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Get CA CDPH 8623 2007-2024

YPE ALL INFORMATION SECTION 1—FACILITY STATUS a. Application is for: (check one category box below and circle appropriate selection within category checked) Biopsy-only facility: New facility New machine Renewal ACR MQSA facility: New facility New machine State certificate renewal Change of address Transferring machine to different address * Submit a Radiation Machine Registration Form RH 2261with all above actions* Change of facility name or owner – Submit with legal documentation and RH 2.

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