HomeMy WebLinkAbout940660.tiff atipi/4.r mEmoRAnDum
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To Bill Webster, Chairman
Rna rd of (-minty ('nmmiccinnaT®ate T.+ly 13, 1994
COLORADO From •
Subject: Sampling and Analycic of Pollutant Discharge Agrecmcnt
Enclosed for Board approval are Purchase of Services Agreements between the Weld
County Health Department and the following:
Best-Way Paving Company
Roggen Disposal
Roggen Disposal Inc. , Northern Colorado Brine
Weld County Disposal
for the sampling and analysis of pollutant discharge.
All contracted fees are in accordance with the fees established in County
Ordiance #82-M.
The term of the agreement shall be from January 1, 1994, through December 31,
1994.
I would recommend approval of these contracts.
If you have any questions, please feel free to contact me.
JSP/lam-2276
940660
�' APR 41994` 1 i
POLLUTANT DISCHARGE
AGREEMENT FOR THE SAMPLING AND ANALYSIS OF POLLUTANT DISCHARGE
BY THE WELD COUNTY HEALTH DEPARTMENT
THIS AGREEMENT is made and entered into this day of
19 , by and between the BEST-WAY PAVING COMPANY , whose address is
hereinafter referred to as "System, "
and the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Health Department,
whose office is located at 1517 16th Avenue Court, Greeley, Colorado 80631,
hereinafter referred to as "Health Department."
WITNESSETH:
WHEREAS, Weld County Ordinance No. 60-B authorizes the Weld County Health
Department to perform by agreement the testing of drinking water for suppliers
thereof and the testing of pollutant discharges for those persons and entities
holding permits to discharge pollutants into state waters, and
WHEREAS, Health Department possesses the necessary equipment and expertise
required to perform the sampling and analysis of the water for System as required
by federal law, and
WHEREAS, the services provided by Health Department pursuant to this
Agreement shall benefit the health, safety, and welfare of those persons residing
within the area served by System.
NOW, THEREFORE, in consideration of mutual promises and covenants contained
herein, the parties hereto agree as follows:
Section 1 - Authorization to Act: The System hereby authorizes the Health
Department to perform the services listed in this Agreement and in Weld County
Ordinance No. 60-B, for the testing of water on behalf of System. The provisions
of Weld County Ordinance No. 60-B are incorporated herein in their entirety.
Health Department shall act as an independent contractor in relation to the
System in the performance of the services set forth in this Agreement. None of
the Health Department employees and/or agents shall become employees of System,
and no employees of System shall be deemed or become employees of the Health
Department by virtue of this Agreement.
Section 2 - Term: This Agreement shall become effective on January 1, 1994, and
shall remain in full force and effective until December 31, 1994, unless and
until otherwise terminated sooner, pursuant to the provisions of Section 5 below.
Page 1 of 3
940660
Best-Way Paving Company
Agreement for the Sampling and
Analysis of Pollutant Discharge
Section 3 - Services to be Provided by Health Department: Health Department
agrees to provide the following services to System during the term of this
Agreement:
Type of Test Contracted Number of Samples Contracted Fee
Effluent As Requested
pH As Requested $1.25 each
Total Suspended Solids $6.00
Visual Oil & Grease $1.25
Methods used by Health Department in providing said services shall be in
accordance with Section I(b) of the Weld County Ordinance No. 60-B. Health
Department shall provide further services as mutually agreed upon by Health
Department and System at times and for compensation as agreed to by the parties
hereto. By signing this Agreement and providing the services herein, Health
Department does not insure the accuracy of the results of any tests performed by
Health Department and does not make any representations as to the adequacy of
Systems compliance with federal or state law governing the sampling and analysis
requirements of Pollutant Discharge.
Section 4 - Release and Hold Harmless: The System agrees to release and hold
harmless Health Department from any and all liability and/or damages resulting
from the acts or omissions of Health Department in performing the services set
forth in this Agreement.
Section 5 - Termination: Either party may terminate this Agreement upon 30 days
written notice to the other party at the addresses set forth below.
Section 6 - Obligations and Duties of System: System shall perform all of the
obligations and duties set forth in Section II(c) of Weld County Ordinance 60-B.
In addition, System shall pay for the services rendered by Health Department
pursuant to this Agreement according to the contracted amount set forth in
Section 3, above, and/or as may be mutually agreed to by the parties hereto.
