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01/30/2013 13:59 209836 TIP PRINTING PAGE 02 <br /> disposable instruments. Describe the record keeping logs and procedure logs maintained on-site <br /> when using 100% pre-sterilized, single-use and disposable instruments. (California Health and <br /> Safety Code 119309 and 119315) <br /> 1. Needle tubes: <br /> �/Lnf� tM<_77M �ilF O✓VLL• A/"r"VV�i�/��,'.�''-"' '~O fiTLJ6 _ A%JfILC22 7V <br /> d'r r'A ted(ECO r�. -l)t +vim 7v - <br /> a r'nA,0-mi nrc-,o a u . <br /> 2. Calipers: <br /> N If <br /> 3. Other instruments: <br /> N/A <br /> C. Storage: Describe the storage location and equipment used for the storage of clean and sterilized <br /> instrument peel packs to protect the packages from exposure to dust and moisture. (California <br /> Health and Safety.Code 119315 (c)) <br /> /S .rrCr 1 N 17,4r Z o <br /> 0rA- .r/rs Lsru% &_F fINC �04r M/FOR -G4A wiLvp�x Erc ) M�Sct9n/ <br /> /4wP ryg, r n cpr iN a i Qa ra ;sia,,.Aex A7 rh o -ET-.t=a iaaM <br /> PAAW07¢SPRGE rTjR Gam+ O-f <br /> D. Set Up and Tear Down of Workstation: Describe the procedure for setting up and tearing down <br /> the workstation for the following procedures. (California Health and Safety Code 119308, 119309 <br /> (c), 119311, and 119313 (b)(4)) <br /> 1. Tattoo: <br /> .1 4ZM r4 L A44 //S/'l G C- r e.2 o/1' .O are &me W � <br /> n •1i h/ /z<C dzP A .DIs-esu 3 r tz && n n" ASmyticrLICCI' A tm w) , 146V2 .4 S= y',e A" Z=- ' <br /> Y/�•Yt'Di M/lrw-rn/�s a yg, it�l w.r5ty -*A/- �°C.�.�-4' iC-. J .:r A-A,n '71-A!®'S. <br /> rrS r?�c,ceru✓ ?7 reC -r�sc � sE r v/ �v���rr+i�b L- CAjjv',O Curs AVV =F1eA��n W Fav <br /> 2. Piercing: 11 "� r�'�Fs t ,�.rM^/C'�. DU2tnl6 SST VP f�'�CLrlt�L <br /> /✓/!-f WASHF-, 0.5 17hA,0.S pG;.s on., Cc 0 Vr-r Sea"J 0,4Aw .r!-c.c. s u <br /> PLASTc( W • <br /> 3. Permanent Cosmetics: <br /> X114 <br /> Page 3 of 10 <br /> Received Time Jan, 30. 2013 2: 04PM No. 0453 <br />