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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1138
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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
10/20/2025 1:46:07 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 - BODY ART FACILITY-SINGLE USE
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
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
1138 N MAIN ST MANTECA 95336
Tags
EHD - Public
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Lucky You Tattoo — 1138 N Main St. , Manteca CA 95336 PR0546901 <br /> June 2 , 2021 <br /> PHOTO 9: The client records were not signed by the practitioners. <br /> Lan r'OLLOWING: it kSWcyyy ( - <br /> ; I agrUnCla to foil tattoos are Pe^nanent . <br /> erstan aftercare i <br /> ij <br /> tl mat Certain skin tp e Struc�jake color dit a by <br /> ns given to rn <br /> D � aerst8ntl that the y v a ase. <br /> u r rrcl e 'te0d that there are NO are not FDA approved and health consequences are unoo* <br /> , ' Lritlerstand there Can be some disco Dort SwellingS ON oDRruDising(o owin his procedure. <br /> �SSUMPTIONyOF RISK . RELEASE OF L{ABIIITY• AND INDEMNIFICATION: gt y— aPem ani <br /> 1 , 1 - lvu� m�dy a,\ <br /> tf? k tattOCf . I Understand and have beentullyinformedottt] . ocrcatedwlthreCe bets us <br /> Consent to receive a tattoo and assume an 4t rele1 release ' defend• Inde the or <br /> unless , LUCKY YOU TATTOO LLC, and its agents, employees, otficecsi • artist, contcacto<s • mem vile °t <br /> Sl9nS ( hereinafterallreferredtoasLUCKYYOUTATTOOLLC) , tromamlandaitknown . orUnknow� • PasL' P <br /> IFAS, demands. rights , liabilities, damages and causes otactioil, 4rthelk keanSingundetanytheoryorlibeLa oc� ' <br /> eaCh Of Contract, tort , statutory, or regulatory violation) , that mayanse, invo ingocretatedinanyWgy <br /> ive from LUCKY YOU TATTOO , LLC * <br /> KNOWLEDGE AND AGREED TO : Signature Cost'. <br /> Sandip Singh , REHS Page 9 of 9 <br />
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