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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 /> fna�-A,- j 1 \�t\as\ - <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 (f)). <br /> 11�(Ir <br /> ,Aeo_ <br /> —cl Y) IV,- VJ CA VnVC73 <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 individuals 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 /> I <br /> Signature: Date: <br /> Title: <br /> Paqe 8 of 11 <br />