maximum day supply for c2 in california

srilak Posted June 7, 2012 C2 prescriptions u only fill it for 30 day supply and RX expire in 6 months even though they have refills . For non-c2 things like RX for ambien #30 when insurance pays for #10 per month, I always bill #10 and #20 both as 30 day . This maximum demand cannot be accurately estimated from the actual use over a period longer than one such day unless it can be confined to the use during two, three or four days of continuous maximum use. Restore formatting, Since these prescriptions need handwritten rxs every month there is no situation where you would get more than a 30 day supply of C2 meds. 0000006531 00000 n Also included is a chapter on the particular requirements of summer resort situations. The 3 Month (100 Day) MCAT Study Schedule Guide: 2022 Edition, http://www.doh.state.fl.us/mqa/pharmacy/info_dearuling.pdf. You must log in or register to reply here. National Conference of State Legislators. 0000108130 00000 n Thanks!!! Bus. e\#C]}qy\yn*91rZ8=;8vUtMZ"lSS)]\F~iL{UUq}"g*-Q/u~^sRB$egb/lc"*e4[[%'Ow'Q> Cj9hx#kA+ZxV}RFoCJRh`(B OM-x~uSgz(~x=Oa'SN. https://www.bcbsal.org/web/about/press.html Published March 20, 2018. d. Additional well and related pumping equipment: (1) If primarily provided for standby purposes and when situated close to the main well supply, only one pressure tank is necessary and the operation can be made automatic by using lower turn-on pressure limit for standby well. aznkukuboi 4 yr. ago This capacity would also be adequate to meet the average daily maximum demand if one pump were out of service. The demands on metered systems and on flat rate systems are not too different, as the customers on either system use their facilities to capacity during certain peak use hours. 43. When max quantity limits are exceeded, th e claim will reject with the following or similar message: <<75: Prior Authorization Required>> Dispensing in Emergencies. The demand during the maximum hour for commercial (residential and business) customers at meter rates can usually be estimated at between 1 and 2 times the gallon per minute average on the day of maximum demand. To establish the legitimacy and accuracy of the requested medications, the pharmacist may want to consider the following: When dispensing medications in an emergency situation, records must be maintained that include the name of the patient, the patients local address, the name of the prescriber, and the name, strength, dose, directions, and quantity of the medication(s) and dangerous devices dispensed and the date dispensed. If your state law prohibits it, then the stricter law applies. June 7, 2012 in Pharmacy Forum. Other wise what would the point be of not allowing refills? 0000010000 00000 n Accessed January 10, 2019. 2. Unless some consideration is given to the reduced daily and hourly maximum demands of the usual resort water system, the requirements of Chart 2 in General Order No. 0000019654 00000 n Medical Association of the State of Alabama. Can you fill an Adderall prescription for a 60 or 90 day supply? Where this cannot be accomplished with well pumps by utilizing the air in the pump column it is usually necessary to install an air compressor or air charger for each hydropneumatic tank. The prescription is dispensed on 7/1/2016 for a quantity of 30. In 2016, Massachusetts became the first state in the nation to pass a law limiting first time opioid prescriptions to 7 days.2 Since then, over half of all states have enacted laws that restrict the prescribing or dispensing of opioids for acute pain. 0000018380 00000 n Weissman California law book, eight edition (2013-2015), p. 315 D. How Might a Situation Be Handled Whereby A Patient Brings In A Schedule II Prescription For a 60 Day Supply And Insurance Will Pay For Only 30 Days? & Prof. Code 4064, when dispensing under the above circumstances, the pharmacist must, In case of a follow-up audit or an inspection, documentation would be essential in showing that the pharmacy complied with California law in dispensing medications without obtaining prescribers authorization (especially in cases of controlled substances). 0000107834 00000 n DETERMINATION OF WATER SUPPLY REQUIREMENTS. Learn everything from how to sign up for free to enterprise use cases, and start using ChatGPT . A discussion of standby water sources and supply facilities, their economic feasibility and their desirability as a service concept is contained in the last chapter. Some states require a diagnosis on the rx in order to dispense a 3 month supply. Natalia is a tenacious regulatory counsel and outside-the-box thinker offering extensive experience to healthcare providers. a. In the past few years, state leaders in at least 33 states have adopted guidelines, limits or other requirements for prescribing opioids.7 Most of these laws were passed in 2017, suggesting that more states will adopt such restrictions in the near future. Nevada is the only state with an initial 14-day prescription limit.2 The strictest limits are in Tennessee, Kentucky, and Florida where initial prescribing is limited to 3 to 4 days.2 Minnesota also has a 4-day limit, but only for acute dental or ophthalmic pain.2, When addressing risks for drug overdose, studies support the need to monitor not only duration of initial therapy, but also total daily dosing for patients. 