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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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OAK
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4100 – Safe Body Art
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PR0542033
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COMPLIANCE INFO
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Entry Properties
Last modified
3/8/2024 12:25:30 PM
Creation date
3/22/2021 9:48:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542033
PE
4120
FACILITY_ID
FA0024127
FACILITY_NAME
LUMIERE SPA (CARRANZA, GEORGINA)
STREET_NUMBER
15
Direction
W
STREET_NAME
OAK
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
15 W OAK ST
P_LOCATION
02
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
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0 <br /> • I acknowledge that tattoo inks, dyes, pigments have not been approved by the Federal Food and Drug <br /> Administration (FDA), and the health consequences of using these products are unknown. <br /> • 1 acknowledge I am over the age of eighteen and that 1 have truthfully represented to my tattooer that the <br /> obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or <br /> conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo <br /> procedure. <br /> Client: Date: <br /> Practitioner: Date: <br /> All <br /> All <br /> 67 <br />
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