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SR0085220
Environmental Health - Public
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4100 – Safe Body Art
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SR0085220
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Entry Properties
Last modified
8/11/2023 3:51:51 PM
Creation date
8/11/2023 3:48:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085220
PE
4103
FACILITY_NAME
CACTUS FLOWER TATTOO STUDIO
STREET_NUMBER
1012
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03311033
ENTERED_DATE
5/2/2022 12:00:00 AM
SITE_LOCATION
1012 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
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EHD - Public
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INITIAL... <br />Redness and swelling may occur after tattoo procedure. <br />I understand that inks are NOT FDA approved and health consequences are unknown. <br />-Variations in color and design may exist between the tattoo art I have selected and the <br />actual tattoo when it is applied my body. I also understand that over time, the colors and the <br />clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring <br />dispersion of pigment under the skin. <br />- A tattoo is permanent change to my appearance and can only be removed by laser or <br />surgical means, which can be disfiguring and/or costly and which in all likelihood will not result <br />in the restoration of my skin to its exact appearance before being tattooed. <br />- I release the right to any photographs taken of me and the tattoo and give consent in <br />advance to their reproduction in print or electronic form. (For assurance, if you do not initial this <br />provision, please inform the tattoo studio NOT to take any pictures of you and your completed <br />tattoo). <br />- I agree <br />that <br />the <br />tattoo studio has a <br />NO REFUND policy on tattoos, piercing and/or retail <br />sales and I will <br />not <br />ask <br />for a refund for any <br />reason whatsoever. <br />- I agree to reimburse the tattoo studio for any attorneys' fees and costs incurred in any <br />legal action I bring against the tattoo studio and in which either the at of the tattoo studio is <br />the prevailing party. I agree that the courts of the located in the county of San Joaquin within <br />the state of California shall have jurisdiction and venue over me and shall have exclusive <br />jurisdiction for the purposes of litigating and dispute arising out of or related to the 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 grasp that I am signing a <br />legal contract waiving certain rights to recover damages against the tattoo studio. <br />If any provision, section, subsection, clause or phrase of this release is found to be <br />unenforceable or invalid, that portion shall be severed from this contract. The remainder of this <br />contract will then be construed as though the unenforceable portion had never been contained <br />in this document. <br />I hereby declare that I am at least 18 years or older (and have provided valid proof of age and <br />identification) and am competent to sign this agreement. <br />I HAVE READ THE AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT. <br />
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