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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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826
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4100 – Safe Body Art
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PR0528389
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COMPLIANCE INFO
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Entry Properties
Last modified
4/12/2023 3:16:17 PM
Creation date
7/3/2020 10:13:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0528389
PE
4120
FACILITY_ID
FA0019163
FACILITY_NAME
ESCAPE ARTIST TATTOO STUDIO (DAVID ARAUZ)
STREET_NUMBER
826
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
23516101
CURRENT_STATUS
02
SITE_LOCATION
826 CENTRAL AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0528389_826 CENTRAL_.tif
Tags
EHD - Public
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0 0 <br />WAIVER, , AND • TATTOO <br />THIS DOCUMENT IS TWO PAGES. PLEASE INITIAL EACH PROVISION ON THE LINES PROVIDED AFTER READING <br />TO SHOW THAT YOU UNDERSTAND EACH PROVISION. <br />In consideration of receiving a tattoo from (the "Artist") at DAVNCI Inc. (together with its employees, <br />apprentices and agents of Art Official Studios), I agree to the following: <br />That I, <br />(clearly PRINT your name) have been fully informed of the inherent risks, <br />associated with getting a tattoo. I fully understand that these risks, known and unknown, can lead to injury, <br />including but not limited to infection, scarring, difficulties in detecting melanoma and allergic reactions to tattoo <br />pigment, latex gloves, and/or soap. Having informed of the potential risks associated with getting a tattoo, I still <br />wish to proceed with the tattoo application and I freely accept and expressly assume any and all risks that may <br />arise from tattooing. <br />TO WAIVE AND RELEASE to the fullest extent permitted by law each of the Artist and the Tattoo Studio from all <br />liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors or assigns may <br />have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise <br />from the application of my tattoo, whether caused by the negligence or fault of either the Artist or the Tattoo <br />Studio, or otherwise. <br />Both the Artist and the Tattoo Studio have given me the full opportunity to ask any and all questions about the <br />application of my tattoo and all questions have been answered to my total satisfaction. <br />The Artist and the Tattoo Studio have given me instructions on the care of my tattoo while it's healing, and I <br />understand them and will follow them. I acknowledge that it is possible that the tattoo can become infected, <br />particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo is needed due to my <br />own negligence, I agree that the work will be done at my own expense. <br />I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the Artist <br />without duress or coercion. <br />I do not have diabetes, epilepsy, hemophilia, a heart condition, nor do I take blood thinning medication. I do not <br />have any other medical or skin condition that may interfere with the application or healing of the tattoo. I am not <br />the recipient of an organ or bone marrow transplant or, if 1 am, I have taken the prescribed preventive regiment of <br />anti -biotic that is required by my doctor in advance of any invasive procedure such as tattooing or piercing. I am <br />not pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting the tattoo. <br />Neither the Artist nor the Tattoo Studio is responsible for the meaning or spelling of the symbol or text that I have <br />provided to them or chosen from the flash (design) sheets. <br />Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is <br />applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to <br />unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin. <br />A tattoo is a permanent change to my appearance and can be removed by laser or surgical means, which can be <br />disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to its exact <br />appearance before being tattooed. <br />
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