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San Jo uin County Environmental HealthDepartment <br />8 E Hazelton Ave., Stockton CA IN05 <br />TELEPHONE: 209-468-3420 <br />Web Site Address: <br />https://www.sigov.org/department/envhealth/ <br />In accordance with the California Health and Safety Code, Section 119313, a body art facility shall <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 maintained in 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 />Name of Body Art Facility: kJoh Dc & t6, <br />Site Address: <br />City, State, Zip: .(M C t -M k) 166 qS7,&� <br />Type of Body Art Facility: I" M <br />Contact Person: o Telephone: 9 &4q- Yj J f <br />A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br />disinfecting of workstation and surfaces. <br />1. Workstation surfaces/counter tops: <br />1119pip/ y _rD MIS <br />2. Workstation chairs/stools: <br />r <br />Page 1 of 9 <br />