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COMPLIANCE INFO_2012-2020
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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PR0537388
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COMPLIANCE INFO_2012-2020
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Last modified
6/4/2024 2:30:26 PM
Creation date
7/3/2020 10:15:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2020
RECORD_ID
PR0537388
PE
4121
FACILITY_ID
FA0021491
FACILITY_NAME
EMERALD TATTOO & PIERCING (JOSH HUGHES)
STREET_NUMBER
2525
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
06024007
CURRENT_STATUS
01
SITE_LOCATION
2525 S HUTCHINS ST #8
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0537388_2525 S HUTCHINS_.tif
Tags
EHD - Public
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• • <br /> 1 release all rights to any photographs taken of the piercing and me. I give consent <br /> in advance to their reproduction in print or electronic form. (if you do not initial <br /> this provision, please advise and remind your Artist and the Piercing Studio not to <br /> take any pictures of you and your completed piercing.) <br /> Hh <br /> 1 arknnuilprlpap that I have hppn Paivpn adpnimtp nnnnrtiinity to read and <br /> understand this consent form, that it was not presented to me at a last minute, and <br /> that I am signing a legal contract waving certain rights to recover against the <br /> Piercing Studio <br /> H <br /> I agree to reimburse each of the Artist and Piercing Studio for any attorney's fees <br /> and costs incurred in any iegai action i bring against either the Artist or Piercing <br /> Studio and in which either the Artist or the PiercingStudio is the prevailing party. I <br /> agree that the courts of California in San Joaquin %Stanislaus j Sacramento j Placer <br /> County shall have personal jurisdiction and venue over me and shall have exclusive <br /> jurisdiction for the purpose of litigating any dispute arising out of or related to this <br /> agreement <br /> H <br /> If nnv nrnwicinn cprtinn ciihcprtinn rlamp nr nhracp of thic rplpacp is fniinrl to hp <br /> unenforceable or invalid, that portion shall be severed from this contract. The <br /> remainder of this contract will then be constructed as though the unenforceable <br /> portion had never beencontained in this document <br /> H <br /> I hereby declare that I am of legal age (and have provided valid proof of age) and <br /> am competent to sign this agreement or, if not, that my parent or iegai guardian <br /> shall sign on my behalf and that my parent or legal guardian is in complete <br /> understanding and concurrence with this agreement <br /> H <br /> Client Record: Check all that apply <br /> None of these apply <br />
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