CERTIFIED AMBULANCE SERVICES 800.21 General requirements. (5) by approval of the department or the appropriate regional emergency medical services council for up to 60 days if the expansion of territory is necessary to meet an emergency need. into the patient compartment must also be withdrawn from service; (c) notify the department in writing when any ambulance or emergency ambulance service vehicle is permanently removed from service. A licensed driver shall drive the ambulance; (i) transport all patients in the patient compartment except in extenuating circumstances documented on the record of the call; (j) make available for inspection, with or without notice, to representatives of the department all vehicles, materials, equipment, personnel records, procedures, and facilities; (k) maintain current and accurate personnel files for all drivers, certified first responders, emergency medical technicians, and advanced emergency medical technicians, showing qualifications, training and certifications, and health records, including immunization status. An ambulance service shall: (a) have a valid Department of Health certificate of inspection and Department of Motor Vehicles certificate of inspection on each vehicle at all times while it is in service; (b) withdraw from service any ambulance or emergency ambulance service vehicle which is not in compliance with requirements of this part, or not in compliance with requirements of the Department of Motor Vehicles. Three, Five, Ten and Fifteen Year Regulation Review, Chapter VI - State Emergency Medical Services Code, Section 720.1 - General Hospital Accreditation, Section 721.3 - Perinatal Designation of Hospitals, Section 721.4 - Patient Care and Patient Transfers, Section 721.5 - Responsibilities and Qualifications of Chiefs of Services At Each Designated Level, Section 721.6 - Qualification and Responsibilities of Physicians and Other Licensed Obstetrical Practitioners At Each Designated Level of Care, Section 721.9 - Regional Quality Improvement Activities, Section 721.10 - Perinatal Affiliation Agreements and Transfer Agreements, Part 722 - Sexual Assault Forensic Examiner (SAFE) Programs, Section 722.2 - Application for Designation, Section 722.3 - Review and Approval of Applications for Designation, Section 722.4 - Withdrawal of Designation, Section 722.7 - Responsibilities of Hospital Emergency Staff, Section 722.10 - Continuous Quality Improvement, Part 732 - Workers' Compensation Preferred Provider Organizations, Section 732-1.2 - Preferred Provider Organization Certification. Sorry, you need to enable JavaScript to visit this website. Restocks and refuels vehicle to maintain NYS DOH part 800 compliance. NYS DOH and operate in accordance with Article 30 of the Public Health Law and Title Ten of the State Emergency Medical Services Code, Part 800. New York State Department of Health Bureau of Emergency Medical Services POLICY STATEMENT Supersedes /Updates: No. The ambulance shall be equipped with securing devices such that two patient carrying devices can be simultaneously secure; and. (1) six flares or three U.S. Department of Transportation approved reflective road triangles; (2) one battery lantern in operable condition; and. Hg when the suction tube is clamped and including two plastic large bore rigid pharyngeal suction tips, individually wrapped; and. (1) six flares or three U.S. Department of Transportation approved reflective road triangles; (2) one battery lantern in operable condition; and. (1) linen and pillow on wheeled ambulance cot and spare pillow, two sheets, two pillow cases, and two blankets; (2) four cloth towels; (3) one box facial tissues; (4) two emesis containers; (5) one adult-size blood pressure cuff with gauge; (6) stethoscope; (7) carrying case for essential emergency care equipment and supplies; Lieutenants will be responsible [for] conducting a Part 800 inspection and submitting a Vehicle Certification Checklist to the C.O., for their assigned vehicle(s) on a weekly basis. Description of nys part 800 checklist BL SFR SERVICE UPDATE CHECKLIST If Your Agency is Currently Providing EMS and Wishes to Retain its BEDS issued Agency Code Number, then Your Agency will be Required to complete, sign, and submit all Fill & Sign Online, Print, Email, Fax, or Download Get Form Form Popularity part 800 ambulance checklist form Section 732-1.3 - Change in ownership or control of Preferred Provider Organization. During a full ambulance agency inspection, representatives from the Department may inspect any of the items outlined in Part 800.21 including, but not limited to: Personnel files Training