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Forever Yours Body Art—3422 W Hammer Lane Suite M, Stockton CA 95219 PR0542484 <br /> October 25, 2019 <br /> PHOTO 1: The supplies used for the procedure are documented on the consent form by the item number. The item number from the client consent <br /> form correlates with the invoice provided by the practitioner. <br /> • <br /> Sandip Singh, EHS Page 1 of 2 <br />