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Body Art Facility Infection Prevention And Control Plan Guideline <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine(s)used(California Health and Safety Code 119311 (i)0)). <br /> U. Service Animals: Describe the facility's policy regarding service animal presence in procedure, <br /> decontamination,and sterilization areas(California Health and Safety Code 119314 <br /> ,)ON( . , (MAVk� a V, LA�l U\ PCi \'O ua-CA rh ne� aNiCt <br /> Maintain a copy of this completed document in your files. Submit one copy to the Local Enforcement <br /> Agency. <br /> I hereby certify that all body art practitioners performing body art at this facility and employees <br /> or indWduals involved with decontamination and sterilization procedures have been trained with <br /> the procedures and information contained in this document. To the best of my knowledge and <br /> belief, the statements made herein are correct and true. <br /> Signature: Date: <br /> Tide: O wrwr <br /> Pape 8 of 11 <br /> ------------------ ---------- <br /> Scanned with <br /> CamScanner <br /> -------------............. <br />