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Perfect Day Tattoo PR2500169 <br /> 521 W. Kettleman Ln. Lodi, CA 95242 <br /> February 5, 2026 <br /> Photo 12: Client consent form with the Tube batch lot number 20241130. <br /> vTl.OQA%nQ turtnr�r a1;K7no l ge gnat suSUMa reacuon is passiu-I a aelde w—PI u1e 115K uinr ----•-- <br /> r ' l acc--,it`A6,_,r.:d inst..lctiotis end.agree to tallow them while my tattoo is healing.Signs of Infection'include but are not limited to.redness, <br /> swelling,tenderness,red streaks towards the heart,elevated body temperature,purulent drainage trpm procedure site.It i experience signs! <br /> 4ymploms I will seek medical attention.I agree that any touch-up work needed,due to my own negligence,vn6 be done at my awn expense. <br /> fcJyf/1 realize that variations in color and design may exist between any tattoo as selected by me and as uRimataly applied to my body.I understand <br /> /at if my skin color is dark,the colors will not appear as bright as they do on tairor skin. <br /> understand that if i have any skin treatments,laser hair removal,plastic surgery or other skin altering procedures,it may result in adverse <br /> anges to my fartoo. <br /> oknowtedge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to <br /> er change or remove my tattoo.To my knowledge,i do not have a physical,mental or medical impairment or disability which might attack my <br /> welI <br /> being as a direct or indirect result of my decision to have a tattoo. <br /> I acknowledge I arm over the age of eighteen and that I have truthfuily represented to my tattooer that the obtaining of atattoo is by my choice <br /> alone.I consent to the application of the tattoo and to any actions or conduct of the representatives and enVloyees of the tattoo shop reasonably <br /> necessary to perform this tattoo procedure. <br /> Tattoo inks,dyes and pigments have not been approved by the fedsret food and drug administration and the health consequences of using these <br /> products are unknown. <br /> After the tattoo procedure nu can expect minor soreness,swelling fora short period of time followed by your tattoo peeiing(like a sunburn does)as <br /> part of the �head ss. ,C Date; � <br /> __.. <br /> Signature. ..---- ; <br /> z nr <br /> .' <br /> 10<e _ CBS•'' _ <br /> Alexander Cruz, REHS 12 <br />