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BODY ART FACILITY INrr(.IION PRrvrNTION AND CONTROL PLAN GUIDELINE <br />II' accti1r►ial)► p with the 1 allfol1114 I Iealth ruul `;Rfely f .nrl�� `�er.tinn I I Q'I IT a horly art facility shall <br />I114411tau► an►t t►.III1►1V a ►willlPn IMP( 11011 I'ilwrnticm Rnr) t,r►nlrcil F'IHn, provided by the owner or <br />eslabllchpti hNIhp p►ac lila+Hely allyl rfynrg pioc erliirn5 to ROJInve comphanr,e with the Safe Body Art <br />Act A cvipv tit the Infpc tu,n I'revpnUun and (:clnlrul l'larr 41all he filed with the F nvironmental Health <br />DWISKMI ani a cofiv maintamed in the body ail facility <br />The b0dV all taciflty owner shall provide onsite training on the facility's Infection Prevention and <br />COMWO Elan to the bmiy ail practitioners and employees or individuals involved with decontamination <br />am stenlizatlon p(oceduies <br />Train" shall be provided when tasks where occupational exposures may occur are initially assigned, <br />an�v there are changes in the procedures or tasks and when new technology is adopted for use in <br />the body all facility, but not less than once each year. Records of training shall be maintained on-site <br />for three years. <br />Name of Body Art Facility: M U J 1 ii g -W Z std, i_-) <br />Site Address: 1-7--1 JAI �1 /a v A " r At /7C4 C' <br />City, State, Zip: X -s <br />Type of Body Art Facility: sai 6 l C(ti, <br />Contact Person: �d,� r �,o 4)VV b!�D Telephone: !70 2q-1 q-42 1 <br />A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br />disinfecting of workstation and surfaces. <br />1. Workstation surfaces/counterftops, ) <br />0110 uce_ <br />2. Workstation chairs/stools: <br />3 <br />I'. <br />ev-J .4v, 6 w.PA. Lk A4, d O k C('e/ - F P , c,-�,4 <br />NMI <br />Travc- <br />Page 1 of 9 <br />