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COMPLIANCE INFO_VICTOR LARA
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0537130
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COMPLIANCE INFO_VICTOR LARA
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Entry Properties
Last modified
6/4/2024 11:27:50 AM
Creation date
7/3/2020 10:15:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537130
PE
4121
FACILITY_ID
FA0021313
FACILITY_NAME
TRUE CLASSIC TATTOO (LARA, VICTOR R)
STREET_NUMBER
423
Direction
E
STREET_NAME
MINER
STREET_TYPE
AVE
City
STOCKTON
Zip
95202
APN
13924018
CURRENT_STATUS
01
SITE_LOCATION
423 E MINER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537130_423 E MINER_.tif
Tags
EHD - Public
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Variations in color and design may exist between the tattoo art I have selected and <br /> the actual tattoo when it is applied to my body. I also understand that over time, the <br /> colors and the clarity of my tattoo will fade due to unprotected exposure to the sun <br /> and the naturally occurring dispersion ofpigment under the skin. <br /> Atattoo kyopermanent change bzmnyappearance and can only beremoved b <br /> y <br /> laser orsUrgina| �ane. xvhiohcanbedio�guhngnnd/o�coa1|yandxvhiohinm|| <br /> rn <br /> likelihood will not result in the restoration of my skin to its exact appearance before <br /> being tattooed. <br /> ! release all rightsbo any photographsbakenufmemndthetetbxoomd0|waoonaent <br /> in advance to their reproduction in print or electronic form. (if you do not initial this <br /> provision, please advise and remind your Artist and the Tattoo Studio NOT to take <br /> any pictures 0fyou and your completed tattoo(). <br /> I agree to reimburse each of the Artist and the Tattoo Studio for any attorneys'fees <br /> and costs incurred inany legal action| bring against either the Artist orthe Tattoo <br /> Studio and inwhich either the Artist orthe Tattoo Studio iothe prevailing party. i <br /> agree that the that the courts of/[AL0cDR8V/Vin[SAN JOAC)UINCOU0Ty/shall <br /> have personal jurisdiction and venue over nneand shall have exclusive jurisdiction <br /> for the purpose of litigating any dispute arising out of or related to this agreement. <br /> I acknowledge that I have been given adequate opportunity to read and understand <br /> this document,that it was not presented to me at the last minute, and I understand <br /> that| emsigning elegal contract waiving certain rights horecover against the Artist <br /> and the Tattoo Studio. <br /> Description of procedure <br /> If any provision, section, subsection, clause or phrase of this release is found to be unenforceable <br /> or invalid',that portion shall be severed from this contract.The remainder of this contract will then <br /> be construed as though the unenforceable portion had never been contained in this document. <br /> I hereby declare that I am of legal age (and have provided valid proof of age)and am competent <br /> tnsign this Agreement <br /> I HAVE READ THIS AGREEMENT, U UNDERSTAND IT, |AGREE TO BE BOUND BY IT. <br /> Date of <br /> PhntFuUNamne: <br /> Birth: <br /> Address: Telephone: <br /> Signature of <br /> Date: <br /> Participant <br />
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