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Medical Waste Hauler <br />Street Address <br />City, ST, Zip <br />SHARPS ASSURE <br />845 TOBIN AVE <br />LAKEWOOD, NJ. 08701 <br />I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br />newly pierced skin. (California Health and Safety Code 119310 (a) and 119315) <br />N/A <br />J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br />and describe 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 Tergazyme. (California Health and Safety Code 119309 (b)(e)(g), 119314 (c), and <br />119315 (b)) <br />N /A <br />K. Disinfection Products: List the disinfectant products used at the body art facility. (California <br />Health and Safety Code 119301 (k) and 119308 (b)(6)) <br />- Green Works All -Purpose Cleaner <br />- Green Soap <br />- CaviCide <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 log 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 N/A <br />Temperature N/A <br />Psi N/A <br />M. Personal Protective Equipment: List the personal protective equipment used <br />procedure. (California Health and Safety Code 119308 (a) and 119309 (j)) <br />- Gloves - Hairnet - Safety Glasses - Mouth Guard <br />Page 6 of 12 <br />during a body art <br />