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MEN---04� <br /> bb <br /> ad.'- �.�`. San Joaquin County Environmental Health Department <br /> 1868 E Hazelton Ave . , Stockton CA 95205 <br /> " . � at '� TELEPHONE . 209 68-3420 <br /> Web Site Address . <br /> `�`_�•. . . , . . ;:�:Y ` httos .- //www . sigov . orp/department/envhealth/ <br /> BODY ART FACILITY INFECTION PREVENTION AND CONTROL PLAN GUIDELINE <br /> I n acco rd a nce with th e Californi a H e a lth and Safety Code , Sectio n 119313 , a b ody art facil ity sh a l l <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 rnaintainedi* n 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 /> M -Nor <br /> Name of Body Art Facility: <br /> Site Address : ,.� ✓� �� \ <br /> City, State, Zip : (fA qY 0 z�'/ <br /> Type of Body Art F ciliMkill <br /> � C7 44 <br /> 6� <br /> Contact Person : Cf �}� Tele p h o ne���� 7 ( � O �A . Decontamination and Disinfection : Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces . <br /> 1 . orkst t on surfaces/co nter tops: OM <br /> -Mlin <br /> 2 C - tP1 - <br /> � <br /> 2 . VWorkEit tion chairs/stools. <br /> J1111 <br /> CL C <br /> et, <br /> 41wite ;) <br /> ad 1pw <br /> hk K <br /> si- tj I L <br /> 444 <br /> I L f -Lot IP <br /> T. _1 F) <br /> Page 1 of 9 <br />