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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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YOKUTS
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4100 – Safe Body Art
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PR2500864
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COMPLIANCE INFO
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Entry Properties
Last modified
3/9/2026 9:17:55 AM
Creation date
2/9/2026 11:42:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR2500864
PE
4120 - Single Use
FACILITY_ID
FA0005243
FACILITY_NAME
THE CHAMELEON METHOD (QUINTANA, HARLEIGH)
STREET_NUMBER
37
Direction
W
STREET_NAME
YOKUTS
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
37 5 W YOKUTS AVE STOCKTON 95207
Suite #
5
Tags
EHD - Public
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Name: ................................................................................................................................................ Surname: ............................................................................................_........................................ <br /> Dateof Birth: ........................................................................................................................... Date of Treatment: ......................................................................................................... <br /> I,the undersigned client,hereby grant permission to The Chameleon Method to take photographs and/or videos of <br /> my tattoo before and after the tattooing procedures. I understand that these photographs and/or videos may be <br /> used for promotional,marketing,or educational purposes,including but not limited to the following: <br /> 1. Display on the The Chameleon Method website. <br /> 2. Inclusion in promotional materials,brochures,or advertisements. <br /> 3. Sharing on social media platforms,including Instagram,Facebook,and Tiktok. <br /> 4. Educational presentations or materials related to tattoo artistry. <br /> I understand that my photographs and/or videos will not be used for any purpose other than those stated above <br /> The Chameleon Method . agrees not to disclose my identity in conjunction with the photographs and/or videos <br /> unless I provide written consent for such disclosure. <br /> I release The Chameleon Method , its employees, representatives, and any third parties acting under its authority, <br /> from any claims or liability arising out of the use of the photographs and/or videos as described above. I understand <br /> that I will not receive any compensation for the use of these photographs and/or videos. <br /> I acknowledge that the photographs and/or videos may be accessible to the public and that The Chameleon <br /> Method has no control over the subsequent use of these materials by third parties. <br /> This consent is effective as of the date of signing and remains in effect indefinitely unless I provide written notice of <br /> revocation to The Chameleon Method. <br /> ....................................................................................................................................................... .............................._...................................._................................................................. <br /> Client's Signature Date <br /> THE CHAMELEON METHOD <br />
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