Introduction/Background. The Spokane River Regional Toxics Task Force (SRRTTF) has been formed through the execution of a Memorandum of Agreement (MOA), as required by permit conditions in the NPDES permits for the Washington Spokane River wastewater dischargers. The overarching goal for the SRRTTF is to develop a comprehensive plan to bring the Spokane River into compliance with applicable water quality standards for PCBs. The MOA identifies a goal of developing a work plan for the years 2012 through 2016 by the end of December 2012. The MOA indicates that the work plan should address the following six work elements: Approach for and analysis of existing data on PCB and other toxics on the Washington 2008, Category 5, § 303(d) list to (1) understand what is known, (2) identify data gaps, and (3) determine where additional characterization of amounts, sources and locations is needed. Development and implementation of a Monitoring Plan for the Spokane River that, (1) establishes the baseline conditions for PCBs and the other identified toxics, (2) monitors and assesses the effectiveness of toxic reduction measures, and (3) can be adapted to take into account newly generated data and sampling techniques. Identification or establishment of a publicly accessible clearinghouse for storing data, reports, Task Force meeting minutes or summaries, and other information gathered or developed by the Task Force and its members. Review of proposed Toxic Management Plans, Source Management Plans, and BMPs. Approach for preparing recommendations to control and reduce point and nonpoint sources of PCBs and other toxics, on the Washington 2008, Category 5, 303 (d) list, to the Spokane River. Public education needs and approach, including pollution prevention and public and environmental health determinations. This document, once approved by the SRRTTF members, will constitute the First Draft Work Plan for the Spokane River Regional Toxics Task Force. Work Plan Development Process The work plan is meant to be a dynamic living document, which will be an effective management tool to be used by the SRRTTF toward accomplishing the goals of the SRRTTF. As such, the work plan will evolve and become more detailed and specific as the task force learns more about PCBs in the Spokane River. There will be at least three levels of work plan development adopted by the SRRTTF: First Draft Work Plan—This document is the first draft of the work plan, and is a high level description of the work element activities t...

Introduction/Background. 2.1. This is the Initial Agreement between NHS Grampian, NHS Highland, NHS Orkney, NHS Shetland, NHS Tayside and NHS Western Isles to develop a Regional Tier 4 Specialist Network and Young People’s Unit for Adolescents with Severe and Complex Mental Health Disorders.

Introduction/Background. A. BACKGROUND Nevadaworks and the One-Stop System/Center(s) Partners developed this Memorandum of Understanding to ensure that the following principles of the Workforce Innovation and Opportunity Act of 2014 are implemented:

Introduction/Background. Endometrial cancer is the most common gynecologic malignancy diagnosed in the United States and is second to ovarian cancer in annual mortality for gynecologic cancers, with 10,170 deaths [1]. With the decline in hormone replacement therapy utilization, there was a corresponding decline in the incidence of endometrial cancer. However, more recently this trend has reversed as obesity rates have increased [2]. The majority of new endometrial cancers will be International Federation of Gynecology and Obstetrics (FIGO) stage I-II disease, at approximately 85% of new cases [3]. Recurrence rates of early endometrial cancers vary within a specific stage and thus treatment options differ across the early endometrial cancers [4,5]. Endometrial cancer is less likely to lead to death than other medical comorbidities [6-8]. A Surveillance, Epidemiology, and End Results (SEER) study of early-stage, low-grade endometrial carcinoma showed that 7% of patients diagnosed died of malignancy, whereas 42% died of cardiovascular disease [9]. The most common presenting symptom of uterine carcinoma is vaginal bleeding, typically after menopause. Workup of a suspected endometrial cancer includes history and physical examination with an endometrial biopsy. A false-negative result can occur in 10% of cases, so a negative biopsy is typically followed by dilation and curettage [10]. Once a histopathologic diagnosis is established and uterine-confined disease is suspected, blood counts, routine biochemistry, and chest radiographs are recommended to complete workup [11]. Surgery consists of total hysterectomy and bilateral salpingo-oophorectomy with or without lymph node dissection. Visual inspection of the peritoneal, serosal, and diaphragmatic surfaces with biopsy of suspicious lesions is required to evaluate for extrauterine disease. FIGO recommends obtaining peritoneal washings even though a positive finding was removed from the most recent staging system. Vaginal Brachytherapy The recommendations for adjuvant radiation therapy in early-stage endometrial cancer depend on the presence or absence of several risk factors, such as older age, deep myometrial invasion, high grade, large tumor size, and lymphovascular space invasion (LVSI) [12-14]. Classification into low-risk, intermediate-risk, and high-risk early-stage uterine cancer is based on a combination of these risk factors, but investigators and studies often differ in their definitions. In early-stage endometrial cancer, the mo...

Introduction/Background. In accordance with AB 1584 Section 79190(d)(2)(B)(v), the California Department of Fish and Wildlife (CDFW) Ecosystem Restoration Program (ERP) solicited projects for a competitive grant award related to controlling adverse effects of abandoned mine drainage to water quality. The Corona and Twin Peaks Mine Drainage Treatment Project (“the Project”) was awarded Grant funding in 2012 under Agreement number E1183005. The Project was unable to be completed because the most appropriate drainage treatment method was determined to be different than originally scoped. The Grantee is entering into another Agreement with CDFW to continue the project. This project will focus on remediating continuous toxic discharges from the Upper and Lower Corona Mine and Twin Peaks Mine. These mines are in the third largest mercury producing region in the nation and contribute to the mercury load to the Delta from the Sacramento River watershed. Prioritizing these mines and demonstrating effective cleanup methods are critical to addressing this toxic health hazard.

