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with MadaCide, solution is left on for 6 minutes to disinfect then thoroughly wiped down. <br /> Q. Trash Receptacles and disposal of contaminated trash: List the type of trash receptacles and <br /> their location throughout the body art facility. Describe the procedure for the disposal of <br /> contaminated items, such as gloves. (California Health and safety Code 119311 (a) and 119314 <br /> (d)) <br /> There are trash cans located in the facility.2 in main procedure area, 1 in small procedure area.When tearing <br /> down workstation after procedure all contaminated items such as gloves, napkins, and ink caps are to be carefully <br /> disposed of immediately after procedure. <br /> R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. Indicate whether the facility maintains a spore test log on-site. (California Health and <br /> safety Code 119315 (b)(2)(4)) <br /> N/A, no use of autoclave <br /> S. Commercial Ink or Pigment Manufacturers: List the manufacturer for the inks or pigments <br /> used at the body art facility. Describe the procedure for dilution of inks. Only sterile water should <br /> be used for dilution of inks or pigments. (California Health and Safety Code 119311 (b)(c)(d)(e)) <br /> Intenze and Dynamic Ink. No dilution of ink is allowed. <br /> T. Permanent Cosmetic Machine Name and Manufacturer: Provide the model name and number <br /> for the permanent cosmetic machine used. (California Health and Safety Code 119311 (i)Q)) <br /> 1. Dagger V-2 Serial #D-12210210 2. Dragon Hawk 7 Strokes Length Battery Pen Fold Pro Serial # <br /> 202308 <br /> U. Service Animals: Describe the facility's policy regarding service animals allowance in procedure or <br /> decontamination and sterilization areas. (California Health and Safety Code 119314 (f)) <br /> Only service animals are allowed. Service animals are to remain in one designated seat/area, The seat/area is to be <br /> sprayed with MadaCide or CavaCide, solution is left on for 6 minutes to disinfect then thoroughly wiped down. Procedure <br /> area floors are to be swept and mopped after service animal leaves facility. <br /> Maintain a copy of this document in your files. Submit one copy to the Local Enforcement Agency. <br /> 1 hereby certify that all body art practitioners performing body art at this facility and <br /> employees or individuals involved with decontamination and sterilization procedures have <br /> been trained with the procedures and information contained in this document and to the best <br /> of my knowledge and belief, the statements made herein are correct and true. <br /> Page 8 of 12 <br />