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Get and Sign an Initial Application CDPH 283B California Department of 2018-2022 Form

Get and Sign an Initial Application CDPH 283B California Department of 2018-2022 Form

Use a cdph 283b 2018 template to make your document workflow more streamlined.

Incorporation if applicable. Type of Water Dispensed Place an X in the box adjacent to the types of water products you dispense. Number of Machines Licensing Enter the number of machines that you are licensing. For Renewal Applicants Only Answer yes or no to questions a. and b. LICENSE FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE TO OTHER LOCATIONS OR ENTITIES MAIL APPLICATION AND CHECK TO Regular Mail California Department of Public Health MS 7602 P. Mailing Address if different or P. O. Box...
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