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(14 <br />LD <br />0) <br />M <br />N <br />O <br />U <br />a <br />U <br />m <br />c <br />(o <br />a <br />E <br />O <br />U <br />N <br />U <br />O <br />rZ <br />U <br />a) <br />(n <br />N <br />O <br />LO C_ <br />0') �6 <br />Q -C <br />U Cn <br />o ani <br />o y <br />m .3 <br />c0 <br />rn Q. <br />c � <br />`a <br />(u (n <br />= 3 <br />a- <br />0 <br />CD a <br />co _ <br />a) <br />00 N ~ <br />O pp <br />N <br />�7 O <br />>0 _ <br />N .Q 0 <br />U Q a. <br />List the Medical <br />W <br />the dis "'Hauler <br />pia Hl of sharps containers. <br />System or Alternative Treatment Technology for <br />(California Health and Safety Code 119314 (e)) <br />Medical waste Hauler <br />Street Address> Vv VI <br />Uf) E. ' '0 !J KtUE <br />City, ST, Zip <br />SterilizationJewelry,Describe the procedureforthesterilization ofi <br />sewelrypriortoplacinginto <br />newly pierced skin. (CalltomiaHealth <br />"' LY ffland Safety lode 119310 (a) and 119315) <br />1�1 4� IA 4, It TTtFfL <br />Sterilization Equipment List the equipment used in 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 />1 w, 11 lm 1 LTU 1" E MIIPIH1r {}� C <br />til0 ,�c <br />'fine and Temperature; List the duration of time and temperature of the autoclave required for <br />he sterilization of clean instruments. Indicate whether a sterilization log is maintained on-site <br />ndicafe whether each sterilizafion load is tested using Class 5 integrators. (California Health and <br />lafely Code 119315 (b)(3)(5)) <br />rsonal protective Equipment; List the personal protective equipment used during a body art <br />rcedure. (California Health and Safety Code 119308 (a) and 119309 ij)) <br />L0 <br />N <br />O <br />OD <br />a) <br />0) <br />M <br />0— <br />U) <br />S <br />LU <br />t <br />m <br />C <br />_Q <br />C: <br />(0 <br />cn <br />