After Client/end Of Day/weekly Pedicure Equipment Cleaning And Disinfecting Log Template
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1AFTER CLIENT/END OF DAY/WEEKLY
PEDICURE EQUIPMENT CLEANING AND DISINFECTING LOG
CHAIR/TUB # ____________
Name of Establishment
License Number
Month
WHEN/WHO
CLEANED
WHEN/WHO
CLEANED
Check One
Check one
Date
Time
Initials
Date
Time
Initials
I certify under penalty of perjury under the laws of the State of California that all statements furnished in connection with this log are true and accurate.
_____________________________________
___________________________
Signature
Date
NOTE: End of day and weekly cleaning not required for "Non-Whirlpool Foot Basin" or "Tubs", defined as any basin, tub, footbath, sink and
bowl – and all non-electrical equipment that holds water for a client's feet during a pedicure service.
REV 5/2008 BBC 14
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