OHIO DEPARTMENT OF HEALTH LEAD DELEGATED AUTHORITY PROVIDER AGREEMENTOhio Department of Health • October 1st, 2021 • Ohio
Contract Type FiledOctober 1st, 2021 JurisdictionOhio Department of Health (“ODH”) AND Lorain County Public Health (“Designee”) Bureau of Environmental Health and Radiation Protection, Public Health Lead Investigation Program 9880 South Murray Ridge Rd., Elyria, Ohio 44035 Pam Blais, Sanitarian Program Administrator (“ODH Agreement Manager”) Dave Covell, MPH, RS, Health Commissioner (“Authorized Representative”) 246 North High Street, Columbus, OH 43215 dcovell@loraincountyhealth.com 614-728-3105 440-322-6367 pam.blais@odh.ohio.gov OAKS ID # 00000102357-13
OHIO DEPARTMENT OF HEALTH LEAD DELEGATED AUTHORITY PROVIDER AGREEMENTOhio Department of Health • October 1st, 2021 • Ohio
Contract Type FiledOctober 1st, 2021 JurisdictionOhio Department of Health (“ODH”) AND Franklin County Board of Heath (“Designee”) Bureau of Environmental Health and Radiation Protection, Public Health Lead Investigation Program 280 E Broad St., Room 200, Columbus, Ohio 43215 Pam Blais, Sanitarian Program Administrator (“ODH Agreement Manager”) Joe Mazzola, MPA, Health Commissioner (“Authorized Representative”) 246 North High Street, Columbus, OH 43215 joemazzola@franklincountyohio.gov 614-728-3105 614-525-4722 pam.blais@odh.ohio.gov OAKS ID # 0000056165-10