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Food Handlers Guide
Documents
...........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
Documents
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
Documents
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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Adult Case Report Form
Documents
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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Clinic Fees
Documents
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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Food Inspection Program Brochure
Documents
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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TB_CMR
Documents
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
Documents
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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Resource Directory
Documents
... 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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Class A Registration Form
Documents
Class A Registration Form ... listed in the current telephone directory then a street address must also be declared. (A contact phoneURL/globalassets/health/media-library/documents/services/directory/food-safety-and-inspections/cottage-foods/mandatory14-fontfill-in-cfo--registration-permitting-form-1.13.12
