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Department of Public Health - City and County of San Francisco, California Forms

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Form MRD03 Initial Risk Assessment - City and County of San Francisco, California PDF

Form MRD03 Initial Risk Assessment - City and County of San Francisco, California
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Form MRD90 Adult/Older Adult Assessment Long Form - City and County of San Francisco, California PDF

Form MRD90 Adult/Older Adult Assessment Long Form - City and County of San Francisco, California
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Form MRD19 Adult/Older Adult Closing Summary - City and County of San Francisco, California PDF

Form MRD19 Adult/Older Adult Closing Summary - City and County of San Francisco, California
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Form PR-PML-059 Pest Control Business County Registration - City and County of San Francisco, California PDF

Form PR-PML-059 Pest Control Business County Registration - City and County of San Francisco, California
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Form PR-ENF-058 Application for Pest Control Equipment Registration - City and County of San Francisco, California PDF

Form PR-ENF-058 Application for Pest Control Equipment Registration - City and County of San Francisco, California
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Form 12-WM-DEV Weighing and Measuring Device Permit Application - City and County of San Francisco, California PDF

Form 12-WM-DEV Weighing and Measuring Device Permit Application - City and County of San Francisco, California
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Background Check and Clearance for Massage Applicant - City and County of San Francisco, California PDF

Background Check and Clearance for Massage Applicant - City and County of San Francisco, California
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Commissary/Catering Facility/Permitted Kitchen Verification Form for Caterers - City and County of San Francisco, California PDF

Commissary/Catering Facility/Permitted Kitchen Verification Form for Caterers - City and County of San Francisco, California
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Dph Fire Marshal Referral - City and County of San Francisco, California PDF

Dph Fire Marshal Referral - City and County of San Francisco, California
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Background Check and Clearance for Massage Applicant - City and County of Ssn Francisco, California PDF

Background Check and Clearance for Massage Applicant - City and County of Ssn Francisco, California
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Application for Retail Food Vendor (Rfv) at Certified Farmers' Market - City and County of San Francisco, California PDF

Application for Retail Food Vendor (Rfv) at Certified Farmers' Market - City and County of San Francisco, California
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Mobile Food Facility (Mff) Temporary Event Application - City and County of San Francisco, California PDF

Mobile Food Facility (Mff) Temporary Event Application - City and County of San Francisco, California
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Farmers Market Sponsor Application - City and County of San Francisco, California PDF

Farmers Market Sponsor Application - City and County of San Francisco, California
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Temporary Food Facility (Tff) Concessionaire Application - City and County of San Francisco, California PDF

Temporary Food Facility (Tff) Concessionaire Application - City and County of San Francisco, California
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Application for Monitoring Well Construction/Destruction or Soil Borings - City and County of San Francisco, California PDF

Application for Monitoring Well Construction/Destruction or Soil Borings - City and County of San Francisco, California
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Referral Form for Home-Based Environmental Services for People With Asthma in San Francisco - City and County of San Francisco, California PDF

Referral Form for Home-Based Environmental Services for People With Asthma in San Francisco - City and County of San Francisco, California
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Declaration of Healthy and Safe Working Conditions - City and County of San Francisco, California (English/Spanish/Chinese/Tagalog) PDF

Declaration of Healthy and Safe Working Conditions - City and County of San Francisco, California (English/Spanish/Chinese/Tagalog)
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Compliance Agreement for First Time Violators of the San Francisco Health Code: Article 19; Section 19h.14 and Section 19h.14-1 - City and County of San Francisco, California PDF

Compliance Agreement for First Time Violators of the San Francisco Health Code: Article 19; Section 19h.14 and Section 19h.14-1 - City and County of San Francisco, California
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Patient Flyer - Bhs Adult Blood Pressure - City and County of San Francisco, California PDF

Patient Flyer - Bhs Adult Blood Pressure - City and County of San Francisco, California
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Non-potable Engineering Report Template - City and County of San Francisco, California PDF

