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SR0086863
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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14051
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4100 – Safe Body Art
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SR0086863
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Entry Properties
Last modified
11/20/2024 9:24:02 AM
Creation date
9/1/2023 9:47:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0086863
FACILITY_NAME
LUCKY YOU TATTOO LOCKEFORD
STREET_NUMBER
14051
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01937032
ENTERED_DATE
6/20/2023 12:00:00 AM
SITE_LOCATION
14051 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
Tags
EHD - Public
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Lucky You Tattoo Consent Form <br />I acknowledge by signing this release form that I have been given the full opportunity to ask any and <br />all questions I might have about obtaining a tattoo from Lucky You Tattoos, LLC. I acknowledge that all <br />of my questions have been answered to my full and total satisfaction. I specifically acknowledge that I <br />have been advised of the facts and matters set forth below, and I agree as follows: <br />I am not under the influence of alcohol or drugs. <br />I do not have acne, freckles, moles, or sunburn in the area to be tattooed that might be agitated by <br />the tattoo process (healing excluded). <br />I have looked over my design, checked spelling if applicable, and give my full consent to the <br />application of my tattoo. <br />I acknowledge that I am not pregnant. <br />
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