BODY ART TEMPORARY EVENT SPONSOR APPLICATION PACKET

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BODY ART TEMPORARY EVENT SPONSOR APPLICATION PACKET Attached are instructions for event sponsors and body artist participants. The information should be read carefully. The sponsor must work with the Kern County Environmental Health Division (KCEHD) to ensure that artists and vendors are in compliance with applicable laws and guidelines. Sponsors are responsible for obtaining all necessary permits to conduct business in the jurisdiction where the event will be held. They shall also meet all requirements described in the California Health and Safety Code (Section 119318) such as providing access to a hand wash areas and restrooms, supplying sharps containers for each demonstration booth where body art procedures are offered, ensuring frequent trash pickup, and providing available backup supplies and acceptable sharps disposal. The Body Art Event Sponsor must submit an application to obtain a Body Art Temporary Event Permit which entails a sponsor fee and a fee for each workstation where body art procedures may be done. Operating without being registered or operating a temporary event without a permit is a misdemeanor. In addition to the penalties available pursuant to Article 6 (commencing with California Health and Safety Code Sec. 119323), a sponsor or practitioner who violates this subdivision shall be subject to closure of the temporary body art event. Event sponsors must insure that all artists who participate in the event are registered with KCEHD to engage in the practice of body art (see instructions that follow). The sponsor should have all participating body artists provide proof of a current California body artist registration certificate or submit a completed Body Art Registration Application by the artist at least two weeks prior to the event. If the artist fails to submit these documents two weeks prior to the event, it will be at the discretion of the KCEHD to determine if he/she may be eligible to register and participate. If an artist is not actively registered in California, an Annual Registration Fee ($140.00) must be included with the application for each new artist participant. Artists operating without valid registration are subject to a misdemeanor and will be ordered to cease and desist performing any body art procedures If your event will have food vendors, check with the Kern County Environmental Health Food Program to see if a food vendor s special event packet is required. All forms must be completed and submitted to KCEHD, 2700 M Street, Suite 300, Bakersfield, CA 93301, for processing. Please submit applications at least 30 days prior to event. If you have any questions, please call our Solid Waste Fiscal Support Specialist at (661) 862-8740. Thank you for your cooperation, and we hope you have a successful event.

BODY ART TEMPORARY EVENT SPONSOR RESPONSIBILITIES 1. Submit application and fees 30 days prior to event. 2. Work closely with the Kern County Environmental Health Division to assure a safe and successful event. 3. Be familiar with each artist s operation, and the Kern County Body Art Temporary Event Requirements. 4. Provide documentation on an active California registration for all body artists performing body art procedures at the event. 5. Ensure that the requirements for the facility, each demonstration booth (10ft. X 10ft.), and cleaning area are met (see below). 6. Provide the KCEHD with the following: a. Completed Body Art Event Sponsor Application. b. Booth and artist list which includes (see attached): 1) Booth # or Location which should be clearly defined on the floor layout 2) Booth name(s) in which artist will provide body art. 3) Name, address, and phone number of person in charge of booth. 4) Number of work stations per booth (min. 50 Sq. ft. each). 5) Artist Names within each booth. 6) Registration Number received from the KCEHD (or other California LEA). 7) Documentation of valid registration for each participating body artist. c. SITE MAP that includes the location of (see attachment): 1) Each booth (with work stations offering body art procedures). 2) Location of restrooms. 3) Artist-only hand wash stations. 4) Location of cleaning and sterilization area (if provided). 5) Vendor supply locations

FACILITY REQUIREMENTS BODY ART TEMPORARY EVENT REQUIREMENTS 1. Obtain all necessary permits to conduct business in the jurisdiction where the event will be held, including, but not limited to, valid permits issued by a local enforcement agency. 2. Shows, conventions and educational demonstration events must be held in permanent building large enough to enclose the entire event. 3. Event must have access to potable water supply. 4. Restrooms must have flush toilets supplied with toilet paper and hand wash sinks supplied with potable hot and cold running water, soap and single-use paper towels to which practitioners have direct access. 5. There must be sharps waste containers for each demonstration booth. 6. Frequent trash pickup from demonstration booths. 7. The name, telephone number and directions to an emergency room near the body art temporary event shall be posted in a conspicuous location. 8. Certain supplies must be available to the body art practitioners at your event. The supplies that must be on-hand for purchase include, but are not limited to: Pre-sterilized needles, pre-sterilized tubes, presterilized piercing equipment, plastic bags, barrier film, clip cord coves, plastic wrap, ink caps, nitrile and latex gloves, single-use tubes of water based and petroleum based lubricants and absorbent dressing materials. 9. Standard client consent forms, medical history forms, aftercare instructions and single-use instrument logs shall be available for the practitioner. 10. Commercial self-contained hand wash stations are required for every 2 booths. Each hand wash station shall consist of at least: a. Partitions at least three feet in height. b. Containerized soap c. Single use paper towels. d. A storage capacity of five gallons or more of potable water. e. An interior container to catch wastewater. f. Trash receptacle g. Must be away from public access and signs posted that hand sinks are for artist s use only. DECONTAMINATION AND CLEANING AREA REQUIREMENTS The decontamination and cleaning area must be separated from any procedure area by at least five feet or by a cleanable barrier. This area should include: 1. Autoclave. 2. Biohazard sink with hot and cold running water. 3. Work area. 4. Ultrasonic cleaning device. 5. Personal protective equipment to minimally include: disposable face guard/eye protection, disposable gloves and disposable plastic aprons.

