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HomeMy WebLinkAboutC11-207 Eagle County Health Service District Ambulance Service Lic and Permit EAGLE COUNTY
AMBULANCE SERVICE LICENSE
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EAGLE COUNTY
LICENSURE VALID FROM: July 1, 2011 to June 30, 2012
AMBULANCE SERVICE: Eagle County Health Service District
ADDRESS: PO Box 990 Edwards, CO 8163
PHONE: 970 - 926 -5270 FAX: 970 - 926 -5235
EAGLE COUNTY HEALTH SERVICE DISTRICT MEDICAL ADVISOR: Diana Hearne, M.D.
The inspection of the above named ambulance service was made on 5/26/11 by
Jennie Wahrer, RN. This ambulance service has met licensing requirements for
Eagle County as established in the resolution as approved by the Board of
Commissioners May 2007.
INSPECTOR(s):
J
J (Signature)
J nnie Wahrer, RN
PUBLIC HEALTH DIRECTOR APPROVAL TO ISSUE LICENSE:
-,r' (,t /' -/U .0 c& ./ oci l
Rachel Oys, Public I-alth Director Date
BY AUTHORITYOF THE EAGLE COUNTY BOARD OF COUNTY COMMISSIONERS:
COUNTY OF EAGLE, STATE OF
COLORADO, By and Through Its
• •ARD OF COUNTY COMMISSIONERS
OW ;
O
ATTES • ) j J
�L�.
• R
Clerk to the Board of k -1'�v iltavney
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County Commissioners , rman
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EAGLE COUNTY
AMBULANCE VEHICLE PERMIT
EAGLE COUNTY
PERMIT VALID FROM: July 1, 2011 to June 30, 2012
AMBULANCE SERVICE: Eagle County Health Service District
ADDRESS: PO Box 990 Edwards, CO 81632
PHONE: 970-926-5270 FAX: 970 - 926 -5235
VEHICLE YEAR MAKE TYPE VIN CO- REGISTRATION
#1 (780) 2010 Ford E -350 1FDWE3FP9ADA15264 W966340
#2 (781) 2010 Ford E -350 1FDWE3FPOADA15265 C885722
#3 (782) 2007 Ford E -350 1FDWE35P27DB07679 W955140
#4 (783) 2007 Ford E -350 1FDWE35P77DB00744 W955139
#5 (784) 2007 Ford E -350 1FDWE35P27DA96425 W961181
#6 (785) 2003 Ford E -350 1FDWE35F53HA60870 W955136
#7 (786) 2006 Ford E -350 1FDWE35P06HA92445 W955138
#8 (787) 2009 Ford E -350 1FDWE35P19DA71499 W961182
Eagle County Health Service District MEDICAL ADVISOR: Diana Hearne, M.D.
The inspection of the above named ambulances was made on May 26, 2011 by Jennie
Wahrer, RN. This ambulance service has met permit requirements for Eagle County as
established in the resolution as approved by the Board of Commissioners May 2007.
INSPECTOR(s): Ail
(Signature)
Jennie Wahrer, RN
PUBLIC HEALTH DIRECTOR APPROVAL TO ISSUE PERMIT:
. -1(A,-/Ad Oci/11
Rachel Oys, Public Health Director Date
BY AUTHORITYOF THE EAGLE COUNTY BOARD OF COUNTY COMMISSIONERS:
COUNTY OF EAGLE, STATE OF
• RADO, By and Through Its
O t� B OF COUNTY COMMISSIONERS
C ATT ST: ' At
Clerk to the Board of wS "� vi ` .. .tavney
loo
County Commissioners p•. irman