My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
TUSTIN IRVINE MEDICAL GROUP -2009
Clerk
>
Contracts / Agreements
>
T
>
TUSTIN IRVINE MEDICAL GROUP -2009
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/3/2012 2:02:22 PM
Creation date
8/13/2009 4:25:36 PM
Metadata
Fields
Template:
Contracts
Company Name
TUSTIN-IRVINE MEDICAL GROUP
Contract #
A-2009-110
Agency
FIRE
Council Approval Date
8/3/2009
Expiration Date
6/30/2010
Insurance Exp Date
8/12/2009
Destruction Year
2015
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Protocol: EXPOSURE S <br /> <br />..: <br />Y'. ! ji. <br />~~"~ ~ ~ ~ ~~.lllt~~illll SII;S <br /> <br />~ . <br />._ _ _~ , <br />4. _. <br /> <br />90782 INJt~.:minFee ADMIN FEE FOR INJECTIONS 20.00 <br />99000 LAL3C;&II COLLECTION AND HANDLING 20.00 <br />93000 TSEKG EKG W/Interpretation 50.00 <br />99205 OVNI'Comp* OV COMPREHENSIVE, NEW 186.73 <br />9<>215-93 OVComp/Inter OV COMPREHN,EST/INTERPET 103.86 <br />99204 OVNPExt* OV EXTENDED, NEW 146.12 <br />99202 OVN1'Lim* OV LIMITED, NEW 70.19 <br />57; '.6-C LAF3" f l 6 LAB HEP A&B PANEL #3416 58.00 <br />83655 I,AT:599* LAB BLOOD LEAD#899 QUESTLAB 37.00 <br />8 G ; •~ 7 LAB ; ~l3 S' LAB VARICELLA*TITER IgG#4439/2008 48.00 <br />8;:-:;2 I,A}' ~~02 I,AB RUBELLA IGG AB*TITER#802/2008 25.08 <br />86''03-1 LAI". 9728 LAB HIV 1/2 AB W/RFLS#19728* 37.05 ' <br />82?00 3460 LAB CADMIiJM BLD#3470 PACTOX 60.00 <br />Employer 82195 3470 LAB CHROMIUM BLD#3470 PACTOX 45.00 <br />8^ '.'S-A LAI3 ;080 LAB CHROMIUM URINE(PACTOX) 115.00 <br />87056 LAI3CulUrine LAB CULTURE & SENSIT(URINE) 43.65 <br />8~7~5 LAB964 LAB MEASL/RUBEO*TITER#964/2008 28.00 <br />8:~'^5 LAB~'ercury$1 LAB MERCURY BLOOD 180.00 <br />Employer 8~~'"'S LA?3`'fcrcuryUr LAB MERCURY URINE 21.44 <br />5 ' `'`2 LA?'.:'7.P LAB ZZP-ZINC PROTOPRPH BLD LAB 82.00 <br />8.`f''S LAP,`-399 LABCI3C{DIFF/PLT)#6399* 15.00 <br />80"53 LAI310231 LAB COMP METABOLIC PANEL 25.00 <br />8<?04 LAT~136709P LAB HEP AIgivl ANTIBODY#512*P 26.50 <br />86"IOS LAI34848P LAB HEP B CORE IGM AB#4848*P 30.00 <br />87"' ^0 LAP? ;95P LAB HEP BSURF ANTG W/CONF#498*P 17.32 <br />8G.'')3 LABF472P LAB HEP C VIRUS AntiBod#8472*P 27.30 <br />906 8 VXFI~; FLU VACCINE (3 Yrs & Above) 20.00 <br />~'''~'~7 VXI~~''1R MMRVACCINE 76.00 <br />`'"~`'J VX'~^imps MUMPS VIRUS VACCINE, LIVE 30.00 <br />9""~"0/13 MS" ~~.~,~ ues <br />Q Res uator <br />p' y Questionnaire <br />20.00 <br />9n,~; ~ 0 T~c,~ ~-,-:;,etry SPIROMETRY 20.00 <br />8'~~ ">0 TB]': ?~Intrad TB "Pest Intraderrmal (1'PD) 12.00 <br />
The URL can be used to link to this page
Your browser does not support the video tag.