425 0 obj <>/Filter/FlateDecode/ID[]/Index[403 35]/Info 402 0 R/Length 109/Prev 193413/Root 404 0 R/Size 438/Type/XRef/W[1 3 1]>>stream 0000012646 00000 n You have entered the days' supply types (maximum of three) that are to be calculated by the system in Customizing for the Order View under Set Layout Maintain General Settings. MLN Matters SE18016 Related CR N/A Page 1 of 1 A Prescriber's Guide to the New Medicare Part D Opioid Overutilization Policies for 2019 33. Therefore, pharmacies are advised to make a note in the patient profile that the drug was dispensed per Cal. Address/Name Change. Prescribing Policies: States Confront Opioid Overdose Epidemic. You may dispense up to a 90-day supply for drugs that fall under this category. Such situations will normally occur when water systems have storage capacities which fall between those necessary to meet the needs of three maximum days' use and three maximum months' use. State legislators, health care providers, patients and families continue to confront the opioid epidemic. The water use and the maximum demands of summer resort systems are generally less than those of permanent communities located in comparable areas. 27. 0000015425 00000 n I'm starting to suspect that in California the limits are: In case anyone cares, there is no strict limit for a single CII prescription when it comes to days supply, or CV for that matter. The examples previously outlined should assist staff engineers in evaluating the water supplies of existing or proposed water systems. pillpharmer Grabbin' pillz. C2 prescriptions u only fill it for 30 day supply and RX expire in 6 months even though they have refills . The Board of Pharmacy has issued a guidance on dispensing without prescription, recognizing that during . By 0000007672 00000 n hbbd```b``@$jfW 2^fD0V , fTQ d$l]_[L #300 c (4) If not reciprocal arrangement, it can be equipped with a pressure regulating valve so that the supply is automatically available. Where hydropneumatic tanks (pressure tanks with air cushions) are to be used some means of replenishing the air must be provided to replace the air absorbed. However, I can find no legal restriction on the days supply of the original fill for a CII. Under federal law, there is no expiration for a Schedule II prescription. %%EOF Testosterone Cyp Days Supply Limit Question (Texas especially), All resources are student and donor supported. I never seen my pharmacist fill anything of C2 with DS greater than 30 days. Each prescription must include written instructions that specify the earliest date it may be filled. New Hampshire, Ohio, Oregon, Vermont, Virginia, Washington and Wisconsin). Request Fingerprint Cards. Storage necessary to meet four peak use hours (160)(240) = 38,400 gallons. 0000012504 00000 n http://smartandsafeal.org/cvs-pharmacy-others-to-limit-prescriptions-for-opioids/ Published November 9, 2017. I'm starting to suspect that in California the limits are: CII: no limit (standard of practice applies) CIII: 120 days CIV: 120 days CV: no limit (standard of practice applies) My pharmacy manager is actually good friends with one of the pharmacists at the state board so he's going to call him tomorrow to ask him personally. 37. Multiply the pumping capacity in gallons per minute by 15 to obtain the tank size in gallons. 0000011228 00000 n 21. Its funny how CIII are restricted to 1 month but CII are not. Storage necessary to meet four peak use hours. 51. Prior to the new regulation, physicians could only prescribe up to a 30-day supply. The final method discussed in Paragraph 5, the utilization of an additional well, is the most adequate method of insuring continuity of service, especially when equipped with an alternate source of power. 437 0 obj <>stream 0000059289 00000 n 6. Accessed January 31, 2019. 2 in General Order No. hb```f`` 462 0 obj <> endobj & Prof. Code 4062 and Health & Safety Code 11167). Gravity flow from springs and steam diversions. This system could successfully meet a four-day maximum use weekend with a continuous water supply of 28 gpm as follows: Maximum daily requirement = (100)(500) = 50,000 gallons, Storage capacity = (3)(50,000) = 150,000 gallons, Average day requirement during maximum month. These are also valid for 180 days or up to five refills. The size and length of pipeline facilities from storage and the allowable pressure drop should be checked to determine the pipeline capacity available and if found to be less than that available from storage for four hours of maximum use the lesser figure should be used. `qV/V;Lp8^?TV18)_Vs]qZ# ) Max Quantity Limits: Limit the quantity of opioids prescribed to 90 MME/day. The type of system most critical in the furnishing of continuous service is that system which uses one well as a source of supply. If this storage capacity is applied to the requirements of five summer months, by reducing this storage to gallons per minute and allowing 10% for seepage and evaporation losses, the 28-gpm requirement is reduced as follows: 36. 