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SR0087001
Environmental Health - Public
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4100 – Safe Body Art
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SR0087001
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Entry Properties
Last modified
9/1/2023 11:28:31 AM
Creation date
9/1/2023 9:50:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0087001
PE
4103
FACILITY_NAME
MY SALON SUITES
STREET_NUMBER
5759
STREET_NAME
PACIFIC
City
STOCKTON
Zip
95207
ENTERED_DATE
7/27/2023 12:00:00 AM
SITE_LOCATION
5759 PACIFIC B145
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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- I agree to reimburse Adorn Beauty Ink LLC for any attorneys' fees and costs <br />incurred in any legal action I bring against Adorn Beauty Ink LLC and in which either the <br />Artist of Adorn Beauty Ink LLC is the prevailing party. I agree that the courts of located in <br />the County of within the State of shall have <br />jurisdiction and venue over me and shall have exclusive jurisdiction for the purposes of <br />litigating any dispute arising out of or related to this agreement. <br />- I acknowledge that I have been given adequate opportunity to read and <br />understand this document that it was not presented to me at the last minute and grasp <br />that I am signing a legal contract waiving certain rights to recover damages against <br />Adorn Beauty Ink LLC and artist (s). <br />Jennifer Bou can release me at any time from any future services if she feels <br />policies or procedures are not being followed. <br />have read and fully understand the contents of each paragraph above. <br />acknowledge that this is a legal and binding contract and that i have received no <br />warranties or guarantees. I further acknowledge that at the time of signing this <br />consent to this procedure (s), I was capable of making independent decisions for <br />myself. <br />Client signature: <br />Tattoo Artist: Jennifer Bou. Date: <br />ADORN BEAUTY INK <br />Date: <br />
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