This government document is issued by Department of Public Health, Georgia Immunization Registry for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://dph.georgia.gov/document/document/envhealthfoodk-30-food-employee-reporting-agreementpdf/download&sa=U&ved=2ahUKEwj4h-eEsfKKAxU0B9sEHa45OcE4HhAWegQIDBAC&usg=AOvVaw108Q8UYkG4P93WFgX4lnXd