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4100 – Safe Body Art
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PR0546901
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COMPLIANCE INFO
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Entry Properties
Last modified
3/5/2025 3:49:54 PM
Creation date
5/16/2023 11:58:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0546901
PE
4120
FACILITY_ID
FA0026577
FACILITY_NAME
LUCKY YOU TATTOO (MENDOZA, ESAU)
STREET_NUMBER
1138
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1138 N MAIN ST
P_LOCATION
04
QC Status
Pending
Scanner
SJGOV\cfield
Tags
EHD - Public
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Harprit S. Mattu [EH] <br /> From: Harprit S. Mattu [EH] <br /> Sent: Friday, May 22, 2015 2:52 PM <br /> To: lucky you tattoo(luckyyoutattoo@yahoo.com) <br /> Subject: FW: aftercare and release forms changed <br /> Hi Chino, <br /> I just saw that at the top of the form you have a line for placement of tattoo. You can use that line to write what the <br /> tattoo is and where it is on the body. I'm sorry I missed that the first time. <br /> -Harprit <br /> From: Harprit S. Mattu [EH] <br /> Sent: Friday, May 22, 2015 2:47 PM <br /> To: 'lucky you tattoo' <br /> Subject: RE: aftercare and release forms changed <br /> Hi Chino, <br /> The following changes need to be made to the aftercare: <br /> The second to last sentence (when to seek medical attention)does not state any actual signs and symptoms of when to <br /> seek medical attention. If you were trying to relate it to the bottom sentence regarding signs and symptoms of <br /> infection, I think you may have just forgotten to put a colon mark instead of a period at the end of the sentence. <br /> The following changes need to be made to the consent form: <br /> For number 3, please add on to it asking if they have other bleeding disorders but leave the hemophilia part in there. <br /> For number 14,change heart disease to"cardiac valve disease" <br /> For number 13,you need to ask if they have ever been prescribed antibiotics prior to surgery or dental procedures <br /> For number 16 regarding the description of the procedure, basically we need to know what the tattoo is(name, <br /> butterfly, etc.) and where it is on the body(left wrist, right shoulder etc.),so if you want you can erase the "tattoo or <br /> other" part and leave a line to write that information in there instead. <br /> You need a statement describing to the client what they should expect after the procedure. <br /> You need a statement that the inks are not FDA approved and health consequences are unknown. <br /> You need a sentence asking if they are allergic to antibiotics. <br /> If you have any questions let me know. Feel free to make changes and email me again to make sure that it is correct <br /> before you print copies. <br /> Thank you, <br /> 1 <br />
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