out of or related to this agreement. <br /> acknowledge that 1 have been given adequate opportunity to read and understand this document, that it was not <br /> presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to <br /> recover against the Tattoo Artist and the above said Studio. <br /> Initial <br /> If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be <br /> severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never <br /> been contained in this document. Tattoo Inks, Dyes, and Pigments have NOT been approved by the FDA and the health <br /> consequences of using these products are unknown. <br /> hereby declare that I am of legal age(and have provided valid proof of age)and am competent to sign this Agreement. <br /> All Sales Final <br /> I HAVE READ THIS AGREEMENT, 1 UNDERSTAND IT,AND 1 AGREE TO BE BOUND BY IT. <br /> Print Full Name: Date of Birth: <br /> Full Address: Telephone: <br /> Email: <br /> Signature of Participant: X Date: <br /> Placement on body: <br /> Description of art: <br /> COPY OF IDENTIFICATION HERE <br />
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