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San Joaquin County Environmental Health DeparRIEC E I V E <br /> 1868 E Hazelton Ave., Stockton CA 95205 <br /> TELEPHONE: 209-468-3420 <br /> lop <br /> Web Site Address: FEB 18 2020 <br /> https://www.slgov.org/department/envhealth/ <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> BODY ART FACILITY INFECTION PREVENTION AND CONTROL PLAN GUIDELINE <br /> In accordance with the California Health and Safety Code, Section 119313, a body art facility shall <br /> maintain and follow a written Infection Prevention and Control Plan, provided by the owner or <br /> established by the practitioners, specifying procedures to achieve compliance with the Safe Body Art <br /> Act. A copy of the Infection Prevention and Control Plan shall be filed with the Environmental Health <br /> Division and a copy maintained in the body art facility. <br /> The body art facility owner shall provide onsite training on the facility's Infection Prevention and <br /> Control Plan to the body art practitioners and employees or individuals involved with decontamination <br /> and sterilization procedures. <br /> Training shall be provided when tasks where occupational exposures may occur are initially assigned, <br /> anytime there are changes in the procedures or tasks and when new technology is adopted for use in <br /> the body art facility, but not less than once each year. Records of training shall be maintained on-site <br /> for three years. <br /> Name of Body Art Facility: Mltmsc � <br /> wr\� <br /> Site Address: 20 \rA - 06'0��l <br /> City, State, Zip-- :�� Ula- 963:l ji <br /> Type of Body Art Facility: I !C.Q bIaC ►,au-, - <br /> C) <br /> Contact <br /> u - <br /> Contact Person: Snama Telephone: 2kR--(o a-04"L <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfaces/counter tops: <br /> 2. Workstation chairs/stools: <br /> Page 1 of 9 <br />