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Page 7 of 7 <br /> Maintain a copy of this document in your files. Submit one copy to the local enforcement agency. <br /> I hereby certify that all body art practitioners performing body art at this facility and employees or <br /> individuals involved with decontamination and sterilization procedures have been trained with the <br /> procedures and information contained in this document and to the best of my knowledge and belief,the <br /> statements made herein are correct and true. <br /> Signature: Date: <br /> 1/22/2013 <br />