Non-potable Engineering Report Template - City and County of San Francisco, California
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Application for Production Well Construction/Destruction - City and County of San Francisco, California PDF

Application for Production Well Construction/Destruction - City and County of San Francisco, California
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Application for Permit to Operate a Well - City and County of San Francisco, California PDF

Application for Permit to Operate a Well - City and County of San Francisco, California
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Affidavit Attesting to Knowledge Skills Abilities and Training for Alternate Water Source System Treatment System Manager Under Sfhc Article 12c - City and County of San Francisco, California PDF

Affidavit Attesting to Knowledge Skills Abilities and Training for Alternate Water Source System Treatment System Manager Under Sfhc Article 12c - City and County of San Francisco, California
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Data and Monitoring Report (Dmr) - City and County of San Francisco, California PDF

Data and Monitoring Report (Dmr) - City and County of San Francisco, California
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Onsite Coordinator Checklist - City and County of San Francisco, California PDF

Onsite Coordinator Checklist - City and County of San Francisco, California
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Alternate Water Source System Operations and Maintenance Manual - City and County of San Francisco, California PDF

Alternate Water Source System Operations and Maintenance Manual - City and County of San Francisco, California
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Zoning Referral for Health Permit - City and County of San Francisco, California PDF

Zoning Referral for Health Permit - City and County of San Francisco, California
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Voluntary Remedial Action Program Application - City and County of San Francisco, California PDF

Voluntary Remedial Action Program Application - City and County of San Francisco, California
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Pool/SPA Data Sheet - City and County of San Francisco, California PDF

Pool/SPA Data Sheet - City and County of San Francisco, California
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Farmers Market Tff Concessionaire Application - City and County of San Francisco, California PDF

Farmers Market Tff Concessionaire Application - City and County of San Francisco, California
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Workers' Compensation Declaration for Regulated Businesses - City and County of San Francisco, California PDF

Workers' Compensation Declaration for Regulated Businesses - City and County of San Francisco, California
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Adult/Older Adult Reassessment - City and County of San Francisco, California PDF

Adult/Older Adult Reassessment - City and County of San Francisco, California
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New Assembly Installation Report - City and County of San Francisco, California PDF

New Assembly Installation Report - City and County of San Francisco, California
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Branch 1 - Structural Fumigation Business Registration - City and County of San Francisco, California PDF

Branch 1 - Structural Fumigation Business Registration - City and County of San Francisco, California
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Structural Pest Control Business/Qualifying Manager Registration - Branch 2 & 3 - City and County of San Francisco, California PDF

Structural Pest Control Business/Qualifying Manager Registration - Branch 2 & 3 - City and County of San Francisco, California
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Cbhs Formulary Change Request Form - City and County of San Francisco, California PDF

Cbhs Formulary Change Request Form - City and County of San Francisco, California
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Retail Tobacco Permit Pre-application, Affidavit and Planning Referral - City and County of San Francisco, California PDF

Retail Tobacco Permit Pre-application, Affidavit and Planning Referral - City and County of San Francisco, California
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Consent for Community Behavioral Health Services - Mental Health/Drug and Alcohol Treatment Programs - City and County of San Francisco, California PDF

Consent for Community Behavioral Health Services - Mental Health/Drug and Alcohol Treatment Programs - City and County of San Francisco, California
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Consentimiento Para Los Servicios Comunitarios De Salud Conductual - Programas De Tratamiento Para La Salud Mental/Por Consumo De Drogas Y Alcohol - City and County of San Francisco, California (Spanish) PDF

Consentimiento Para Los Servicios Comunitarios De Salud Conductual - Programas De Tratamiento Para La Salud Mental/Por Consumo De Drogas Y Alcohol - City and County of San Francisco, California (Spanish)
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Application for Death-Related Purchases (Funeral Home/Mortuary Use Only) - City and County of San Francisco, California PDF

Application for Death-Related Purchases (Funeral Home/Mortuary Use Only) - City and County of San Francisco, California
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