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used at the facility. Describe the procedure for dilution of inks. Only sterile water should be <br /> used for dilution of inks or pigments (California Health and Safety Code 119311 (b)(c)(d)(e)). <br /> • Tina Davies Permablend ink <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and <br /> number for the permanent cosmetic machine(s) used (California Health and Safety Code <br /> 119311 (i)(j)). <br /> mark wireless pen <br /> Service Animals: Describe the facility's policy regarding service animal presence in procedure, <br /> decontamination, and sterilization areas (California Health and Safety Code 119314 (f)). <br /> • service animals under no circumstances are to be near a area that is/was <br /> decontaminated or sterilzed. <br /> Maintain a copy of this completed document in your files. Submit one copy to the local <br /> Enforcement agency. I hereby certify that all body art practitioners performing body art at <br /> this facility and employees or individuals involved with decontamination and sterilization <br /> procedures have been trained with the procedures and information contained in this <br /> document. To the best of my knowledge and belief,the statements made herein are correct <br /> and true. <br /> Signature: Date: <br /> Title: <br />