The document outlines the steps and sanitation procedures for various spa services including manicures, pedicures, facials, waxing, and makeup. Proper sanitation is emphasized as the first and most important part of any treatment, including washing hands, disinfecting tools between clients, and setting up a sanitary maintenance area. The document then details the specific steps and tools used for manicures, pedicures, facials, waxing, and applying makeup.