DEMONSTRATION BOOTH & WORK STATION REQUIREMENTS A Body Art Temporary Event Demonstration Booth" is a demonstration booth that meets all the requirements defined by Section 119317 of the California Health and Safety Code and is no more than 10 foot by 10 foot (10 X10 ) in size. (Kern County Ordinance, Title 8, Section 8.04.010). 1. Have floor space of at least 50 square feet for every practitioner working in that booth. 2. Floor, tables and chairs must be non-porous and easily cleanable. 3. Used exclusively for performing body art. 4. Constructed with a partition of at least three feet in height separating the procedure area from the public. 5. Equipped with adequate light available at the level where the practitioner is performing body art. 6. Sharps waste containers for each demonstration booth. 7. Shall not allow animals within the confines of the booth. 8. Be free of insect or rodent infestation. ARTIST REQUIREMENTS 1. Artist must have current Certificate of Registration issued by KCEHD (or other California LEA). Certificate may be displayed or in a folder. te: If certificate is issued by a jurisdiction outside of Kern County, it is valid in Kern County for no more than five consecutive days, or 15 days total, in any one calendar year. 2. If an artist is not actively registered in California, then a completed Kern County Body Art Registration Application (with fees) must be submitted by the artist at least two weeks prior to the event. 3. Photo Identification. Make available upon request by the inspector. 4. Evidence of blood-borne pathogens training (BBPT) taken within a year of the date of the event. Certificate may be displayed or in a folder. te: If obtaining your Certificate of Registration from Kern County you must obtain your BBPT from an approved provider. See list of Kern County approved trainers. 5. Artist shall not offer or apply a tattoo to any person under eighteen (18) years of age, regardless of parental consent. 6. Use only approved equipment; instruments that are not of safe design may be subject to impoundment. 7. Use appropriate personal protective equipment while performing body art procedures. a. At a minimum this includes the use of non-latex or nitrile gloves, latex gloves are approved for piercing activities or cleaning activities only. 8. Artists shall properly cover or bag their tattoo machine and clip cord when in use, and use barrier film or bags for other procedural items. 9. Artists shall not smoke, eat or drink while performing a body art procedure. 10. Artist shall have after care and consent forms provided to customers for procedures. 11. Artists shall clean and disinfect client chair, table and tattoo machine between clients. a. Acceptable disinfectants include Opti-cide 3, Madacide, EcoTru Professional or any EPAregistered hospital-grade cleaner and disinfectant.

INSTRUCTIONS FOR AN ACTIVE CALIFORNIA REGISTERED ARTIST For all active California Registered Body Artists, the following documents must be submitted to the Event Sponsor prior to preforming body art at a temporary event in Kern County: 1. Current Proof of Body Art Registration Certificate 2. Current Blood-Borne Pathogen Certification 3. Hepatitis B Vaccination Records or Signed Hepatitis B Declination Form 4. Proof of Identification 5. Completed Body Artist List (per booth) The KCEHD will confirm that each artist is actively registered with the county that they operate in. If a registration is not active or inaccurate, the artist will not be allowed to perform body art at the temporary event. INSTRUCTIONS FOR A NEW BODY ARTIST REGISTRATION To legally engage in body art activities in Kern County, all participating body artists must comply with both State of California Health and Safety Codes and Kern County Ordinances. California Health and Safety Code Section 119306(b) requires all who perform body to be registered with the local enforcement agency (KCEHD). In addition, Kern County Ordinance 8.04 requires a fee for body artist registration. All body artists participating in the event who are NOT actively registered in California must complete the KERN COUNTY TATTOOING, BODY PIERCING, PERMANENT COSMETICS & BRANDING APPLICATION FOR REGISTRATION. An artist will complete the application for registration and obtain Blood-borne Pathogen Training from an organization on the approved list of Kern County Blood-borne Pathogens trainers. They may obtain an updated list of trainers on our website at: https://kernpublichealth.com/body-art/ The application must provide the required fee, documentation of Hepatitis B vaccination (or Declination see below), and a copy of a current (within the last year) Blood-borne Pathogens Training Certificate to the event sponsor who will forward it to KCEHD. For all artists registering in Kern County, an annual registration fee of $140.00 must be included with the application. Payment can be in the form of a check, credit card via phone, or money order made payable to the Kern County Environmental Health Division. All registration applications and fees should be submitted at least two weeks prior to the event. If the artist fails to register two weeks prior to the event, it will be at the discretion of the KCEHD to determine if he/she may be able eligible to register and participate. Registration applications submitted without fees will not be processed and the practitioners will not be allowed to work. If a body artist applies for a registration for the first time, he/she will receive a Certificate of Registration (with Registration Number) either at the beginning of the event or by mail to the address provided on the application. If you have any questions, please contact the Solid Waste Fiscal Support Specialist at (661) 862-8740.

