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SR0081536
Environmental Health - Public
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4100 – Safe Body Art
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SR0081536
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Entry Properties
Last modified
10/8/2024 12:33:16 PM
Creation date
10/8/2024 12:27:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0081536
PE
4103
FACILITY_NAME
SOLA SALON STUDIOS/PINK LUXX MAKE-UP STUDIO
STREET_NUMBER
37
Direction
W
STREET_NAME
YOKUTS
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10220077
ENTERED_DATE
12/17/2019 12:00:00 AM
SITE_LOCATION
37 W YOKUTS AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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body's reaction to the skin being broken during the procedure. I realize that my body is <br /> unique, and my technician cannot predict how my skin may react as a result of this <br /> procedure. <br /> I acknowledge the receipt of written instructions advising me of the proper care of my <br /> procedures and I recognize the absolute necessity for following these instructions. <br /> I acknowledge that the procedure will result in a permanent change to my <br /> appearance and that no representations have been made to me as to the ability to later <br /> change or remove the results. <br /> I understand that future laser treatments or other skin altering procedures, such as <br /> plastic surgery, implants and injections may alter and degrade my Permanent Makeup. I <br /> further understand that such changes are not the responsibility of my technician. <br /> I further understand that such changes in my appearance may not be correctable <br /> through further permanent makeup procedures. <br /> I am aware that cosmetic tattooing is not an exact science, and I acknowledge that <br /> no guarantees have been made to me as to the results of the procedure. <br /> I authorize my technician to obtain pre-procedural and post-procedural photographs, <br /> and give her permission to use such photographs for publication and/or for teaching <br /> purposes, as she chooses. <br /> I understand that tattoos may cause MRI (Magnetic Resonance Imaging) artifacts and <br /> that there may be a warming and/or tingling sensation in the permanent cosmetic <br /> procedural area during the MRI due to the iron oxide properties of some pigments. It is <br /> understood that I should advise my physician that I do have permanent cosmetics (a tattoo) <br /> in the event an MRI procedure is prescribed. <br /> The fee for permanent makeup services has been explained to me and has been <br /> agreed upon. I understand the total fee for services rendered is due upon completion of the <br /> initial procedure(s) or major color change(s). <br /> Due to the fact that your approval is obtained prior to final selection of color to be <br /> implanted and design application(s) to be applied, I have a no refund policy. <br /> For some skin types, permanent makeup may be a multi-session process. In addition <br /> to your initial application you are entitled to a post evaluation appointment. At the post <br /> evaluation appointment, I will determine if a touch-up to the initial application is required. <br /> You must schedule your post evaluation appointment within 45 days after the initial <br /> procedure. <br /> It has been explained to me that immediately after the procedure(s) is completed, the <br /> color will appear darker than when the procedure heals. It has also been explained that <br /> within a short period of time, during the healing process, the color will lighten. <br /> I understand that if needed, a complimentary touch up will be provided if done within <br /> 30 days of the initial appointment. If the touch up is done after the 30 days, an additional <br /> charge applies. <br /> The salon does not guarantee the success of such procedures. Client acknowledges <br /> counsel by the technician as to the probability of success of such procedures. <br />
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