Sangamon county department of public health 2833 south grand ave. east, springfield, il 62703 phone (217) 535-3145 fax (217) 747-5103 website .scdph.org application to operate a seasonal food service establishment important please read! this...
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Programs that can help: sexual trauma services of the midlands 1-800-491-7273 sistercare (803) 765-9428 1-800-637-7606 stop violence the stop definitions violence dating violence can have lasting effects on the lives of everyone it touches. it is...
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Clean water act recognition awards water resources stewardship awards for concentrated animal feeding operations instructions, questionnaire format and forms applicants must contact the appropriate state awards coordinator for submission deadline...
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Whole animal utilization report commissioned by: alberta whitetail & mule deer association funding support: diversified livestock fund of alberta author: lisa mueller february 2006 whole animal utilization report table of contents whole animal...
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General guidelines for inspection report format front page of the report format do not include zip code for the name and location of firm inspected. remember to spell out the state. domestic firms - licensees the name of the firm and location...
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Confidential community pharmacy patient safety incident report formthis form is for use within the pharmacy and to inform the patient medication record. it should notbe sent to the nhs commissioning board or the national reporting and learning...
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Property vacancy report 1. for month: date completed: prepared by: property name: phone number: 2. funding type (please check): ? elderly fax number: ? risk share ? arra (american recovery & reinvestment act) 3. how many rentable units are in the...
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Annexurec proforma report of postmortem examinationmortem examination. 1.name and address of the owner of the animal/ birds 2.species and breed of animals 3.age 4.sex 5.colour 6.identification mark 7.date and time of death of animal/ birds 8.date...
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Epi - news august 1, 2003 page 1 of 4 communicable disease control program box 30, 1001 e. ninth st., bldg. b reno, nv 89520-0027 phone (775) 328-2447 fax (775) 328-3764 pyoung mail.co.washoe.nv.us communicable disease reporting animal bites the...
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Veterinary necropsy report checklist and guidelines (dd form 1626 may be used independently of tb med 283. instructions for completing this form begin on page 9.) section i - administrative data part a - contributor's data 1. contributor/prosector...
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