0000003853 00000 n 3 Schedule II prescriptions cannot be refilled. Its law states 0 Maybe someone here can help me clarify this. Example B: With . (2) If initial well is to be utilized to near its capacity to supply the system requirements, an additional well provided could probably be powered by gas, diesel or natural gas engine, thereby affording the greatest degree of continuity. 485 0 obj <>/Filter/FlateDecode/ID[]/Index[462 47]/Info 461 0 R/Length 113/Prev 379170/Root 463 0 R/Size 509/Type/XRef/W[1 3 1]>>stream Continuity of service is a requisite of good water service and therefore should be given serious consideration. 50. To provide standby on such a system, special consideration should be given to the most economical means. The system pumping capacity should usually be about 1 times the total water supply requirement in order to permit the pumps to restore water and pressure in the tanks at the same time as it is meeting the maximum system demand. & Prof. Code 4062 and Health & Safety Code 11167). As the number of wells increase, the situation becomes less critical, especially if more than one source of power supply is used to pump water from the wells. 103. The following are types of water system facilities which may provide some reasonable degree of standby protection if properly designated. Davis C, Lieberman A, Hernando-Delgado H, Suba C. Laws limiting the prescribing or dispensing of opioids for acute pain in the United States: A national systematic legal review. Disclosure of Disciplinary Action, Arrest, or Conviction. Step 3 - Determine required pump capacity: Min. 19. If Im wrong on this, let me know!! As a general guide this maximum daily water use per customer seems to vary between 300 and 600 gallons. 0000110507 00000 n 9. We are a full service healthcare law firm, working primary withpharmacyand pharmaceutical clients helping them to stay on top of their legal compliance, preserve theirlicensing, and build a strong legal foundation. xref Usually the pressure system has one or more steel pressure tanks containing an air cushion varying from about one half to one quarter of the tank capacity. 0000019724 00000 n endstream endobj 87 0 obj <>]/Pages 82 0 R/Type/Catalog>> endobj 88 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Shading<>/XObject<>>>/Rotate 0/TrimBox[30.4366 29.5562 680.406 785.563]/Type/Page>> endobj 89 0 obj <> endobj 90 0 obj <> endobj 91 0 obj <> endobj 92 0 obj <> endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <> endobj 97 0 obj <> endobj 98 0 obj <> endobj 99 0 obj [/Indexed/DeviceCMYK 86 135 0 R] endobj 100 0 obj <> endobj 101 0 obj <> endobj 102 0 obj <> endobj 103 0 obj <> endobj 104 0 obj <> endobj 105 0 obj <>stream b. These states include Alaska, Hawaii, Colorado, Utah, Oklahoma, Louisiana, Missouri, Indiana, West Virginia, South Carolina, Pennsylvania, New York, Maine, Connecticut, Massachusetts. Pharmacists Are Vital to Transitions of Care, Independent Rx Forum - Track-and-Trace Requirements, DEAs Proposed Rules on Controlled Substances Prescribing via Telemedicine and Their Uncertain Impact on the Pharmacy Community, Pharmacy Focus - Global Vaccination Rates, Changing the Game: Pharmacy Students' Perspective on Naloxone OTC Approval, https://www.deadiversion.usdoj.gov/drugreg/practioners/mlp_by_state.pdf. This method of estimating maximum demand is not recommended where any degree of accuracy is required. Is the original prescription container(s) available? These entities may include the Department of Health, a designated state health official, or regulatory boards, such as the Board of Medicine, Nursing and/or Dentistry. Minimum service during an emergency should be maintained at a level that will at least afford some household domestic service. 