Payment shall be due within ten (10) days upon of receipt of the bill. Billing
will be sent within ten (10) days of the quarter ending; i.e. , March 31, June 30,
September 30, and December 31, 1994.
Section 7 - Waiver of Immunities/Duty of Care: No portion of this Agreement
shall be deemed to constitute a waiver of any immunities the parties or their
officers or employees may now possess, nor shall any portion of this Agreement
be deemed to or created a duty of care with the respect to any persons not a
party to this Agreement.
Section 8 - Severability: If any section, subsection, paragraph, sentence,
clause, or phrase of the Agreement is for any reason held or decided to be
invalid or unconstitutional, such decision shall not affect the validity of the
remaining portions hereof. The parties hereto declare that they would have
Page 2 of 3
940660
Best-Way Paving Company
Agreement for the Sampling and
Analysis of Pollutant Discharge
entered into this Agreement and each and every section, subsection, paragraph,
sentence, clause, and phrase thereof irrespective of the fact that any one or
more sections, subsection, paragraphs, sentences, clauses, or phrases may be
declared to be unconstitutional or invalid.
Section 9 - Notices: All notices to the parties shall be sent to the following:
Entity: Best-Way Paving Company Entity: Weld County Health Department
Contact Person: Rick Meyer Contact Person: Judy Schmidt
Address: P. 0. Box 3189 Address: 1517 16th Avenue Court
City, State, Zip: Greeley, CO 80631 City, State, Zip: Greeley, CO 80631
Phone: (303) 353-1654 Phone: (303)353-0635 extension 2249
Signed this 3/ day of/J "Wee' 4i/ , 19f / .
BY: en-/- COUNTY OF WELD, STATE OF COLORADO BY
csi „Sytit AND THROUGH THE BOARD OF COUNTY
l T<4'S, COMMISSIONERS OF WELD COUNTY ON
BEHALF OF THE WELD COUNTY HEALTH
TITLE OF AUTHORITY: DEPARTMENT ( / /j y/�
BY: "te �/ L�J IULL
Chairman W. H. WEBSTER 0/713/94
ATTE We)d r G�� to the
IiIGJ
BY: /I,("<- _-_to
� �yfi%l,Q'-/-'�
Deputy Clerk tort e Boar
Approved by:
WELD COUNTY HEALTH DEPARTMENT
Jo S. Pickle, M.S.E.H.
erector
Weld County Health Department
Page 3 of 3
940660
POLLUTANT DISCHARGE
JUN 2 2 1994 I
AGREEMENT FOR THE SAMPLING AND ANALYSIS OF POLLUTANT DISCHARGE
BY THE WELD COUNTY HEALTH DEPARTMENT
n THIS AGREEMENT is made and entered into this 20 day of ,
19 "'� , by and between the ROGGEN DISPOSAL , whose address is
, hereinafter referred to as "System, "
and the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Health Department,
whose office is located at 1517 16th Avenue Court, Greeley, Colorado 80631,
hereinafter referred to as "Health Department."
WITNESSETH:
WHEREAS, Weld County Ordinance No. 60-8 authorizes the Weld County Health
Department to perform by agreement the testing of drinking water for suppliers
thereof and the testing of pollutant discharges for those persons and entities
holding permits to discharge pollutants into state waters, and
WHEREAS, Health Department possesses the necessary equipment and expertise
required to perform the sampling and analysis of the water for System as required
by federal law, and
WHEREAS, the services provided by Health Department pursuant to this
Agreement shall benefit the health, safety, and welfare of those persons residing
within the area served by System.
NOW, THEREFORE, in consideration of mutual promises and covenants contained
herein, the parties hereto agree as follows:
Section 1 - Authorization to Act: The System hereby authorizes the Health
Department to perform the services listed in this Agreement and in Weld County
Ordinance No. 60-B, for the testing of water on behalf of System. The provisions
of Weld County Ordinance No. 60-B ate incorporated herein in their entirety.
Health Department shall act as an independent contractor in relation to the
System in the performance of the services set forth in this Agreement. None of
the Health Department employees and/or agents shall become employees of System,
and no employees of System shall be deemed or become employees of the Health
Department by virtue of this Agreement.
Section 2 - Term: This Agreement shall become effective on January 1, 1994, and
shall remain in full force and effective until December 31, 1994, unless and
until otherwise terminated sooner, pursuant to the provisions of Section 5 below.
