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How to report a dirty pool Form: What You Should Know

Complaint Form ‚ÄĒ Orange County Department of Public Health Additional Information: For the Health Inspectors Unit, call ,,, You may also use the complaint form below, but the Health Inspectors Unit will not respond or send out invoices¬†to you. Complaint Form ‚ÄĒ Orange County Department of Public Health 1. ¬†Report nonpayment or nonarbitration by any healthcare facility; 2. ¬†Report any health care facility that is no longer providing or will not be providing nonemergency services; 3. ¬†Report any¬†nonhealthcare facility that is no longer in operation and no longer providing nonemergency services; 4. ¬†Report an environmental violation committed on property controlled by or maintained by any healthcare facility 5. ¬†Report noncompliance with the¬†Health Department's Hazardous Waste Regulations; 6. ¬†Report noncompliance with the¬†Health Department's Emergency Warning to Healthcare Facility Violators; 7. ¬†Report an activity or condition that is a health hazard to persons or animals (i.e., a substance, mixture, or agent causing, or permitting the use of, a risk of serious health effect to animals, including serious toxicity); and/or 8. ¬†Report any unauthorized activity conducted by or on behalf of any healthcare facility Any other information that may be requested include specific allegations, or if the information appears to you the result of misconduct of one or more Healthcare Facility employees, the name and address of the alleged misconduct, as well as the date, time and location of the alleged misconduct. For an additional fee, you may also request a report of health status from your local hospital. Complaints ‚ÄĒ Los Angeles County Department of Public Health 1. Report the violation of a state ordinance or county ordinance, or the failure to comply with a state ordinance or county ordinance. 2. Report any violation of the Health Department's Emergency Warning to Healthcare Facility Violators (see also Section 4.22); 3. Report any violation of state or county codes regarding hazardous or flammable substances; 4. Report any violation of federal codes regarding hazardous or flammable substances; and, 5.

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