records Incident reports Prehospital Care Reports Agency Policies (Including all policies required in Part 800.21(p)) Mutual Aid Plans Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file. Chapter XIII - Medical Use of Marihuana - Part 1004 of Title 10 of the NYCRR has been repealed and replaced by a new Part 113 of Title 9 of the NYCRR, under the jurisdiction of the Office of Cannabis Management. Completes a checklist noting any deficiencies. Participation in a county or regional plan will meet this requirement; (15) by July 1, 1996 have a response plan for multiple casualty incidents. Browse New York Codes, Rules and Regulations | Part 800 - Emergency Medical Services . The complete regulation, including the equipment list is available on theDepartment's web site at www.health.state.ny.us/nysdoh/ems/part800.htm#800.26 Important Notes Sorry, you need to enable JavaScript to visit this website. For more information, see below for link. Such vehicles must have removed all departmental certification stickers and logos; (d) display an out-of-service sticker supplied by the department on any vehicle taken temporarily out of service in accordance with the departmental procedures currently in effect; (e) display on the exterior of both sides and the back of all ambulances and emergency ambulance service vehicles the name of the service in letters not less than 3 inches in height and clearly legible. The affected Regional EMS Councils will be solicited for comment on the service's waiver request. (e) Emergency childbirth supplies in a kit, consisting of the following sterile supplies: (6) 1 individually wrapped sanitary napkin. The set shall include large, medium and small adult-size rigid extrication collars which permit access to the patient's anterior neck; and. The short backboard shall have at least two 2 inches x 9 feet long web straps with fasteners unless straps are affixed to the device; and. Most services have a checklist form of those requirements that should be pretty easy to reproduce. By completing and signing this affirmation, I certify that the vehicles listed are in compliance with all requirements of the State EMS Code, Part 800. (1) linen and pillow on wheeled ambulance cot and spare pillow, two sheets, two pillow cases, and two blankets; (2) four cloth towels; (3) one box facial tissues; (4) two emesis containers; (5) one adult-size blood pressure cuff with gauge; (6) stethoscope; The governing authority of any ambulance service which, as a part of its response system, utilizes emergency ambulance service vehicles other than an ambulance to bring personnel and equipment to the scene, must have policies in effect for equipment, staffing, individual authorization, dispatch and response criteria, and maintain appropriate insurance coverage. Three, Five, Ten and Fifteen Year Regulation Review, Chapter VI - State Emergency Medical Services Code, Section 720.1 - General Hospital Accreditation, Section 721.3 - Perinatal Designation of Hospitals, Section 721.4 - Patient Care and Patient Transfers, Section 721.5 - Responsibilities and Qualifications of Chiefs of Services At Each Designated Level, Section 721.6 - Qualification and Responsibilities of Physicians and Other Licensed Obstetrical Practitioners At Each Designated Level of Care, Section 721.9 - Regional Quality Improvement Activities, Section 721.10 - Perinatal Affiliation Agreements and Transfer Agreements, Part 722 - Sexual Assault Forensic Examiner (SAFE) Programs, Section 722.2 - Application for Designation, Section 722.3 - Review and Approval of Applications for Designation, Section 722.4 - Withdrawal of Designation, Section 722.7 - Responsibilities of Hospital Emergency Staff, Section 722.10 - Continuous Quality Improvement, Part 732 - Workers' Compensation Preferred Provider Organizations, Section 732-1.2 - Preferred Provider Organization Certification. (d) Bandaging and dressing supplies consisting of: (1) twenty-four sterile gauze pads 4 inches by 4 inches; (2) three rolls of adhesive tape in two or more sizes; (3) ten rolls of conforming gauze bandages in two or more sizes; (4) two sterile universal dressings approximately 10 inches by 30 inches; (5) ten large sterile dressings 5 inches by 9 inches minimum; (9) one liter of sterile normal saline in plastic container(s) within the manufacturer's expiration date; and. (g) Voluntary ambulance service means an ambulance service (1) operating not for financial profit; and (2) no part of the assets or income of which is distributable to, or enures to the benefit of, its members, directors or officers except to the extent permitted under article 