Page 1 of 4
940660
Roggen Disposal
Agreement for the Sampling and
Analysis of Pollutant Discharge
Section 3 - Services to be Provided by Health Department: Health Department
agrees to provide the following services to System during the term of this
Agreement:
Type of Test Contracted Number of Samples Contracted Fee
Monitor Well Quarterly
TDS $ 6.00 each
pH $ 1.25 each
Iron $ 5.00 each
Sodium $ 5.00 each
Chloride $ 7.40 each
Potassium $ 5.00 each
Calcium $ 7.40 each
Total Hardness $ 5.20 each
$ 1.10 each
Magnesium $ 5.20 each
Total Alkalinity
As Submitted
Methods used by Health Department in providing said services shall be in
accordance with Section I(b) of the Weld County Ordinance No. 60-B. Health
Department shall provide further services as mutually agreed upon by Health
Department and System at times and for compensation as agreed to by the parties
hereto. By signing this Agreement and providing the services herein, Health
Department does not insure the accuracy of the results of any tests performed by
Health Department and does not make any representations as to the adequacy of
Systems compliance with federal or state law governing the sampling and analysis
requirements of Pollutant Discharge.
Section 4 - Release and Hold Harmless: The System agrees to release and hold
harmless Health Department from any and all liability and/or damages resulting
from the acts or omissions of Health Department in performing the services set
forth in this Agreement.
Section 5 - Termination: Either party may terminate this Agreement upon 30 days
written notice to the other party at the addresses set forth below.
Section 6 - Obligations and Duties of System: System shall perform all of the
obligations and duties set forth in Section II(c) of Weld County Ordinance 60-B.
In addition, System shall pay for the services rendered by Health Department
pursuant to this Agreement according to the contracted amount set forth in
Section 3, above, and/or as may be mutually agreed to by the parties hereto.
Payment shall be due within ten (10) days upon of receipt of the bill. Billing
will be sent within ten (10) days of the quarter ending; i.e. , March 31, June 30,
September 30, and December 31, 1994.
Page 2 of 4
940660
Roggen Disposal
Agreement for the Sampling and
Analysis of Pollutant Discharge
Section 7 - Waiver of Immunities/Duty of Care: No portion of this Agreement
shall be deemed to constitute a waiver of any immunities the parties or their
officers or employees may now possess, nor shall any portion of this Agreement
be deemed to or created a duty of care with the respect to any persons not a
party to this Agreement.
Section 8 - Severability: If any section, subsection, paragraph, sentence,
clause, or phrase of the Agreement is for any reason held or decided to be
invalid or unconstitutional, such decision shall not affect the validity of the
remaining portions hereof. The parties hereto declare that they would have
entered into this Agreement and each and every section, subsection, paragraph,
sentence, clause, and phrase thereof irrespective of the fact that any one or
more sections, subsection, paragraphs, sentences, clauses, or phrases may be
declared to be unconstitutional or invalid.
Section 9 - Notices: All notices to the parties shall be sent to the following:
Entity: Roggen Disposal Entity: Weld County Health Department
Contact Person: Mike Cervi Contact Person: Judy Schmidt
Address: P. 0. Box 169 Address: 1517 16th Avenue Court
City, State, Zip: Sterling, CO 80751 City, State, Zip: Greeley, CO 80631
Phone: (303) 830-7156 Phone: (303)353-0635 extension 2249
Page 3 of 4
940660
Roggen Disposal
Agreement for the Sampling and
Analysis of Pollutant Discharge
Signed this PV d y of Qtt4tt , 19 9t/i.
(...�-BY: C. COUNTY OF WELD, STATE OF COLORADO BY
"SYSTEM" AND THROUGH THE BOARD OF COUNTY
COMMISSIONERS OF WELD COUNTY ON
BEHALF OF THE WELD COUNTY HEALTH
TITLE OF AUTHORITY: y EPARTMENT , !/g {� /I y9 �/q� _�
BY: 1� (� l Gt�/.i1�''Ali!_liJl
Chairman W. H. WEBSTER
ATTES : Weld C unty Clerk to the
j rd �
BY: `/ / .
Deputy Clerk t t ' :oar. .
