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H. List the Medical Waste Hauler, Mail-Back System or Alternative Treatment Technology for <br /> the disposal of sharps containers: <br /> (California Health and Safety Code 119314 (e)) <br /> Medical Waste HaulerC 14k%nC e_ C ke ti;1, 2e we <br /> 7e- q <br /> Street Address 71 701 7r 1!5 <br /> City, ST, Zip K p-o OK 'a.v_P,51 ct c M <br /> 1. Sterilization of Jewelry: Describe the procedure for the sterilization of jewielry prior to placing into <br /> newlypierced kin. (California Health and Sfety Code 119310 (a) and 119315) t44-0 <br /> ?3,L rd akid <br /> J. Sterilization Equipment: List the equipment used iri the decontamination and sterilization room <br /> and descdbe 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 Terga e. (California Health and Safety Code 119309 (b)(e)(g), 119314 (c), and <br /> 119315 (b)) <br /> C ple <br /> V'A K f <br /> K. Disinfection Products: List the disinfectant products used at the body art facility. (California <br /> Health and Safety M Code 11�301�k) nd119308 (b)( <br /> ; e OL ado, C 4ro 2c, vo("-n Cr -e- -------- <br /> 7 <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. Indicate whether a sterilization to is maintained on-site. <br /> Indicate whether each sterilization load is tested using Class 5 integrators. (California Health and <br /> Safety Code 119315 (b)(3)(5)) <br /> Time 3 0 Mss_ <br /> Temperature <br /> ,VI— <br /> Temperature 2 go <br /> Psi <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. (California Health and Safety Code 119308 (a) and 119309 6)) <br /> Page 5 of 10 o,+e r <br />