30. Section 1001.5 - Applications for Licensure as an Assisted Living Residence; Certification as Enhanced Assisted Living and Special Needs Assisted Living. `y\(tkX6GW|X? Part - 800 Equipment Inventory (This is not an equipment specification) EQUIPMENT ITEM PART 800 MINIMUM MINIMUM QTY MAXIMUM QTY Wheeled ambulance cot 1 ea Stair chair or equivalent 1 ea Patient carrying device Stretcher, scoop, etc 1 ea Patient restraints 2 ea on each device All . The requirements of paragraphs (2) and (3) of this subdivision may be satisfied by use of one combination device capable of both operations; (4) all litters and cots used to transport patients shall be secured using crash resistant fasteners. (4) two of each of the following size padded boards, with padding at least 3/8 inches thick: (ii) 3 feet by 3 inches or equivalent device, (iii) 15 inches by 3 inches or equivalent device, (5) one set of rigid extrication collars capable of limiting movement of the cervical spine. (1) pediatric bag valve mask, equipped with oxygen reservoir system; (2) clear face masks in newborn, infant and child sizes, inflatable rim (or mask with minimal under-mask volume) to fit above; (3) two each nasal cannula, and two each oxygen masks including non-rebreather in the pediatric size; (4) two each oropharyngeal newborn, infant and child size airways; (5) sterile suction catheters, two each in sizes 5, 8 and 10 french; (6) two sterile DeLee type suction catheters #10 or modified suction traps, or two small bulb syringes; (7) one sterile single-use disposable oxygen humidification setup; (8) child and infant size blood pressure cuffs with gauge(s); (9) one rigid extrication collar in pediatric size; (10) one pediatric stethoscope (interchangeable type acceptable); (11) one commercially prepared infant swaddler. Edit ambulance checklist pdf form. Save your file. NYS DOH Bureau of EMS & Trauma Services Briefing for EMS Agency Leadership and Providers. These collars shall include small, medium and large adult sizes; and. All ambulances in a certified ambulance service shall be equipped with the following unless exempted pursuant to section 800.25: (a) Patient transfer equipment consisting of: (1) wheeled ambulance cot capable of supporting the patients in the Fowlers position; (2) a device capable of carrying a second recumbent patient; (3) a device enabling ambulance personnel to carry a sitting patient over stairways and through narrow spaces where a rigid litter cannot be used. Part 1004 - Medical Use of Marihuana - Part 1004 of Title 10 of the NYCRR has been repealed and replaced by a new Part 113 of Title 9 of the NYCRR, under the jurisdiction of the Office of Cannabis Management. 800.24 Equipment requirements for certified ambulance service. For more information, see below for link. Completes a checklist noting any deficiencies. (15) carrying case for essential equipment and supplies. A copy must be provided to the REMSCO(s). Section 23.1 - List of sexually transmissible diseases; Section 23.2 - Treatment facilities; Section 23.3 - Cases treated by other providers; Section 23.4 - Minors; Section 23.5 - Expedited partner therapy for chlamydia trachomatis infection; Part 24 - Acquired Immune Deficiency Syndrome (Aids) }ZV\l"p}Jj%NwWc+ yI`yV1[_{;]O7,XI`s[$P^ZMutXNw 4hnP@he 4yI`Xx)QOlk[3]Sd;O`W#(W\I7L*V;-&@[a 98 - 14 Date 10/15/98 Re: Ambulance Equipment Inventory Page 1 of 1 PURPOSE The purpose of this policy statement is to provide a detailed inventory of the equipment required by the State EMS code, Part 800 for BLS ambulance vehicles. 800.26 Equipment requirements for emergency ambulance service vehicles other than an ambulance. DOH-5131 Funding Document For EMS Agencies. Section 800.21 - General requirements; Section 800.22 - Requirements for certified ambulance vehicle construction; Section 800.23 - General requirements related to equipment . Section 732-1.4 - Preferred Provider Organization Decertification, Section 732-2.1 - Organization and administration, Section 732-2.2 - General operating requirements, Section 732-2.3 - Quality assurance and improvement, Section 732-2.6 - Records, reports and information requirements, Section 732-2.7 - Notice and approval required to discontinue operation, Article 6 - Treatment Center and Diagnostic Center Operation, Part 751 - Organization and Administration, Section 751.5 - Operating policies and procedures, Section 751.8 - Quality assurance program, Section 751.10 - Adverse Event reporting, Section 752-1.2 - Physician's assistants and specialist's assistants, Section 752-1.3 - Diagnostic and therapeutic radiology, Section 752-1.5 - Pharmaceutical