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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ST MARKS PLAZA
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1503
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4100 – Safe Body Art
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PR2500682
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COMPLIANCE INFO
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Entry Properties
Last modified
3/9/2026 10:14:51 AM
Creation date
10/20/2025 10:07:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR2500682
PE
4120 - BODY ART FACILITY - SINGLE USE
FACILITY_ID
FA0004239
FACILITY_NAME
YATTED BY VONIE (WILLIAMS, SASHA)
STREET_NUMBER
1503
STREET_NAME
ST MARKS PLAZA
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
1503 ST MARKS PLAZA STOCKTON 95207
Tags
EHD - Public
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Tattoo Consent Yorm & Aftercare instructions <br /> Hi,I'm Yattedbvvonie ' <br /> Welcome! This form includes your tattoo aftercare instructions and important information about <br /> your procedure. My goal is to make sure you're comfortable, informed, and confident about your <br /> tattoo experience. <br /> n =Please check each heart and initial (Example: ) <br /> Client Information <br /> Full Name: <br /> Date of Birth: <br /> Phone/Email: <br /> What a Tattoo <br /> A tattoo is a permanent mark created by inserting ink into the skin using needles.The procedure involves <br /> penetrating the skin,which may cause discomfort,bleeding, and risk of infection.Tattoos are permanent <br /> and may only be removed with costly,painful medical procedures that may not fully remove the tattoo. <br /> n I understand that tattoos are pennanent and may only be removed with costly and potentially <br /> ineffective medical procedures. <br /> Client Initials: <br /> Risks & Important Notices <br /> 1 Tattoo inks/pigments are not FDA-approved; long-term effects unknown. <br /> Risks: infection, allergic reactions, scarring, keloids, dissatisfaction with appearance. <br /> Blood-borne pathogen exposure is possible if aftercare is not followed. <br /> n This procedure is not reversible without medical intervention. <br /> I understand that tattoo inks are not FDA-approved and long-term health effects are <br /> unknown. <br /> Client Initials: <br />
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