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H. List the Medical Waste Hauler, Mail-Back System or Alternative Treatment Technology for <br /> the disposal of sharps containers: <br /> (California Health and Safety Code 119314 (e)) <br /> Mu -FctciiiiAu '�using a wail miry_ System +beet will have <br /> a new Shares (q)tg(Lar- delWere_d $i -weeldu Or A t W'Wk S <br /> paMM9-e. °� �naxs an rncttl IvaU� ek- �zcu i Aj tSp6Scc1. <br /> IVTedica ase auler SYv„ros ,A-scL,re_ <br /> Street Address 32-1-2) Pc Ithrfleld -PaUn'yy- lo. <br /> City, ST, Zip freehold W3 , &'o(o-85ga ,Sharps c shcArXcssurecaF� <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 /> M�.r`t k'�S haF Qf+er X1 5 <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 /> pnu ,Fur;1i-w M uses gyne Larne u&e pre- SteMki:b-cd <br /> needles and J(NSJiYt..cm -tS � rlor)' r Or VSe can <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 /> Iviu -ffi u_I� t�_CCAVt .ide surPuce 6t! tmfec_ not <br /> Ck6n-er' CgS well n cn�wt�es ra`S'� ec iin G -1oWe li° tY�S. <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 <br /> Temperature <br /> Psi <br /> Mu 47r-±cp1x+(3 c4GPs N* use Ciuto I(AV <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. (California Health and Safety Code 119308 (a) and 119309 Q)) <br /> Page 5 of 10 <br />