0000132478 00000 n http://www.ncsl.org/research/health/prescribing-policies-states-confront-opioid-overdose-epidemic.aspx. hbbd```b``"A$"92A$s0{d`-L:E@jE 2u30mY 6L?o }- The Board of Pharmacy has issued a guidance on dispensing without prescription, recognizing that during emergencies or disasters, patients might not be able to produce prescription documents and it might be impossible to contact a prescriber. This usually results in providing a reasonable safety factor because any centrifugal pump will deliver more water at the lower end of the pressure range than it will average within the pressure range. The use of this method requires some means of recording the total use on the maximum day. (1) A pharmacist may dispense not more than a ninety-day supply of a drug other than a controlled substance pursuant to a valid prescription that specifies an initial quantity of less than a ninety-day supply followed by periodic refills of that amount if all of the following requirements are satisfied: 0000006283 00000 n Therefore: Required water supply is 83 gallons per minute. Whenever used, the average daily demand should be based upon the maximum month, and most water systems in California require about three times such average. Pharmacy & Healthcare legal updates, news, and industry trends. 0000107904 00000 n To illustrate, RE20 requires 20,000 SF minimum lots. 0000002896 00000 n This air cushion prevents the pump or pumps from having to operate continuously or from turning on and off too frequently. You can post now and register later. * Thus, the 50 gpm are adequate to permit less than one maximum day's storage. 50,000 gallons, Water supply necessary to fill storage tanks, in 10 hours - ________50,000 gallons____ = 83 gpm. Any audit of the drugs on C2 during that time will show irregular quantity of C2 drugs and illegal. on April 20, 2023, 5:30 PM EDT. 18. It is of particular interest to point out that the water supply necessary to serve 100 customers under the same climatic conditions for the water systems outlined above vary from about 15 to 210 gallons per minute depending upon the amount of storage on the system. [1.2(210) - 50][240] = (202)(240) = 48,500 gallons. Clear editor. 0000000016 00000 n 0000081857 00000 n 10 comments share save hide report 40% Upvoted Sort by: best level 1 @J:oDX |P1g#bF^ }X When a holiday such as the Fourth of July falls on a Thursday or a Tuesday, a four-day period of maximum daily demands will often result. A summer resort water system is one which serves the majority of its customers during the summer season and would include any water system which has its maximum demands on the long summer weekends such as result from the Fourth of July and Labor Day holidays. See ratio of maximum hour to average hour on. Storage capacity = (0.8)(30)(50,000) = 1,200,000 gallons, Average daily requirement during maximum months. The size of pressure tanks can normally be determined from two informal rules using the larger tank capacity obtained therefrom. 0000003289 00000 n 22. CIII are not. Example - Water System With Elevated Storage. The water supply and related facilities must be adequate to deliver the total water supply requirement of the system. JavaScript is disabled. The use of 1 to 2 times the maximum day's consumption is not accurate here because it does not give consideration to diversity when applied to a small system. 0000023351 00000 n HVnG}'s`vZH"P9V#bI/9,+CzHp8_zM%Oc 3 Zqf4\Aun2i). issued a guidance on dispensing without prescription, Court of Appeal affirms that Optums arbitration requirements are unenforceable, A pharmacy sues ESI based on specialty drug reimbursement, A recent enforcement action against a compounding pharmacy. The tendency of using more water on a flat rate system is more likely to extend the duration of the period of peak demand than to increase the peak demand itself very measurably. Pasted as rich text. The total water supply requirement is that flow which is required to meet the immediate demands of all customers during the time of maximum system usage. (3) A pharmacist dispensing an increased supply of a drug pursuant to this section shall notify the prescriber of the increase in the quantity of dosage units dispensed. Can a prescriber with knowledge about the patient be reached? c. Gravity flow from elevated storage tanks and reservoirs. It is also necessary to determine or estimate the average use on the maximum use day and to be careful not to reduce the size of pumping facilities below the minimum necessary to provide for the maximum day and any growth anticipated within the next few years. The new rule does allow a patient to receive prescriptions that would total a 90-day supply, if the prescriber has determined it is appropriate to see the patient only once every 90 days. If it is predated, u don't fill it before the date( may be some exemptions). It just says refills can't be more than a 120 day supply. The maximum hourly and daily demands of water systems in resort or seasonal communities can usually be estimated at about one half of the demands of a similar system for a permanent community under the same climatic conditions. If pressures at the tank are set to operate between 40 and 60 psi and the pressure tanks are adjusted to be 40% full of water at 40 psi, the quantity of water available to the system from the tanks between these pressure limits is: From P1V1 = P2V2 (Assumes constant temperature), V2 = P1 (V1) = 55 (6,000) = 4,400 gallons (air). Further research into these questions is needed, but states are moving forward with restrictions. According to the FDA's drug shortage database, some doses of a generic version of Adderall, from the drugmaker Alvogen, are expected to be in short supply until later this month or mid-May . Step 2 - Determine the number of wells or supply sources. & Prof. Code 4064 and The drug is essential to sustain the life of the patient or continue therapy for a chronic condition of the patient or Failure to dispense or sell the drug to the patient could result in harm to the health of the patient.. The cost of additional plant is not much more than for the elevated storage arrangement, discussed above, approximately $4,000 for the same size system but operating and maintenance costs would definitely be increased due to the necessity of two pumps. 0000115813 00000 n 0000006676 00000 n As we know from the previous example that 28 gallons per minute will meet the needs of the average day during the maximum month assuming no seepage or evaporation losses are incurred, we can assume that any additional storage will reduce the water required from the source of supply. 152 0 obj <>stream The matter of degree of continuity, and how to achieve this, is the concern of this chapter. 0000120810 00000 n 31. A system having only one well is generally very small, supplying service to no more than 300 customers and possibly as few as 25 customers. Schedule IV and V drugs can be faxed and given orally. Beneficiaries may receive up to a 100-day supply of many medications. Prescribers may request a PA for higher doses up to 200 MME/day. Assessing risk for drug overdose in a national cohort: role for both daily and total opioid dose?. Total water supply requirement = 210 gpm. 40. Please help me confirm. 42 0 obj <>/Filter/FlateDecode/ID[<3FEEF4037F74D97D6B812228542CE824><677FDBB626B46F439C8F224D1E2AAEED>]/Index[26 29]/Info 25 0 R/Length 92/Prev 136076/Root 27 0 R/Size 55/Type/XRef/W[1 3 1]>>stream For systems (or tanks) operating at higher pressures, the tanks and their capacities should be carefully designed, particularly where the allowable pressure range is small. 10+ Year Member Pharmacist Joined Apr 3, 2008 NCSL website. trailer All of the single-family zones in LA require a minimum of 2 covered parking spaces. Of all the MLPs, nurse practitioners, physician assistants, and optometrists have the highest authority among states to prescribe opioids.1. (3) Can often be readily arranged because of the mutual assistance aspects as between utilities. CVS Pharmacy, others to limit prescriptions for opioids. 26. Under California law, pharmacies may refill prescriptions without prescriber authorization if: Under Cal. 17. Upload or insert images from URL. Blue Cross to limit opioid scripts to 30-day supply. 0000006824 00000 n Many prescribers offices are closed due to the coronavirus outbreak, leaving many pharmacies unable to obtain fill authorizations for patients. 34. Such a system can be checked as follows: Maximum daily requirement = (100) (500) = 50,000, Storage capacity = (4)(30)(40,000) = 4,800,000 gallons. 12. Provision for growth should be studied separately in those cases where it is possible to enlarge the pumping facilities in order to avoid the necessity of early pump replacement. 25. 86 67 0000005204 00000 n Apply for a Facility License. 0000015170 00000 n 508 0 obj <>stream 42. Accessed January 31, 2019. b. 16. Can the dispensing pharmacy be contacted? If it is assumed that no water is used during the nighttime hours, that there are 10 such nighttime hours and that the storage were depleted by 10 p.m., this resort system would require the following water supply: Maximum daily requirement = (100 customers)(500 gallons per customer) = 55. Directly from wells delivering at operating pressures. Unless the area is growing very rapidly a safety factor of 20% is usually adequate. Q = flow in gallons per minute, N = number of customers, c = a constant ranging from 2 to 5 for metered systems and from 5 to 9 for flat-rate systems and f =a constant to reflect diversity ranging from 1.8 for ten customers to 0.69 for 100 customers to 0.34 for 500 customers, see Chart No. This requirement, usually expressed as gallons per minute and related to demand during the maximum hour, can be met from any one or more of the following sources: a. The purpose of this standard practice is to set forth more definitive water supply requirement criteria for the various geographical areas and varying usage characteristics of service in California. 0000116323 00000 n To my understanding, you can only dispense 30 days supply at a time but a doctor can write for up to 90 days supply but on multiple scripts and with earliest fill date written on each of them. what is the max days supply you can dispense in Texas ? Other states, such as Rhode Island and Utah, have prescribing limits in statute, and allow other entities to adopt prescribing policies. Your link has been automatically embedded. 