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H. List the Medical as Hauler, Mail-Back System or Alternative Treatment Technology for <br /> the disposal of sharps containers: <br /> Medical Waste Hauler <br /> Q, o%n a(,"x,,-A- <br /> . - i <br /> P . <br /> Street Address 08 'f� - �1-I iq pi Ila i <br /> City, ST, Zip n &, n r- iu <br /> -7 5 C43 I <br /> 1. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierced skin. <br /> lt(c UAL <br /> J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br /> Indicate whether instruments are manually washed or machine washed, such as with an <br /> Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br /> such as Tergazyme. <br /> K. Disinfection Products: List the disinfectant products used at the body art facility. <br /> \AAV <br /> v 60rLA V1 <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. <br /> Time <br /> Temperature <br /> Psi <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. <br /> .............. <br /> Ja:RB G:1Adm1n\HAZMAT\FORMSkMED1CAL WASTE&BODY ARTMnfection Prevention and control Pian Page 5 of 9 <br />