provisions, SubPart 752-2 - Up-Graded Diagnostic and Treatment Center Services, Section 752-2.2 - Limited emergency services, Section 752-2.3 - Hospital transfer and emergency medical transport, Section 752-2.4 - Administrative requirements, Section 752-2.5 - Medical/professional staff, Section 752-2.6 - Quality assurance and utilization review, Section 753.1 - Family planning services, Section 754.2 - Administrative requirements, Section 754.4 - Hospital transfer procedures, Section 754.5 - Medical director and medical consultants, Section 754.7 - Services for the care of mothers and newborns, Part 755 - Free-Standing and Off-Site Hospital Based Ambulatory Surgery Services, Section 755.1 - Ambulatory surgery definition, Section 755.2 - Administrative requirements, Section 755.6 - Patient admission and discharge, Section 756.4 - Health care practitioner services, Part 757 - Chronic Renal Dialysis Services, Section 757.2 - Additional requirements for chronic renal dialysis centers, Section 757.3 - Chronic renal dialysis service staffing, Part 758 - Outpatient Rehabilitation Services For Persons With Head Injury, Section 758.4 - Interdisciplinary care planning, Part 759 - Adult Day Health Care Services for Registrants with AIDS and other high-need populations, Section 759.3 - Changes in existing program, Section 759.5 - Admission, continued stay, and registrant assessment, Section 759.6 - Comprehensive care planning, Section 759.7 - Registrant continued stay evaluation, Section 759.11 - Confidentiality of records, Section 759.12 - Quality assessment and assurance, Article 7 - Certified Home Health Agencies and Licensed Home Care Services Agencies, Part 760 - Certified Home Health Agency Establishment, Section 760.2 - Applications for establishment, Section 760.3 - Requirements for approval, Section 760.4 - Amendments to applications, Section 760.5 - Determinations of public need, Section 760.6 - Withdrawals of applications, Section 760.8 - Failure to implement an application, Section 760.9 - Revocation, limitation or annulment of approvals of establishment, Section 760.11 - Establishment of not-for-profit corporations, Section 760.12 - Establishment of business corporations, Section 760.13 - Transfers of interest by persons or partnerships, Section 760.15 - Acquisition of control of the operator of an agency, Part 761 - Certified Home Health Agency, Long Term Home Health Care Program and AIDS Home Care Program Certification and Authorization, Section 761.3 - Action required upon surrender or loss of an operating certificate, Section 761.4 - Notice and approval required to discontinue operation, Part 762 - Approval of Home Care Programs and Program Changes, Section 762.1 - Long term home health care program and AIDS home care program approval, Section 762.2 - Certified home health agency, long term home health care program construction, Part 763 - Certified Home Health Agencies, Long Term Home Health Care Programs and AIDS Home Care Programs Minimum Standards, Section 763.4 Policies and procedures of service delivery, Section 763.5 - Patient referral, admission and discharge, Section 763.6 - Patient assessment and plan of care, Part 765 - Approval and Licensure of Home Care Services Agencies, SubPart 765-1 - Approval of Home Care Services Agencies, Section 765-1.2 - Applications for licensure, Section 765-1.3 - Requirements for approval, Section 765-1.4 - Amendments to applications, Section 765-1.5 - Withdrawals of applications, Section 765-1.7 - Failure to implement an application, Section 765-1.8 - Revocation, limitation or annulment of Public Health Council approval, Section 765-1.10 - Approval of not-for-profit corporations, Section 765-1.11 - Approval of business corporations, Section 765-1.12 - Transfers of interest by persons or partnerships, Section 765-1.14 - Acquisition of control of the operator of an agency, Section 765-1.15 - Limitation on transfer, Section 765-1.16 - Determinations of public need, SubPart 765-2 - Issuance of Home Care Services Agency License, Section 765-2.2 - Amendment of a license, Section 765-2.3 - Discontinuation, revocation, suspension, limitation or annulment of a license, Part 766 - Licensed Home Care Services Agencies--Minimum Standards, Section 766.2 - Patient service policies and procedures, Part 768 - Respite Demonstration Projects, Article 8 - Voluntary Foster Care Agency Health Facilities, Part 769 - Voluntary Foster Care Agency Health Facility Licensure, Section 769.2 - Licensure of VFCA Health Facilities; Operating Certificates, Section 769.3 - Physical Plant Environment and Equipment, Section 769.4 - Revocation, suspension, limitation