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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MARCH
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211
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4100 – Safe Body Art
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PR0548695
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COMPLIANCE INFO
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Entry Properties
Last modified
2/7/2024 9:41:30 AM
Creation date
10/17/2023 9:55:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548695
PE
4120
FACILITY_ID
FA0027870
FACILITY_NAME
CHANGES BEAUTE LOUNGE (BARBER, NICOLE)
STREET_NUMBER
211
Direction
E
STREET_NAME
MARCH
STREET_TYPE
LN
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
211 E MARCH LN
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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I have received and post-care instructions and I agree to follow them to the best of my ability. I understand <br /> that my failure to follow the pre and post-care instructions may negatively affect my final result. I agree that any <br /> additional work needed du to my negligence wil bedone at my own expense. <br /> I understand that there is a chance that 1 might feel dizzy during or after being pierced. I agree to immediately <br /> notify the artist in the event I feel that before or after the procedure. <br /> By signing bellow,I agree to the following: <br /> I have read or have had read to me the contents of this whole form.I understand the risks and alternatives involved in this/these <br /> procedure (s), and I have had the opportunity to ask questions and all of my questions have been answered. i accept full <br /> responsability for having this piercing procedure done and understand that there is a no refund policy.I acknowledge that I have <br /> reviewed and approved the material given to me. <br /> Name Printed Signature Date <br /> Technician Name Signature Date <br />
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