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COMPLIANCE INFO_JOSE DIAZ
EnvironmentalHealth
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4100 – Safe Body Art
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PR0537587
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COMPLIANCE INFO_JOSE DIAZ
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Entry Properties
Last modified
7/11/2025 2:09:25 PM
Creation date
5/19/2023 2:47:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537587
PE
4110 - BODY ART PRACTITIONER REGISTRATION
FACILITY_ID
FA0025055
FACILITY_NAME
TAT ME UP STUDIO (DIAZ, JOSE)
STREET_NUMBER
4330
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
4330 B24 N PERSHING AVE STOCKTON 95207
Suite #
B24
Tags
EHD - Public
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application or healing of the tattoo. 1 am not the recipient of an organ or bone marrow <br /> transplant or, if I am, I have taken the prescribed preventive regimen of antibiotics that is <br /> required by my doctor in advance of any invasive procedure such as tattooing or piercing. I am <br /> not pregnant or nursing. I do not have a mental impairment that may affect my judgment in <br /> getting the tattoo. <br /> Neither the Artist nor the Grape Studio is responsible for the meaning or spelling of the symbol <br /> or text that I have provided to them or chosen from the flash (design)sheets. <br /> Variations in color and design may exist between the tattoo art I have selected and the actual <br /> tattoo when it is applied to my body. I also understand that over time,the colors and the clarity <br /> of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring <br /> dispersion of pigment under the skin. <br /> A tattoo is a permanent change to my appearance and can only be removed by laser or surgical <br /> means,which can be disfiguring and/or costly and which in all likelihood will not result in the <br /> restoration of my skin to its exact appearance before being tattooed. <br /> I release all rights to any photographs taken of me and the tattoo and give consent in advance to <br /> their reproduction in print or electronic form. (If you do not initial this provision, please advise <br /> and remind your Artist and the Grape Studio NOT to take any pictures of you and your <br /> completed tattoo!). <br /> I agree to reimburse each of the Artist and the Grape Studio for any attorneys'fees and costs <br /> incurred in any legal action 1 bring against either the Artist or the Grape Studio and in which <br /> either the Artist or the Grape Studio is the prevailing party. I agree that the that the courts <br /> of San Joaquin County shall have personal jurisdiction and venue over me and shall have <br /> exclusive jurisdiction for the purpose of litigating any dispute arising out of or related to this <br /> agreement. <br /> I acknowledge that I have been given adequate opportunity to read and understand this <br /> document,that it was not presented to me at the last minute,and I understand that I am signing <br /> a legal contract waiving certain rights to recover against the Artist and the Grape Studio. <br /> If any provision, section, subsection,clause or phrase of this release is found to be unenforceable or invalid, <br /> that portion shall be severed from this contract.The remainder of this contract will then be construed as <br /> though the unenforceable portion had never been contained in this document. <br /> I hereby declare that I am of legal age (and have provided valid proof of age)and am competent to sign this <br /> Agreement. <br />
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