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Body All Facility Infection Prevention And Control Plan Guideline <br /> T . Permanent Cosmetic Machine Name and Manufacturer P•ovde the ffrooel name aro mlrber <br /> fnf the ri +maneni comenc machine+. sl used ' Carntorn+a Health and. Safety Code 119311 witpi <br /> or orse rons (2) <br /> NeoTatt ��► - <br /> re- o �clVy W1C411 ,1� S - <br /> _ U. Service Animals : Describe the facility s policy regarding service animal presence ,n procedure <br /> a°•,:;±ntaT +rat•a azv s.es . ¢at cn a`eas + Ca' fem;a Health and Safety Code 119314 t111 <br /> N1A - <br /> hLumam a copy of the completed document in your files Submit one copy to the .local Enforcement <br /> Agency <br /> 1 hereby certify all body art actitioners performing body art at this facility and employees <br /> or individuals - volved with ntamination and sterilization procedures have been trained with <br /> the procedu s and informa ' c tamed in this document To the best or my knowledge and <br /> belief, e s tements ma erein re correct and true. <br /> Signature <br /> tDate�. 07'/25/20 <br /> T+tie Artist 01 ao �� <br /> i. <br /> } <br /> i <br />