or annulment of a license, Part 770 - Voluntary Foster Care Agency Health Facility Services, Section 770.1 - Core Limited Health-Related Services, Section 770.2 - Other Limited Health-Related Services, Section 770.3 - Voluntary Foster Care Agency Health Facility Services Billing, Section 770.4 - Health and Safety, including Referrals and Urgent and Emergency Care, Section 770.5 - Assessments and Treatment Planning, Section 770.6 - Quality improvement activities, Section 770.7 - Medication and Medical Supplies, Section 790.1 - Applications for establishment, Section 790.2 - Requirements for approval, Section 790.3 - Amendments to applications, Section 790.4 - Withdrawals of applications, Section 790.5 - Revocation, limitation or annulment of approvals of establishments, Section 790.8 - Governing authority or operator, Section 790.9 - Agents, nominees and fiduciaries, Section 790.10 - Establishment of not-for-profit corporations, Section 790.11 - Establishment of business corporations, Section 790.12 - Reporting by business corporations, Section 790.13 - Transfers of interest by sole proprietors or partnerships, Section 790.16 - Determinations of public need for hospice, Part 791 - Approval of Hospice Construction, Section 791.4 - Determination by the commissioner, Section 791.5 - Implementation of an approved application, Section 791.6 - Abandonment of an application and the expiration, withdrawal and annulment of prior approvals, Section 791.8 - Determination of public need, Section 793.2 - Eligibility, Election, Admission and Discharge, Section 793.3 - Initial and Comprehensive Assessment, Section 793.4 - Patient Plan of Care, Interdisciplinary Group and Coordination of Care, Section 793.5 - Quality Assessment and Performance Improvement, Part 794 - Organization and Administration, Section 794.5 Short-term Inpatient Service, Section 794.6 Hospice Residence Service, Section 794.8 Hospice care provided to residents of a Skilled Nursing Facility (SNF) or Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), Section 795.2 - Administrative requirements, Section 795.4 - Midwifery birth center transfer procedures, Section 795.5 - Midwifery birth center director and medical consultants, Section 795.7 - Services for the care of patients, Section 795.11 - Midwifery birth center accreditation, Section 795.12 - Application for establishment, Section 800.2 - Applicability of other laws, codes, rules and regulations, Section 800.4 - Signs and advertisements, Section 800.5 - Requirements for an advanced life support system, Section 800.6 - Initial certification requirements, Section 800.7 - Reexaminations - applicants for initial certification, Section 800.8 - Recertification requirments, Section 800.9 - Continuing medical education recertification, Section 800.10 - Reexaminations - applicants for recertification, Section 800.11 - Advanced emergency medical technician certification, Section 800.12 - Reciprocal certification requirements, Section 800.14 - Emergency medical technicians certified by states bordering New York, Section 800.16 - Suspension or revocation of certification, Section 800.17 - Period of certification, Section 800.22 - Requirements for certified ambulance vehicle construction, Section 800.23 - General requirements related to equipment, Section 800.24 - Equipment requirements for certified ambulance service, Section 800.26 - Equipment requirements for emergency ambulance service vehicles other than an ambulance, Section 800.90 - Non-hospital orders not to resuscitate, Part 801 - Availability of Resuscitation Equipment in Certain Public Places, Section 900.2 - Applicability of other laws and regulations, Section 900.3 - Application for certificate of authority, Section 900.4 - Requirements for approval, Section 900.5 - Amendments to applications, Section 900.6 - Withdrawals of applications, Section 900.8 - Certificate of authority, Section 900.10 - Authorization to begin construction, Section 900.11 - Long term care security program for long term care model, Part 901 - Organizations and Administration, Section 901.3 - Entrance fee escrow account, Section 901.7 - Reserves and supporting assets, Section 901.8 - Periodic reporting requirements, Section 901.9 - Other notice and submission requirements, Section 901.13 - Transfers of interest by sole proprietors or general partners, Section 901.14 - Acquisition of control of the operator of a life care community, Section 901.16 - Application for dissolution of a not-for-profit corporation, Section 901.17 - Revocation, suspension or annulment of certificate of authority, Part 902 - Residential Rights and