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FAQs. CMS published Frequently Asked Questions (FAQs) on various topics related to the May 2020 Interoperability and Patient Access final rule (CMS-9115-F) (85 FR 25510) for reference by impacted payers and providers. As we note below, you will find the contents of the FAQs do not have the force and effect of law and are not meant to bind the ...
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When a statically-charged person or object touches an electrostatic discharge sensitive (ESDS) device, there is a possibility that the electrostatic charge could be drained through sensitive circuitry in the device. If the electrostatic discharge possesses sufficient energy, damage could occur in the device due to localized overheating.
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(a) General. (1) A borrower's Direct Loan is discharged if the borrower becomes totally and permanently disabled, as defined in § 685.102(b), and satisfies the eligibility requirements in this section. (2) For a borrower who becomes totally and permanently disabled as described in paragraph (1) of the definition of that term in § 685.102(b), the borrower's loan discharge application is ...
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The maintenance of a stream discharge system is regulated by DEP through your local municipality. The municipality is ultimately responsible for the upkeep of the system. The property owner must enter into a written maintenance agreement with the municipality. This agreement will be passed on to any subsequent owners if you should sell the ...
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Direct Discharge Trash Control Program ‐ Supplemental 4 | Page Complaint-Based: The remaining areas along the City's waterways are addressed mostly in a complaint-based manner. The City prioritizes the cleanup of these locations with consideration to criteria including environmental impact, size of encampment, number of
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Efficient, oil-less, direct-drive, dual-discharge pumps produce greater pressure, so each can serve two water features simultaneously. Installed either vertically or horizontally, the corrosion-resistant submersible body is designed for non-potable, continuous operation.
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Annual Maintenance Fees varies from $140 to $10,380, depending on the volume of discharge, or the size of disturbance in acres on a mining site, and the Standard Industrial Classification (SIC) code of the facility. To view fees as referenced in Rules . Fee information begins on page 7.
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Intake and discharge accessories are shipped loose and unassembled. When attaching the accessories to the unit use gasketing, caulk, and #10 sheet metal screws on all seams. All accessories must be level. Use gasketing, caulk, and #10 s WARNING!! The unit must have adequate structural support or the equipment or building could be damaged. WARNING!!
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A positive displacement pump decreases the volume containing the liquid until the resulting liquid pressure equals the pressure in the discharge system. That is, the liquid is compressed mechanically, causing a direct rise in potential energy. Most positive displacement pumps are reciprocating pumps in which linear motion of a piston or plunger ...
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This document is in the public domain and may be used and reprinted without permission. Suggested citation: McHugh, M., Van Dyke, K., McClelland M., Moss …
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The ANS plays a crucial role in the maintenance of homeostasis. Furthermore, this system may play a role in many systemic ... the discharge of a single autonomic nerve fiber to an effector tissue may alter the activity of the entire tissue. ... Therefore, circulating epinephrine causes effects that differ from those of direct sympathetic ...
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The discharge measurement—obtaining periodic measurements of discharge ... As an alternative, stage can be determined by measuring the pressure required to maintain a small flow of gas through a tube and bubbled out at a fixed location under water in the stream. The measured pressure is directly related to the height of water over the tube ...
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discharge plenum increases the brake horsepower of the housed AF fan from 11.8 to 13.2, compared to 14.0 bhp for the belt-drive plenum fan and 12.8 bhp for the direct-drive plenum fan (Table 1). While adding the discharge plenum increases fan power and increases the length of the overall air-handling unit, it does enable the housed AF fan to
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This point discharge permit allows a homeowner to discharge directly to a nearby ditch or other body of water assuming all conditions and restrictions of the permitting process are met. Orenco's AX20RT with UV is the perfect solution for most direct discharge situations less than 480 gpd (4 bedroom). The AX20RT has all the components necessary ...
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direct or indirect. Direct entry means that the discharge is directly connected to the storm drain pipe through a sewage pipe, shop drain, or other kind of pipe. Direct entry usually produces discharges that are continuous or intermittent. Direct entry usually occurs when two different kinds of "plumbing" are improperly connected. The
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High-Voltage Direct Current (HVDC) Swiss engineer René Thury used a series of motor-generators to create a high-voltage DC system in the 1880s, which could be used to transmit DC power over long distances. However, due to the high cost and maintenance of the Thury systems, HVDC was never adopted for almost a century.
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The direct expansion system in HVAC has been growing rapidly due to its ability to get rid of most duct work and piping. The popularity of this system is because the installation work has been made easier hence reducing the cost of the overall system. The DX System works in such a way that the evaporator is located in the space to be refrigerated.
