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-1-food-service-inspection-formpdf/download&sa=U&ved=2ahUKEwiM1rirw_KKAxXiV6QEHTi7C4Y4WhAWegQIBBAB&usg=AOvVaw3ZAaZ8E-JEi6ZBuPaS7aRj