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H. Li t, Medical Waste Hauler, Mail-Back System or Alternative Treatment Technology for <br /> the disposal of sharps, containers: <br /> (California Health and Safety Code 11.9314 (e)) <br /> Meoical Waste Hauler <br /> Street Address V-U -bP1 <br /> City, ST, Zip <br /> 1. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierced skin. (California Health and Safety Code 119310 (a) and 11 315) <br /> J. 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 /> r v46- kn faaezd Jove- <br /> in ale,64y solit!�O-A av- L*';t&4:AM- 114 Ot -'gfM�- 5,4Wben 4d &1�td� <br /> - <br /> aye," "66A-Owl mrec]. Ooeal <br /> m -ayd <br /> W k <br /> S7 Kw,kc"0,6 W04"-4- 10 Yvtc;h to's <br /> 'Y'd 04�1-W <br /> K. Disinfection Products: List a disinfectant products used at the body art facility. (California <br /> Health and Safe Code 119301 (k) and 119308 (b)(6)) <br /> C."a 4-1 0-#h-Z'i4L' 4-like <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 to 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 <br /> Temperature Za2 <br /> Psi <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 />