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COUNTY OF MONTEREY

HEALTH DEPARTMENT

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May 2020

May 2020

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Public Access AED Placement

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Published on April 07, 2020. Last modified on May 19, 2020

Public Access Defibrillator Site Registry


Please correct the field(s) marked in red below:

1
What is the Nature of this Registry 
 *
What is the Nature of this Registry
2
Vendor Name
 *
3
Vendor Contact Person 
 *
4
Vendor Phone Number
 *
5
Vendor Email Address
 *
6
Is this a mobile defibrillator (meaning not affixed to a fixed location)?
 *
7
What category most closely describes the location where the defibrillator is being placed:
 *
8
Name of Building or Organization
 *
9
Defibrillator Location Address
 *
Defibrillator Location Address
10
AED Location Information:
11
Is there 24 Hour Access to this location:
 *
12
Onsite Contact Name
 *
13
Employer
 *
14
Onsite Contact Phone Number
 *
15
Onsite Contact Email
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