Organizations, Section 902.1 - Applicability of other laws and regulations, Section 902.2 - Residents' rights and organizations, Part 903 - Priority Reservation Agreements, Section 903.3 - Application for commissioner's authorization, Section 903.4 - Commissioner's authorization, Section 903.5 - Escrow of priority reservation fees, Section 903.6 - Priority reservation fees and agreements, Chapter VIII - Official New York State Prescription Forms, Part 910 - Official New York State Prescription Forms, Section 910.2 - Prescribing upon Official New York State Prescription, Section 910.4 - Issuance of Official New York State Prescription Forms and Facility Labels, Section 910.5 - Safeguarding of prescriptions and facility labels, Section 910.6 - Dispensing upon Official New York State Prescription and Out-of-State Prescription, Section 1000.3 - Malpractice awards, judgments and settlements, Section 1000.4 - Collection of initial profile information, Section 1000.5 - Updating self-reported information, Section 1001.3 - Certificates of Incorporation; Articles of Organization, Section 1001.4 - Operating Certificates and Additional Certifications; Authority Limited to Operator. Provide a copy of the written EMS participation agreement (s) you have executed with these services. For more information, see below for link. The records and documentation of the agency have also been reviewed for compliance with all applicable requirements. Under medical oversight, EMTs use skills to transport patients . . (a) A waiver of the equipment requirements for emergency ambulance service vehicles may be granted by the Department when the service provides an acceptable plan to the Department demonstrating how appropriate staff, equipment and vehicles will respond to a call for emergency medical assistance. hko,gX-KZAVQH.3qKFM"gtWR_qo * x@h YqQ 5FBF$FAb0M2qW4CdUbg0A%`Y8Nj5$Gk110cszrn?N/Mu'l~gIuO| P6L/n_vwPm_7ft5=}:D:C59?y ^U gD\k]wGOP_@*nG =6YvK~_fv|'Fgj/e]Bwo[6/{xxh For more information, see below for link. Chapter XIII - Medical Use of Marihuana - Part 1004 of Title 10 of the NYCRR has been repealed and replaced by a new Part 113 of Title 9 of the NYCRR, under the jurisdiction of the Office of Cannabis Management. (viii) confronted with an unattended death. Section 1001.7 - Admission and Retention Standards, Section 1001.8 - Consumer and Resident Protections, Section 1001.9 - Resident Funds and Valuables, Section 1001.13 - Structural and Environmental Standards, Section 1001.14 - Disaster and Emergency Planning, Section 1001.15 - Inspection and Enforcement, Chapter XI - Limits on Administrative Expenses and Executive Compensation, Part 1002 - Limits on Administrative Expenses and Executive Compensation, Section 1002.2 - Limits on Administrative Expenses, Section 1002.3 - Limits on Executive Compensation, Chapter XII - Innovative Delivery Models, Part 1003 - Accountable Care Organizations, Section 1003.3 - Certificate of Authority, Section 1003.4 - Application Requirements, Section 1003.5 - Medicare-Only ACOs Sharing Losses, Section 1003.6 - Legal Structure and Responsibilities, Section 1003.8 - Leadership and Management, Section 1003.9 - Quality Management and Improvement Program, Section 1003.10 - Quality Performance Standards and Reporting, Section 1003.11 - Payment and Third Party Health Care Payers, Section 1003.14 - Legal Protections; State Action Immunity. Part 800 - Emergency Medical Services Certified Ambulance Services Section 800.21 - General requirements Section 800.22 - Requirements for certified ambulance vehicle construction Section 800.23 - General requirements related to equipment Section 800.24 - Equipment requirements for certified ambulance service Section 800.25 - Special use vehicles 210 0 obj <>stream In addition to the standards under Subpart D (29 CFR 1910.21-30), the rule also includes a new . Part 1004 - Medical Use of Marihuana - Part 1004 of Title 10 of the NYCRR has been repealed and replaced by a new Part 113 of Title 9 of the NYCRR, under the jurisdiction of the Office of Cannabis Management. Restocks and refuels vehicle to maintain NYS DOH part 800 compliance. New York State requires a student of a CFR program be at least 16 years of age by the last day of the month of the scheduled NYS-BEMS exam. (5) four each, non-rebreather oxygen masks, and four nasal cannulae; (6) portable suction equipment capable, according to the manufacturer's specifications, of producing a vacuum of over 300 millimeters of mercury when the suction tube is clamped. abandoned real estate in arkansas, lufkin middle school athletics,

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