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2018 VFC Provider Agreement
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06. June
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2018-06-05 10:00 AM - Commissioners' Agenda
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2018 VFC Provider Agreement
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Entry Properties
Last modified
5/31/2018 1:14:43 PM
Creation date
5/31/2018 1:14:19 PM
Metadata
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Template:
Meeting
Date
6/5/2018
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
l
Item
Request to Approve a Provider Agreement for the Washington State Department of Health Immunization Program
Order
12
Placement
Consent Agenda
Row ID
45299
Type
Agreement
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2018 <br />WASHINGTON STATE DEPARTMENT OF HEALTH <br />OFFICE OF IMMUNIZATION AND CHILD PROFILE <br />Organization Name: KITTITAS COUNTY HEALTH DEPARTMENT <br />Clinic/Facility Name: KITTITAS COUNTY HEALTH DEPARTMENT <br />PIN: 163000 <br />Freezer: <br />Cold Storage Units <br />1'rrrxcr 1 <br />Freezer Name: <br />FREEZER 1 <br />Thermometer Serial Number: <br />1060005564 <br />Freezer Type: <br />Stand Alone Freezer <br />Thermometer Type: <br />Digital Data Logger <br />Manufacturer: <br />Kenmore <br />Other Device: <br />Model Number: <br />253 <br />Temperature Scale: <br />Fahrenheit <br />Effective From: <br />01/01/2013 <br />Date of Last Calibration: <br />03/23/2018 <br />Purchase or Issue Date: <br />04/01/2009 <br />Calibration Expiration: <br />03/23/2020 <br />Freezer 2 <br />Freezer Name: <br />Thermometer Serial Number: <br />Freezer Type: <br />Thermometer Type: <br />Manufacturer: <br />Other Device: <br />Model Number: <br />Temperature Scale: <br />Effective From: <br />Date of Last Calibration: <br />Purchase or Issue Date: <br />Calibration Expiration: <br />Ik4IrIgeratol.: <br />Refrigerator i <br />Refrigerator Name: <br />REFRIGERATOR 1 <br />Thermometer Serial Number: <br />1060004693 <br />Refrigerator Type: <br />Pharmaceutical (medical grade) <br />Thermometer Type: <br />Digital Data Logger <br />Manufacturer: <br />McCALL <br />Other Device: <br />Model Number: <br />MCCR1-S <br />Temperature Scale: <br />Fahrenheit <br />Effective From: <br />01/01/2013 <br />Date of Last Calibration: <br />03/23/2018 <br />Purchase or issue Date: <br />04/01/2009 <br />Calibration Expiration: <br />03/23/2020 <br />RefrigerH for 2 <br />Refrigerator Name: <br />Thermometer Serial Number: <br />Refrigerator Type: <br />Thermometer Type: <br />Manufacturer: <br />Other Device: <br />Model Number: <br />Temperature Scale: <br />Effective From: <br />Date of Last Calibration: <br />Purchase or Issue Date: <br />Calibration Expiration: <br />
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