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Direct Discharge Consulting, LLC is your one stop consulting operation for all things water and wastewater. We offer full range operations for Water, Wastewater and Industrial Wastewater Treatment as well as Solids Dewatering, Sanitary Sewer Cleaning and CCTV, Fire Hydrant Maintenance and Repair, Backflow Prevention Device Certification, and Instrumentation and Controls.
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when not providing direct on-premises supervision Home Health or other unspecified setting 9.1(c)(3)(iv) 40.173.(c) (6) Direct On-Premises: Allowable Indirect: Allowable as follows: PT must make an on-site visit & actively participate in the treatment of patient at least every seven (7) patient visits or 14 days, whichever comes first.
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Discharge Requirements: A. If the patient's PAS score does not meet the minimal discharge criteria within 2 hours, an anesthesiologist must be consulted. The RN will document the consultation on the PACU record. A verbal or written order from the physician must be obtained before discharge.
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direct discharge of toxic and nonconventional pollutants to navigable waters. BAT effluent limitations guidelines, in general, represent the best existing performance of treatment technologies that are economically achievable within an industrial point source category or subcategory.
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The fluid carries dead cells and bacteria out of the body, and vaginal discharge helps keep the vagina clean and prevent infection. Burris also says normal vaginal discharge varies in amount and ranges in color from clear to milky, white discharge. Discharge may have a slight odor as well, although a foul, fishy odor is a sign of an infection.
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The importance of nurse staffing to the delivery of high-quality patient care was a principal finding in the landmark report of the Institute of Medicine's (IOM) Committee on the Adequacy of Nurse Staffing in Hospitals and Nursing Homes: "Nursing is a critical factor in determining the quality of care in hospitals and the nature of patient outcomes" 1 (p. 92).
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Electric arcs discharge (10-100 V, 1-100 A), dielectric barrier discharge (5,000-20,000 V, 10-100 mA) and corona discharge (~ 5,000 V, 1-100 µA) based plasma require high voltage/high current and high power. Piezoelectric direct discharge operates at low voltage (15 V DC), and low power (30 W) to generate plasma.
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1. Teacher Loan Forgiveness. If you teach full-time for five complete and consecutive academic years in certain elementary or secondary schools or educational service agencies that serve low-income families, and meet other qualifications, you may be eligible for forgiveness of up to a combined total of $17,500 on eligible federal student loans.
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The test chamber and instrument set-up according to the AMCA standard are plotted schematically in Figure 8.3.The fan discharge is mounted on the wall of an AMCA test chamber to simulate the free-inlet and free-outlet condition. The facility is a rectangular chamber which comprises flow-settling means, pressure measuring devices, nozzles and an auxiliary fan.
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If the discharge from a potential outfall is delivered to a waterbody as concentrated flow, whether directly or by end section, stone apron, or if the earth beyond the discharge point is eroded such that it is reasonable that the water discharges to the waterbody in concentrated flow, that discharge point shall be considered an outfall.
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Discharge Bypass Valve (DBV). This valve, which opens on a decrease in suction pressure, can be set to automat-ically maintain a desired minimum evaporating pres-sure regardless of the decrease in evaporator load. Sporlan manufactures a complete line of Discharge Bypass Valves including non-adjustable models, for spe-cific customer requirements.
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However, other lead acid types of batteries are becoming available, such as the valve-regulated lead-acid (VRLA) batteries. The battery best suited for a particular application depends on the relative importance of several characteristics, such as weight, cost, volume, service or shelf life, discharge rate, maintenance, and charging rate.
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Indirect discharge means the discharge or the introduction of non - domestic pollutants from any source regulated under Section 307 (b) or (c) of the Act, (33 U.S.C. 1317), into the POTW (including holding tank waste discharged into the system) for treatment before direct discharge to …
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Maintain glucose levels within normal limits. Maintain glucose levels with sliding scale insulin titrated to blood glucose 120-160 mg/dL. Use Insulin infusion if blood glucose > 180 mg/dL for two consecutive checks. Use ICU: Insulin infusion: Adult order set, as needed. Observe for hyponatremia. Administer hypertonic saline as needed.
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For discharges with one or more direct transfers, keep the original admission date as the Index Admission Date, and use the direct transfer's discharge date as the Index Discharge Date. A direct transfer is when the discharge date from the initial stay precedes the admission date to a subsequent stay by one calendar day or less.
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