Approved by:
WELD COUNTY HEALTH DEPARTMENT
N
. Pickle, M.S.E.H.
irector
Weld County Health Department
Page 4 of 4
940660
POLLUTANT DISCHARGE
AGREEMENT FOR THE SAMPLING AND ANALYSIS OF POLLUTANT DISCHARGE
BY THE WELD COUNTY HEALTH DEPARTMENT
THIS AGREEMENT is made and entered into this /� day of
19 , by and between the ROGGEN DISPOSAL INC. , NORTHERN COLO BRINE ,
whoaddress is , hereinafter referred
to as "System, " and the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Weld County Health
Department, whose office is located at 1517 16th Avenue Court, Greeley, Colorado
80631, hereinafter referred to as "Health Department."
WITNESSETH:
WHEREAS, Weld County Ordinance No. 60-B authorizes the Weld County Health
Department to perform by agreement the testing of drinking water for suppliers
thereof and the testing of pollutant discharges for those persons and entities
holding permits to discharge pollutants into state waters, and
WHEREAS, Health Department possesses the necessary equipment and expertise
required to perform the sampling and analysis of the water for System as required
by federal law, and
WHEREAS, the services provided by Health Department pursuant to this
Agreement shall benefit the health, safety, and welfare of those persons residing
within the area served by System.
NOW, THEREFORE, in consideration of mutual promises and covenants contained
herein, the parties hereto agree as follows:
Section 1 - Authorization to Act: The System hereby authorizes the Health
Department to perform the services listed in this Agreement and in Weld County
Ordinance No. 60-B, for the testing of water on behalf of System. The provisions
of Weld County Ordinance No. 60-B are incorporated herein in their entirety.
Health ertment shallct as an t contractor in relation to System int he perfo manceaof the services eset n the
forth in this Agreement. None of
the Health Department employees and/or agents shall become employees of System,
and no employees of System shall be deemed or become employees of the Health
Department by virtue of this Agreement.
Section 2 - Term: This Agreement shall become effective on January 1, 1994, and
shall remain in full force and effective until December 31, 1994, unless and
until otherwise terminated sooner, pursuant to the provisions of Section 5 below.
Page 1 of 4
940660
Roggen Disposal Inc. , Northern Colorado Brine
Agreement for the Sampling and
Analysis of Pollutant Discharge
Section 3 - Services to be Provided by Health Department: Health Department
agrees to provide the following services to System during the term of this
Agreement:
Type of Test Contracted Number of Samples Contracted Fee
Monitor Well Quarterly
TDS $ 6.00 each
pH $ 1.25 each
Iron $ 5.00 each
Sodium $ 5.00 each
Chloride $ 7.40 each
Potassium $ 5.00 each
Calcium $ 7.40 each
Total Hardness $ 5.20 each
Magnesium $ 1. 10 each
Total Alkalinity $ 5.20 each
As Submitted
Methods used by Health Department in providing said services shall be in
accordance with Section I(b) of the Weld County Ordinance No. 60-B. Health
Department shall provide further services as mutually agreed upon by Health
Department and System at times and for compensation as agreed to by the parties
hereto. By signing this Agreement and providing the services herein, Health
Department does not insure the accuracy of the results of any tests performed by
Health Department and does not make any representations as to the adequacy of
Systems compliance with federal or state law governing the sampling and analysis
requirements of Pollutant Discharge.
Section 4 - Release and Hold Harmless: The System agrees to release and hold
harmless Health Department from any and all liability and/or damages resulting
from the acts or omissions of Health Department in performing the services set
forth in this Agreement.
Section 5 - Termination: Either party may terminate this Agreement upon 30 days
written notice to the other party at the addresses set forth below.
Section 6 - Obligations and Duties of System: System shall perform all of the
obligations and duties set forth in Section II(c) of Weld County Ordinance 60-B.
In addition, System shall pay for the services rendered by Health Department
pursuant to this Agreement according to the contracted amount set forth in
Section 3, above, and/or as may be mutually agreed to by the parties hereto.
Payment shall be due within ten (10) days upon of receipt of the bill. Billing
will be sent within ten (10) days of the quarter ending; i.e. , March 31, June 30,
September 30, and December 31, 1994.
Page 2 of 4
940660
Roggen Disposal Inc. , Northern Colorado Brine
Agreement for the Sampling and
Analysis of Pollutant Discharge
Section 7 - Waiver of Immunities/Duty of Care: No portion of this Agreement
shall be deemed to constitute a waiver of any immunities the parties or their
officers or employees may now possess, nor shall any portion of this Agreement
be deemed to or created a duty of care with the respect to any persons not a
party to this Agreement.
