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Immunization
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2017
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06. June
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2017-06-20 10:00 AM - Commissioners' Agenda
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Immunization
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Entry Properties
Last modified
6/13/2018 12:09:06 PM
Creation date
6/13/2018 12:08:24 PM
Metadata
Fields
Template:
Meeting
Date
6/20/2017
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
i
Item
Request to Approve an Agreement between the Washington State Department of Health Immunization Program and the Kittitas County Public Health Department
Order
9
Placement
Consent Agenda
Row ID
37449
Type
Agreement
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2017 <br />WASHINGTON STATE DEPARTMENT OF HEALTH <br />OFFICE OF IMMUNIZATION AND CHILD PROFILE <br />Orgahlzation Name: KITTITAS VALLEY HEALl'HCARE <br />Clinic/Facilitv Name: KITTITAS C:OUNT'(p(JBLle l1EALTH <br />PIN: 163000 <br />Cold Storage Units <br />Freezer: <br />lfn;~~t I ." --, <br />Freezer Name: FREEZER 1 Tbermometer Serial Number: <br />Freezer Type: Stand Alone Freezer Tbermometer Type: <br />Manufacturer: Kenmore Otber Device: <br />Model Number: 253 Temperature Scale: <br />Effective From: 01/01/2013 Date of Last CaUbratlon: <br />Purcbase or Issne Date: 04/01/2009 Calibration Expiration: <br />~~.I'I)-! <br />Freezer Name: Thermometer Sertal Number: <br />Freezer Type: Tbermometer Type: <br />Manufacturer: Other Device: <br />Model Number: Temperature Scale: <br />Effeclive From: Date of Last Calibration: <br />Pur b boj~ or flsul'DA I ~ Calibration ExpIration: <br />Refrigerator: <br />,~:(!rtiR()r.llljJl' 1 <br />Refrtgerator Name: REFRIGERATOR 1 Thermometer Sertal Number: <br />Refrigerator Type: Pharmaceutical (medical grade) Tbermometer Type: <br />Manufacturer: McCALL Other Device: <br />Model Number: MCCR1-S Temperature Scale: <br />Effective From: 01/01/2013 Date of La.t Callbrallon: <br />Purchase or Issue Date: 04/01/2009 C.Ubrallon ExpIration: <br />R~htgoli'~l(ll' 1 <br />Refrtgerator Name: Tbermometer Sertsl Number: <br />Refrigerator Type: Tbermometer Type: <br />Manufacturer: Otber Device: <br />Model Number: Temperature Scale: <br />E"U~II~e F""n : Oat. of La.t Calibration: <br />Purchase or Issue Date: Calibration Expiration: <br />r:--;:-~ --;:-r <br />Digital Data Logger <br />Fahrenheit <br />03/14/2016 <br />03/14/2018 <br />Digital Data Logger <br />Fahrenheit <br />03/08/2016 <br />03/08/2018 <br />" <br />,
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