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SR0085572
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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SR0085572
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Last modified
7/27/2023 1:16:23 PM
Creation date
7/27/2023 11:33:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085572
PE
4103
FACILITY_NAME
REVIVE ME AESTHETICS
STREET_NUMBER
445
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
APN
23307517
ENTERED_DATE
7/25/2022 12:00:00 AM
SITE_LOCATION
445 W BEVERLY PL
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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��!i� CONSENT FORM <br />d <br />Today's Date: <br />Procedure (circle one): Ombre Powder Brows /Lip Blush Tint <br />First Name: <br />Last Name: <br />DOB: <br />Street Add <br />City: <br />State /Province: <br />Postal /Zip Code: <br />Phone Number: <br />Email: <br />AftPrrare <br />Expect some redness and swelling right after the procedure. You may also experience a white halo <br />surrounding the area and this is related to the topical anesthetic used. These symptoms will disappear in <br />the next hour or so. <br />INSTRUCTIONS: <br />1. Avoid getting your eyebrows wet until your brows are fully healed (when it is done flaking). <br />Healing time varies from 10-14 days. <br />2. Apply a grain size of A&D/Vaseline/Aquaphor ointment using a Q-tip on each brow. Apply the <br />ointment twice a day, morning and night. <br />It is crucial that during the healing period that you maintain facial hygiene and AVOID: <br />Touching or picking the eyebrows (apply ointment with Q-tip). Picking can lead to color loss, scarring <br />and infection (especially if hands are not clean). <br />Getting the brows soaked with water. Accidental splash of water is okay as long as you pat dry with a <br />
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