Section 8 - Severability: If any section, subsection, paragraph, sentence,
clause, or phrase of the Agreement is for any reason held or decided to be
invalid or unconstitutional, such decision shall not affect the validity of the
remaining portions hereof. The parties hereto declare that they would have
entered into this Agreement and each and every section, subsection, paragraph,
sentence, clause, and phrase thereof irrespective of the fact that any one or
more sections, subsection, paragraphs, sentences, clauses, or phrases may be
declared to be unconstitutional or invalid.
Section 9 - Notices: All notices to the parties shall be sent to the following:
Entity:Roggen Disp Inc. /N. Colo. Brine Entity: Weld County Health Department
Contact Person: Mike Cervi Contact Person: Judy Schmidt
Address: P. 0. Box 169 Address: 1517 16th Avenue Court
City, State, Zip: Sterling, CO 80751 City, State, Zip: Greeley, CO 80631
Phone: (303) 830-7156 Phone: (303)353-0635 extension 2249
Page 3 of 4
940660
Roggen Disposal Inc. , Northern Colorado Brine
Agreement for the Sampling and
Analysis of Pollutant Discharge
nnn
Signed this day of 19 .
BY: l (_ / To COUNTY OF WELD, STATE OF COLORADO BY
"SY T� AND THROUGH THE BOARD OF COUNTY
/- _ jCJe COMMISSIONERS OF WELD COUNTY ON
BEHALF OF THE WELD COUNTY HEALTH
F AUT}/IAR..ITTD DEPARTMENT
TITLE l�oZ � BY: C/ /1 /IV 1f NY �oAM
Cha an W.H. WEBSTER 07/1 /94
ATTES Weld C unty lerk to the
ird
BY:
eputy Cler t t e Board
Approved by:
WELD COUNTY HEALTH DEPARTMENT
Jo . ick e, M.S.E.H.
D rector
e1d County Health Department
Page 4 of 4
940660
PriwiRR:0
JUN 2 OT DISCHARGE
AGREEMENT FOR THE SAMPLING AND ANALYSIS OF POLLUTANT DISCHARGE
BY THE WELD COUNTY HEALTH DEPARTMENT
HIS AGREEMENT is made and entered into this /14,4"-day of
194 , by aid_ bet en the WELD COUNTY DISPOSAL , whose address is
i?.i ig c 9q,e,�t� S.,Q,. T1-2Q3/G , hereinafter referred to as "System, "
and the Coun of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Health Department,
whose office is located at 1517 16th Avenue Court, Greeley, Colorado 80631,
hereinafter referred to as "Health Department."
WITNESSETH:
WHEREAS, Weld County Ordinance No. 60-B authorizes the Weld County Health
Department to perform by agreement the testing of drinking water for suppliers
thereof and the testing of pollutant discharges for those persons and entities
holding permits to discharge pollutants into state waters, and
WHEREAS, Health Department possesses the necessary equipment and expertise
required to perform the sampling and analysis of the water for System as required
by federal law, and
WHEREAS, the services provided by Health Department pursuant to this
Agreement shall benefit the health, safety, and welfare of those persons residing
within the area served by System.
NOW, THEREFORE, in consideration of mutual promises and covenants contained
herein, the parties hereto agree as follows:
Section 1 - Authorization to Act: The System hereby authorizes the Health
Department to perform the services listed in this Agreement and in Weld County
Ordinance No. 60-B, for the testing of water on behalf of System. The provisions
of Weld County Ordinance No. 60-B are incorporated herein in their entirety.
Health Department shall act as an independent contractor in relation to the
System in the performance of the services set forth in this Agreement. None of
the Health Department employees and/or agents shall become employees of System,
and no employees of System shall be deemed or become employees of the Health
Department by virtue of this Agreement.
Section 2 - Term: This Agreement shall become effective on January 1, 1994, and
shall remain in full force and effective until December 31, 1994, unless and
until otherwise terminated sooner, pursuant to the provisions of Section 5 below.
