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r. e <br /> Tattooing <br /> 21. 1 hereby give my full consent D and its <br /> employees to take the measures necessarydevelop and complete <br /> the tattoo,, including the right in contact i the area(s) I <br /> wish to be tattooed / <br /> price22. 1 agree to the stated . <br /> 23. 1 release lhffdr SDO 01 IZO MICAFand it's employees from any legal <br /> liability concerning (s) received Y / <br /> Please Print Clearly: <br /> Date:Name: Appt. <br /> Address: <br /> City: i <br /> Work <br /> Date of Birth: I <br /> If applicable, describe reasoni is client: <br /> Signature— <br /> *Required by San Joaquin Environmental Health Department <br />