Introduction/Background. The NHS Health Check programme is a mandated public health service for all local authorities. The NHS Health Check is a systematic vascular risk assessment and management programme to help prevent cardiovascular diseases (CVD) including heart disease, stroke, diabetes, dementia and kidney disease. The eligible cohort is people between 40 and 74 years of age who 1) have no previous diagnosis of CVD and 2) are not currently taking statins. The NHS Health Check is a 5-year rolling programme, such that 20% of the eligible population are invited for a check each year, ensuring the full eligible population are invited once every 5 years. The national aspiration is that 75% of people who are eligible for an NHS Health Check take up their offer. The aim of the NHS Health Check programme is to enable the population to stay healthier for longer by identifying their risk of developing these conditions and offering information and support to reduce or manage this risk.

Introduction/Background. The Northwest Independent School District, from time-to-time, receives requests from parents to allow persons who are not District employees to provide medical and/or health services to their children. The intent and desire of the District are to reasonably accommodate the requests of parents, ensure that our students have access to free appropriate public education (“FAPE”) and to provide a safe and secure environment for all. Therefore, the District requires the following guidelines be followed upon receiving a request for a PDN to provide services to a student on District property. The District can and remains willing to provide FAPE, including all school health services and school nursing services needed by the student.

Introduction/Background. ‌ It is the intention of Xxxxx XXXX/CoPro+ to competitively bid and award a Multiple Award Schedule (MAS) of Indefinite Delivery Indefinite Quantity (IDIQ) contracts to companies that perform Snow Removal services. As a result of this RFP, Xxxxx XXXX and CoPro+ members will have access to this MAS and be able to issue Blanket Purchase Agreements (BPA’s) to successfully awarded companies for Snow Removal Services. This contract will enable school districts, non-profit organizations, and public municipalities to purchase on an “as needed” basis from this multiple award schedule. This process will assist school districts and municipalities in saving time and money to acquire professional Snow Removal services needed. Responses shall be received no later than the deadline specified in this RFP solicitation to Xxxxx XXXX. Immediately following the deadline, all responses will be reviewed and the respondents recorded. Any response received later than the specified deadline, whether delivered in person or mailed, will be disqualified. It is the intention of Xxxxx XXXX and CoPro+ to establish a Multiple Award Schedule of Indefinite Delivery Indefinite Quantity (IDIQ) contracts. In this solicitation Xxxxx XXXX’x objectives are to balance the procurement goals of supporting local service contractors, reducing the cost of services and creating contract vehicles that will increase the operational efficiencies of meeting the purchase requests of school districts and municipal governmental entities across Xxxxx County and southeast Michigan. Upon establishing the initial Multiple Award Schedule (MAS), Xxxxx XXXX/CoPro+ reserves the right to reopen the solicitation to add additional contractors to the MAS for Snow Removal services, if it is determined that more qualified companies will assist in achieving the objectives outlined above. The resultant contracts are awarded as Indefinite Delivery, Indefinite Quantity Blanket Purchase Agreements; Fixed Price with Economic Price Adjustment. Contract periods commence on the Date of Award through a 2-year base period with three (3)- 1 year option periods. The resultant contracts provide a streamlined acquisition approach for school districts and municipalities to obtain Snow Removal services related to facilities maintenance and management solutions for real property.

Introduction/Background. The City of Urbana has received a request from Xxxxxx Industries, Inc. to enter into an annexation agreement for an 8.14-acre parcel located east of Xxxxxxxxxx Avenue between Airport Road and Oaks Road and addressed as 0000 X Xxxxxxxxxx Xxxxxx (Location Map attached). The proposed agreement would obligate the City to rezone the property from County B-4 (General Business) to City IN (Industrial) upon annexation. The subject property is contiguous to the City of Urbana, adjacent to the petitioners’ planned recycling center which is already in the City. Xxxxxx Industries were granted a Special Use Permit on February 2, 2009 by Ordinance No. 0000-00-000. Rezoning the subject property to IN (Industrial) will ensure zoning consistency for Xxxxxx Industries’ adjacent land holdings. As part of their planned recycling center, Xxxxxx Industries will extend water service to the parcel containing the recycling center. Once the water line has been extended, the City of Urbana would then process an annexation petition to formally annex the property into the City. The Urbana Fire Department has asked that the actual annexation of the parcel be delayed until such time as the water line extension is in place to ensure that they can adequately protect the property. Xxxxxx Industries has agreed to this request. However, it is important to the petitioner to proceed with the annexation agreement at this time in order for the Industrial Zoning designation on the property be set. At their February 9, 2012 meeting, the Urbana Plan Commission reviewed the proposed rezoning for the subject property and voted 6 ayes and 0 nays to forward a recommendation of approval to the City Council. A public hearing with the Urbana City Council concerning the proposed annexation agreement between the City and Xxxxxx Industries is scheduled for February 20, 2012 at 7:00 p.m. The annexation agreement is also on the agenda that evening for City Council consideration.

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