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Food Handlers Guide
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...........Pg 18 Appendix B: Sample Cleaning Schedule.............................................. ... repair. Have a cleaning schedule for all equipment (see sample cleaning schedule in Appendix B). Some equipmentURL/globalassets/health/media-library/documents/inspections-and-reporting/forms/environmental-health/foodhandlerguide-2015
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BIH Referral Form
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Outreach- Health fair □ Media □ BIH Staff Outreach- Street □ Other: ______________________ For provider-based ... Name of Referring BIH Staff (if health fair or street outreach): _____________________________________________________URL/globalassets/health/media-library/documents/services/directory/maternal-and-child-health/--bih--recruitment-form-2016
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Mobile Food Facility Route Sheet
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Mobile Food Facility Route Sheet ... year TIME DAYS Check (√) the days for each schedule ADDRESS BUSINESS NAME BATHROOM ACCESS (Y/N)URL/globalassets/health/media-library/documents/inspections-and-reporting/forms/environmental-health/route-sheet-edit-7-12-10
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Clinic Fees
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Clinic ... MASTER FEES AND CHARGES SCHEDULE DEPARTMENT: HEALTH & HUMAN SERVICES ... California Workers’ Compensation Official Medical Fee Schedule; and/or the latest revision of the CMA CRVS (CaliforniaURL/globalassets/health/media-library/documents/services/clinics/heath-and-human-services-fee-schedule-fy2014-05202014
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Adult Case Report Form
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Section) (Required as Appropriate Based on Status) Street Address: City: County: State/Country: ZIP Code:Address ... Diagnosis Address of Residence at AIDS Diagnosis Street Address: City: County: State/Country: ZIP Code:URL/globalassets/health/media-library/documents/planning-and-research/reports/hiv-reports/adult-case-report-form
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Food Inspection Program Brochure
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the Mobile Food Vehicle Inspection Program. To schedule a vehicle inspection appointment, please call ... Mobile Food Vehicle Inspection Program To schedule an appointment for inspection or permits (562)URL/globalassets/health/media-library/documents/services/directory/food-safety-and-inspections/foodinspbroeng
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Resource Directory
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... 570-3300 Housing Authority 521 E. 4th Street (90802)............................... 570-6985 ... Mul-Service Center for the Homeless 1301 W. 12 th Street (90813) ......................... 570-4500 PublicURL/globalassets/health/media-library/documents/services/directory/about-us/resource-directory
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TB_CMR
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Patient Name - Last Name Home Address: Number, Street City Home Telephone Number First Name MI Apt ... Reporting Health Care Provider Address: Number, Street Suite/Unit No. City Telephone Number State ZIPURL/globalassets/health/media-library/documents/diseases-and-condition/reporting-requirement/tb-laws-and-regulations/tb_cmr
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CMR_DMV
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Patient Name - Last Name Home Address: Number, Street City Home Telephone Number First Name MI Apt ... Reporting Health Care Provider Address: Number, Street Suite/Unit No. City Telephone Number State ZIPURL/globalassets/health/media-library/documents/diseases-and-condition/reporting-requirement/confidential-morbidity-reports/cdph110c_clb042011
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Food Safety Program
Documents
FOOD SAFETY PROGRAM BUREAU OF ENVIRONMENTAL HEALTH Our goal is to ensure the ... FACILITIES Mobile food facilities include trucks, carts, street food vendors and vending machines. MEHKO MicroenterpriseURL/health/inspections-and-reporting/inspections/environmental-health-bureau/food-safety-program/