0000122434 00000 n [1.2(210) - 100][240] = (152)(240) = 36,500 gallons, [1.2(210) - 150][240] = (102)(240) = 24,500 gallons. This practice will be useful to analysts in their determination of the adequacy of the water supply sources and facilities of water utilities requesting certificates of public convenience and necessity, for formal and informal complaint proceedings where storage or supply facilities are in question and for better evaluation of the water supply supplemental questionnaire for subdivisions. My partner says that this would violate the 120 day rule, as the "first fill" is considered 30 days. It remains a challenge to treat pain and ensure access to effective treatments, while also preventing misuse, addiction and death. 0000059026 00000 n endstream endobj 27 0 obj <> endobj 28 0 obj <> endobj 29 0 obj <>stream Licensees. %PDF-1.6 % 54 0 obj <>stream 0000023809 00000 n 44. (2) Allows water from another source to be used in system by pumping such water into surface storage tanks. 47. CIII and CIV is 120 days. For systems having storage exceeding 5% of the maximum day requirement, such storage is useful in meeting a portion of the maximum hourly demand of the system. My store received an Rx for Ritalin 10mg tid #360 with 3 refills. RE zones can be found in five zones, RE9, RE11, RE15, RE20, and RE40, with the number signifying the minimum lot size in thousands of square feet (SF). Higher ratios of maximum demand to average demand on the day of maximum use can be expected on metered water systems (particularly resort systems) where the charges for service are relatively high or where there is known to be a limited supply of water. Because most resort systems have great fluctuations in daily demands and are often situated where water supplies are limited, it is usually most economical to provide relatively large storage facilities to collect water during periods of low water use to meet the demands of long holiday weekends. I didnt see any information regarding the max day supply of C2. On a metered resort water system, the maximum daily water use is usually only about one half of the water use in a permanent community under the same climatic conditions. The following is an example for such a water system assuming it had storage capacity equal to one maximum month's use. Recent Graduate here, not too sure what you mean with your questioning, but if you are asking what the DS on any C2 Medication is, it should be for a max of 30 days supply. When prescriber is not available. 0000122010 00000 n ``` 2$@\VWDIE 6 - 49. 0000019812 00000 n You are using an out of date browser. The latter is particularly true of resort water systems. Where the available water supply is limited or seasonal, it will be necessary to provide storage facilities with a capacity large enough to store up to one or more maximum months' demand. 0000006627 00000 n This supply of approximately 13 gallons per minute for a typical summer distribution of the monthly requirements can be checked as follows: Month : May : June : July : August : Sept. : Oct. : (Use in M. gallon increased 10% to allow for losses ). This standard practice has been prepared to assist engineers and analysts (analysts) of the Water Division in the determination of the water supply requirements of water utility systems1. 0000017134 00000 n I read the Weissman book and didn't see any reference as to the max day supply per fill for a C2. 403 0 obj <> endobj 8. They are only limited to rx's good for 6 months or 5 refills. 0000069211 00000 n The maximum hourly demand of metered domestic water systems in permanent communities is normally 1 to 2 times the average demand on the maximum day. As used here, elevated storage includes only those portions of the storage facilities of a system which are located such that water will flow by gravity from such reservoirs or tanks to the customers' premises and provide not less than minimum operating pressures at their respective service connections. I've never gotten a good answer on whether a 90 day supply can have an extra refill. Can I get my medications early if I am going on vacation? D - ESTIMATING MAXIMUM WATER USE FROM AVAILABLE DATA. 0000001636 00000 n *\WQ{P<8Y\WoqRw*{>%7v~XxKDp [GG Q = Ncf = (500) (6) (.35) = 1,050 gallons per minute, Therefore: Average daily maximum demand - 1,050 = 600 gpm. If you often run out of medication, contact your doctor and discuss adjusting your prescription to meet your current needs. Step 2 - Determine the portion of the total demand available from storage: (a) Storage available for four hours of peak usage. hbbd```b``z "wI/" E LX DA# ,; Ldkvs30120*Dbd 4O

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