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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 /> Medical Waste Hauler 14AO <br /> Street Address I IV llim' gwE <br /> City, ST, Zip 4AXtOALV% <br /> 1. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierce <br /> skin. (California Health and Safety Code 119310 (a) and 119315) <br /> 9 <br /> 91 <br /> J. Sterilization Equipment: List the equipment used ift 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 /> Of IJAXJ N k3 11g, & u Mi e&L u An. <br /> K. Disinfection Products: List the disinfectant products used at the body art facility. (California <br /> Health and Safet Code 119301 (k) and 119308 (b)(6)) <br /> I & I We 4-y—SaL s W i St4k, 6A 91—L <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 A <br /> Temperature A <br /> Psi F-1 <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 (j)) <br /> Page 5 of 10 <br />