Page 1 of 4
940660
Weld County Disposal
Agreement for the Sampling and
Analysis of Pollutant Discharge
Section 3 - Services to be Provided by Health Department: Health Department
agrees to provide the following services to System during the term of this
Agreement:
Type of Test Contracted Number of Samples Contracted Fee
Monitor Well Quarterly
TDS $ 6.00 each
pH $ 1.25 each
Iron $ 5.00 each
Sodium $ 5.00 each
Chloride $ 7.40 each
Potassium $ 5.00 each
Calcium $ 7.40 each
Total Hardness $ 5.20 each
Magnesium $ 1. 10 each
Total Alkalinity $ 5.20 each
Sampling Fee $35.00/hr
Methods used by Health Department in providing said services shall be in
accordance with Section I(b) of the Weld County Ordinance No. 60-B. Health
Department shall provide further services as mutually agreed upon by Health
Department and System at times and for compensation as agreed to by the parties
hereto. By signing this Agreement and providing the services herein, Health
Department does not insure the accuracy of the results of any tests performed by
Health Department and does not make any representations as to the adequacy of
Systems compliance with federal or state law governing the sampling and analysis
requirements of Pollutant Discharge.
Section 4 - Release and Hold Harmless: The System agrees to release and hold
harmless Health Department from any and all liability and/or damages resulting
from the acts or omissions of Health Department in performing the services set
forth in this Agreement.
Section 5 - Termination; Either party may terminate this Agreement upon 30 days
written notice to the other party at the addresses set forth below.
Section 6 - Obligations and Duties of System: System shall perform all of the
obligations and duties set forth in Section II(c) of Weld County Ordinance 60-B.
In addition, System shall pay for the services rendered by Health Department
pursuant to this Agreement according to the contracted amount set forth in
Section 3, above, and/or as may be mutually agreed to by the parties hereto.
Payment shall be due within ten (10) days upon of receipt of the bill. Billing
will be sent within ten (10) days of the quarter ending; i.e. , March 31, June 30,
September 30, and December 31, 1994.
Page 2 of 4
940660
Weld County Disposal
Agreement for the Sampling and
Analysis of Pollutant Discharge
Section 7 - Waiver of Immunities/Duty of Care: No portion of this Agreement
shall be deemed to constitute a waiver of any immunities the parties or their
officers or employees may now possess, nor shall any portion of this Agreement
be deemed to or created a duty of care with the respect to any persons not a
party to this Agreement.
Section 8 - Severability: If any section, subsection, paragraph, sentence,
clause, or phrase of the Agreement is for any reason held or decided to be
invalid or unconstitutional, such decision shall not affect the validity of the
remaining portions hereof. The parties hereto declare that they would have
entered into this Agreement and each and every section, subsection, paragraph,
sentence, clause, and phrase thereof irrespective of the fact that any one or
more sections, subsection, paragraphs, sentences, clauses, or phrases may be
declared to be unconstitutional or invalid.
Section 9 - Notices: All notices to the parties shall be sent to the following:
Entity: Weld County Waste Disp. nc. Entity: Weld County Health Department
Contact Person: Mori A.'ED) e aiert___Contact Person: Judy Schmidt
Address: /.Zoit WAR-1.€LLC, Address: 1517 16th Avenue Court
City, State, Zip: S /1, 7��1.!. 9xO/4 City, State, Zip: Greeley, CO 80631
Phone: m2je - IS 1 - Sq/1 AC ' Phone: (303)353-0635 extension 2249
Vo
Page 3 of 4
940660
Weld County Disposal
Agreement for the Sampling and
Analysis of Pollutant Discharge a/Signed this �btiay o�fC 9-J.—A-- , 191.{.
BY: tO,Lb Cpo 0#14, ($e 2. ≥ COUNTY OF WELD, STATE OF COLORADO BY
"SYS EM" AND THROUGH THE BOARD OF COUNTY
COMMISSIONERS OF WELD COUNTY ON
BEHALF OF THE WELD COUNTY HEALTH
TITLE OF AUTHORITY: DEPARTMENT /qq
Lik*
Q\ ) /n/ BY: i
�/ // Chairman W. H. WEBSTER 0 /13/94
X^^�'[`/r ATTEST: Weld County Clerk to the
Sm"
BY:(/ <�
uty Clerk t the Board
Approved by:
WELD COUNTY HEALTH DEPARTMENT
o n Pickle, M.S.E.H.
Di ctor
eld County Health Department
Page 4 of 4
940660
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