BODY ART TEMPORARY EVENT SPONSOR APPLICATION 1. Name of Event: Date(s): 2. Location: Facility Contact Name: Direct Phone: 3. Time of Setup: Hours of Operation: 4. Event Sponsor Name: Phone: Address: Email Address: 5. Event Contact Name: Title: Direct Phone: Address: Email Address: 6. Number of demonstration booths: Number of work stations offering body art: 7. Number of artists offering body art: 8. Have all body artists been advised of the Kern County Environmental Health Division Requirements, as stated in the California Safe Body Art Act (AB 1168)? (initials) 9. Have all body artists been advised of the work station and registration fees required by the Kern County Environmental Health Division? (initials) 10. Who will pay the demonstration booth fees to Kern County Environmental Health Division? Event Sponsor Event Contact: (initials) 11. Will there be any food vendors with this event? If yes, do all food vendors have the required temporary event health permits? 12. Will there be a planning/safety meeting for body art participants? If yes, Date Time Location If no, state reason: 13. Will cleaning and sterilization facilities be provided for body artists? Where will these facilities be located? Date/Result of Last Biological Indicator Test: If no, you must communicate the necessity for each artist to bring enough disposable equipment to do the entire event. If an artist should run out of sterilized equipment, they must cease offering body art. I understand this requirement. (Initials)

14. Do the restroom facilities within the building have hot & cold running water? Number of flush toilets: Number of Public Hand Wash Sinks: Where are the restrooms located? 15. Drinking water source: Public Water Supply Approved Private/Well Water 16. Who is your Licensed Medical Waste Disposal Co.? Name and telephone number of medical waste hauler 17. Describe method garbage/trash disposal (including frequency of pick-up): 18. Will there be any body suspension demonstrations? 19. Will there be any branding at the event? Fee Schedule: Make checks payable to: KCEHD Computation of Fees Event Sponsor Fee per event Event Sponsor Registration Fee $375.00 Fee: Applicant/Sponsor Demonstration Booth Signature Fee (each) $130.00 Fee: (Date) Total: BODY ART SPECIAL EVENT RULES AND GUIDELINES Fee Amounts Valid Effective July 1, 2018 I declare or certify under the penalty of perjury that the foregoing is true and correct. I have read, understand and will abide by the Kern County Environmental Health Division Requirements, as stated in the California Safe Body Art Act (AB 1168). All fee shall be submitted before 30 days of the event. The KCEHD has the discretion to determine if a body art practitioner may be able eligible to register and participate. Failure to adhere to AB 1168 or the KCEHD Requirements may lead to potential violations, penalties or issuance of a cease and desist order against any body art activities conducted at the venue. Event Sponsor/Contact Name (printed): Date Paid: Event Sponsor/Contact Signature: Signature Date:

Demonstration Booth and Artist List Booth Name: (Each Booth Fee: $130.00) Booth #: Booth Location at Event: Number of Work Stations at Booth: PERSON IN CHARGE of booth: Name: Phone Number: Address: Email Address: Artist Name Body Art Practitioner Registration # Hep B * BBP Training* Photo ID* Local Artist County Where Registered Contact Number: Contact E-mail: *ALL DOCUMENTS MUST BE INCLUDED BEFORE AN ARTIST CAN PARTICIPATE AT A TEMPORARY EVENT.

HEPATITIS B DECLINATION FORM California Health and Safety Code, Section 119306 (c) (1) Hepatitis B Vaccine Declination I understand that due to my occupational exposure to blood or other potentially infectious materials, I may be at risk of acquiring Hepatitis B Virus (1-IBV) infection. I have been given the opportunity to be vaccinated with Hepatitis B vaccine, at no charge to myself. However, I decline the Hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with Hepatitis B vaccine, I can receive the vaccination series at no charge to me. Printed Name: Signature: Date: Revised (02/23/16)

TEMPORARY BODY ART EVENT: SITE PLAN MAJOR ITEM LEGEND SYMBOL ITEM 1 Demonstration Booth (10 X10 ) 2 Work Station (50 Sq ft. each) 3 4 5 6 7 8 9 10 11 12 Restrooms Artist Only Hand Wash Sinks (Every 2 booths) Cleaning & Sterilization Area (if provided) Vendor Supply Locations Sharps waste containers Trash Receptacle INSTRUCTIONS 1. Design the site plan of the entire temporary body art event.. 2. Classify each item symbols by where they will be located. 3. Commercial self contained hand wash stations are required S for every 2 booths. 4. Have floor space of at least 50 square feet for every practitioner working in that booth. DESCRIPTION OF FLOOR: DESCRIPTION OF TABLES: DESCRIPTION OF CHAIRS: Complete & Correct Site Plan: Sign: Date: Partition Wall: Floor to Ceiling Wall: