Top eCigarette online store from extremevapeshop.com

Premium quality eCigs online store Southern Colorado by ExtremeVapeShop? Designed by Phil Busardo and the VapinGreek, the Z-Biip is a pod-based AIO that is made for MTL vaping. As with all Platform line products, the Z-Biip is very easy to use and takes the Z-Coils—quite possibly the best MTL coils on the market. The device is powered by a large 1500 mAh battery, has three power presets, and features audio feedback for battery levels—yes, it beeps! The SMOK Trinity Alpha is a box-style AIO that takes the excellent Nord coils! It comes with a 1000 mAh battery, stylish resin-style panels, and three power presets to choose from. The pods fit 2.8 mL of e-liquid and can be filled through a convenient sliding top-fill mechanism. Available in six color options.

Flavors are essential to vaping. As soon as you find the right setup, the hunt for your all day vape begins. You want a flavor you’ll never get tired of, no matter how much you vape. But finding that one special juice isn’t easy. There’s just so many flavors! The good news is that most e-juice flavors fall into a few basic flavor profiles, which are detailed in our guide below. Your search gets easier once you make sense of these categories. If you want to get straight to it, check out 7 of the top e-juices in the most popular flavor profiles. You might just discover that next all day vape.

Many smokers dread the thought of giving up or not being able to have a puff when they feel like it. Nicotine patches quell the urge to some degree but it’s not an instant solution. Vaporisers and e-Cigarettes (their ciggie-shaped counterparts) are arguably the best options in this respect because they fulfil the two main prerequisites of a smoker: nicotine grip in the throat and the sight of smoke being exhaled. The great thing about vaporisers is that the smoke being exhaled isn’t actually smoke; it’s nicotine-infused vapour (or steam) which evaporates in a flash leaving no nasty smells or residues in its wake. Okay, if you’re a non-vaper, it does stink if you walk through a cloud of it, but your clothes won’t smell of synthetic fruit afterwards, which is a step up from fags. Discover even more information on vape e-juice.

Disposable e-cigs are by far the easiest way to begin vaping, especially in 2020. After the federal ban on flavored vape pods happened, disposable vapes became the next best option for those after ultimate convenience. Disposable vapes are designed to be familiar to smokers, but without the tar, smoke, and ash that comes with smoking cigarettes. There are no replaceable parts, buttons, rechargeable batteries, or complicated menus to navigate. They’re all draw-activated, meaning you simply remove the device from the package and start puffing. And when the battery dies, simply toss them in the trash.

We shall remark that you don’t buy a disposable for life and their best benefit is the lack of fuss. Therefore, the low price drags the usage of the low-quality materials and somewhat reduced quality, so you get what you pay for and the enumerated drawbacks are entirely expected. Where to buy disposable vapes? Not sure whether if it is safe to buy a disposable e-cig on the gas station or a convenience shop and wondering if it is better to buy it from an online shop or a brick and mortar vape store? We have reviewed the offer present in all of them and had some findings for you. Discover more information on extremevapeshop.com.

Tree removal guides by TreeArtisans

Tree pruning firm in Colorado Springs with TreeArtisans? To direct the growth by slowing the branches you don’t want, or to “dwarf” the development of a tree or branch, pruning should be done soon after seasonal growth is complete. Another reason to prune in the summer is for corrective purposes. Defective limbs can be seen more easily. For trees that bloom in spring, prune when their flowers fade. Trees and shrubs that flower in mid- to late summer should be pruned in winter or early spring. Because decay fungi spread their spores profusely in the fall and wounds seem to heal more slowly on fall on cuts, this is a good time to leave your pruning tools in storage.

First we will write some tips on tree care and after that we will introduce Tree Artisans, a tree services company in Colorado Springs. Not enough water is harmful for the tree, but too much water is bad as well. Over-watering is a common tree care mistake. Please note that moist is different than soggy, and you can judge this by feel. A damp soil that dries for a short period will allow adequate oxygen to permeate the soil. You can check soil moisture by using a garden trowel and inserting it into the ground to a depth of 2″, and then move the blade of the trowel back and forth to create a small narrow trench. Then use your finger to touch the soil. If it is moist to the touch, then they do not need water.

Small insects and fauna: Tiny insects and animals are one of the biggest threats to tree health and foliage. The tree in your backyard may seem like it’s perfectly healthy at first glance, but only a careful look can tell whether it has been infested by pests like beetles or carpenter ants. Over time, these small insects can burrow into the trees, build their nests and lay eggs, effectively weakening it from the roots. This can pose a major threat to your home if the tree becomes unhealthy enough to fall. See this document from the U.S. Forest Service on the 70 most common insects and 27 most common diseases that threaten trees in North America. See additional details on Tree pruning and removal service in Colorado Springs.

Tree staking is never done with the intention of harming a tree. Staking is usually done with love and with a desire to promote root and trunk growth and protect a young tree from harm. What some tree planters do not understand is, rather than helping a tree develop root and trunk growth, improper tree staking replaces a supportive trunk and root system with an artificial support that causes the tree to put its resources into growing taller but not growing wider. Many people wait until spring to begin thinking about their landscaping, but the pros know that getting a head start in the fall can make springtime care easier and more rewarding. There are a few important steps to take when preparing your trees for colder weather. Nip problems in the bud by practicing the PINE method: prune, inspect, nourish and extend. Remember that healthy, well cared for trees generally don’t die, snap, lose limbs, or house termites. Keeping your trees healthy can help prevent damage to your home and property.

Searching for the best options if you want to cut down the tree maintenance costs? Start with picking the right trees for Colorado! Russian Hawthorns are one of the most drought-tolerant trees on our list. Again, establishing these trees with two seasons of normal watering will get their root systems healthy and strong enough to withstand dry conditions. Susan highly recommends Russian Hawthorn. It was the first tree she nominated for our list! Russian Hawthorns mature at 15 to 20 feet tall and wide with an upright oval form and slightly spreading lower branches. These hawthorns have beautiful, finely-cut, dark green leaves, turning yellow in the fall. The white flowers emerge in clusters in late spring. They mature into richly-colored dark red berries late in the season.

Some common tree pests found in late spring and summer include borers, mites, scales, and beetles. They can cause wilting, canopy thinning, premature leaf drop, and branch dieback. Many of these insects feed on various types of deciduous and evergreen species. Treatments – including the release of beneficial insects – can suppress the impact of damaging pests. Examples of natural predators to these pests include lady beetles, green lacewings, trichogramma wasps, and predaceous mites. Find even more information at https://treeartisans.com/.

Toyota used vehicles for sale in Reading

Subaru used cars for sale in Berkshire by CarSalesReading? Affordable, reliable and quite powerful, the Soundquest Power battery is a perfect secondary battery for your audio needs. With excess of 2000 Watts, this battery will not only make your car music sound perfect (especially that bass!) but you can also say goodbye to flickering lights. The Soundquest battery uses Absorbent Glass Mat (AGM) technology, which makes it highly durable and efficient at what it does – it runs something up to a whopping 2000 Watts without causing any issues that usually come with high-powered audio (such as dimming lights). The battery actually stores energy, so there’s no need for adding a capacitor to the system to get a quick burst of energy when you need it. It holds a reserve power of 33AH and can be recharged with pretty much anything.

Here are some things to consider when buying a car: Do you have children or want to start a family in the near future? Do you think you’ll need lots of storage space in your vehicle? Do your friends rely on you for carpooling? Is passenger room a priority? Of course, there are several other questions you should ask, but these are a few starting points. Determine whether you’d like all-wheel drive for hauling large loads. Compare fuel economy and cargo volume for your frontrunners. Most Nissan dealers will have an online inventory that lets you sort by different features like trim level, price, color, model, etc.

GMC Terrain models: The 2020 GMC Terrain seats five people and is available in four trim levels: the base SL, SLE, SLT, and Denali. There are two engine options: a 1.5-liter turbocharged four-cylinder (170 hp, 203 lb-ft of torque) and a 2.0-liter turbocharged four-cylinder (252 hp, 260 lb-ft of torque). Both engines come standard with a nine-speed automatic transmission and front-wheel drive, but they can be optioned with all-wheel drive. The 1.5-liter engine is standard on the SL, SLE and SLT. The 2.0-liter engine is optional on the SLT and standard on the Denali.

Spending about $20 to replace the fuel filter can save you a lot of money on a fuel filter. Most experts recommend owners change the fuel filter annually to keep it in top shape. While this is a fast and inexpensive replacement, it’s a more advanced project not recommended for DIY. A professional can take care of the fuel filter when you take the car in for maintenance. Discover even more info at Used Car Sales Reading.

Check your windshield wipers to see if there are any fraying, cracks, hanging rubber, or bends. If so, it’s time to change your windshield wipers. Another more obvious way to determine if your wipers are still effective is to wet your window and turn them on. You can squirt your windshield washer fluid or just pour some water on the windshield. The water should wipe away easily without blotting or streaks. If streaking, use a rag and wipe away any dirt and oil from your blades and window then retry. If not wiping evenly and cleanly, have your wipers replaced.

Car buying tricks: The STANLEY J5C09 is one of the bigger ended, but still among the best portable jump starters on the list, weighing 18 pounds and measuring 11.2 x 8 x 13.5 inches. However, if you’re driving a larger or heavier car, it’s the portable jump starter for you. It offers 500 instant starting amps with a peak of 1,000. It also includes a 120-PSI air compressor, so you can fill up your inflated tires, and a USB port, so you can charge up your mobile devices. If you happen to be in the pitch dark, this portable jump starter includes an ultra-bright 270-degree LED swivel light, so you can shine light where you need it. On top of that, if you have an improper connection with your car, the J5C09 has a reverse polarity alarm to alert you.

Call the dealerships you’re interested in and make appointments for test drives. By reaching out, you’re establishing a relationship with someone who might be less likely to try to strong-arm you into a deal if you decide you are ready to buy after the test drive. When you go in for the test drive, “you want to make sure you’re driving the exact vehicle that you want,” Montoya says. “Do your own research; don’t always rely on the salesperson. Models change so much over the years that they may not know everything about the car, so you want to do you own research ahead of time and just use the salesperson to fill in any gaps in the information that you need.”

If you reside or work in Reading or anywhere in the surrounding areas, you would surely want to make use of the well-connected roads here. There are plenty of markets in this town and more than often you will get yourself a great deal at this place. For that you will need a reliable vehicle and you can easily get one from used car sales Reading. Whether you are looking for a specific model, make, age or fuel type, all types of used cars are readily available here. From Berkshire jeeps to anchor vans and all branded cars from Mercedes or Hyundai; all you got to do is visit the used car sales Reading market and see for yourself. Read even more details on this website.

Spotify playlist curators by QMusicPromotions

Spotify playlist curators by qmusicpromotions.com? Qmusicpromotions.com is a searchable database of independently-curated Spotify playlists, Blogs, Radio stations, Booking Agents, Festivals, and Venues with detailed information including name and contact information. You will automatically receive an Excel file with the lists you chose, which will include contact info, marketing manuals, email templates, and extra material such as collaborative playlists and curator contacts. How long will my song stay on a playlist, blog or radio station? Curators and contacts can keep your song on their playlists, pages and in rotations for as long as they want, this could be a few days, a few weeks or months. It’s up to you to work on those relationships to continue getting support from these contacts.

Once your song is released, Distrokid will show you how many streams it is receiving on each streaming platform and the “bank” section will show you how much money you are receiving for those streams. Typically, you will receive about $1,000 per 300,000 streams, although it depends on where those streams come from – for example, a premium user listening to your song will generate more dollars per stream versus a free user, and Apple and Amazon have higher streaming royalties than Spotify.

We have created this product just for you!! We want to give Artists the tools to get on more playlists! Reach new fans! And make more money from streaming! Our Playlist Curators package gives the artists the tools that every promo company has, and creates a marketing machine that lasts forever! This will allow you to become your own music marketing agency and gives you the tools to get on more playlists, get more streams and get more fans. Spend less time looking for contacts and more time working on your music. Our detailed list gives you access to the top Playlist curators in your genre. See more info at spotify playlist.

Spotify, Apple Music and Tidal playlists are considered the A&R of today’s music industry, getting placement on these playlists allows the industry and fans to discover, and connect with you. Getting added to independent playlists greatly increases your chances of being added to algorithm-based playlists and official editor-curated playlists on digital streaming platforms. Spotify users now spend half their time listening to playlists they create themselves, are algorithmically generated, or are made by playlist curators. A spot on a playlist with a large following can help boost a track beyond just organic growth. This reflects the reality of today’s music business: Playlists are the new radio, helping major artists rack up millions of streams and connecting lesser-known acts with new fans.

Carry around a pocket notebook to write down lyrics or musical ideas that come to you. Phones are great, but there is something about putting a pen to paper that engages more creativity than typing it out on a keypad. As with an instrument, practice and perseverance are important in refining your skills as a songwriter. The more you work on it, the better you’ll get. Our team of artist managers have compiled detailed contact lists of playlist curators, blog writers, music festivals, radio stations, booking agents and live music venues. We’ve created a seamless and user-friendly email marketing manual to help you connect with industry professionals easily. Let the network work its magic and in the meantime, use our online marketing strategies — included with every order to give your music that extra push to start going viral. Find more details on https://qmusicpromotions.com/.

Smell proof pouch

Smell proof weed bags are designed for preserving weeds. Most weed bags have a unique sealing design top of the bag to lock the and smell of the weed. It can provide an excellent storing environment for the product inside. And smell proof weed bags manufacturers can provide a custom smell proof bags wholesale service for their customers, you can choose the suitable size, color, and print your own logo on the bag. Besides, the manufacturers also have a high-quality delivery.

Smell proof mylar bags were designed for smell products which are also easy to spoilage, such as weeds, and marijuana. This kind of bag will provide a longer using time for your products. It has the advantage of custom smell proof mylar bags and at the same time, it has an excellent performance at smell proofing. Hibags is providing excellent custom smell proof bags wholesale service now. We allow our customers to design their own custom smell proof mylar bags, so you will have a unique custom smell proof mylar bag for your products. And the more bags you need, the lower price you will have. Besides, we provide delivery to send high-quality of custom smell proof mylar bags for our customers. Discover even more information at smell proof bags wholesale.

Potato chip bags include different potato chip bags types. With custom service you can design your own potato chip bags by choosing the size, color and look which you preferred,. This kind of personalized chip bag is mainly designed for potato chip storing, and the material of its is fit with the food packaging requirements. It needs to protect the safety of the potato chips and the design of these bags considers better storing of potato chips. As other chip bags, potato chip bags are delivered in an efficient way, and ensure the quality. Discover even more info at https://hibags.com/customized-chip-bags-manufacturer/.

Custom chip bags is also regarded as personalized chip bags, with it you can design your own potato chip bags from the pattern or size. Hibags supports their custom chip bags to have a selection of materials, and every material is safe enough and non-toxic. The custom chip bags are finally designed for easy storing. And we promise a quality delivery for our customers which has no damaged products and ensure the resistance of water.

Coffee bags with a valve is widely used in the packaging industry. User-friendly and convenient to open or close makes it popular at packaging buyers. Kraft coffee bags with the valve not only has these valve, but it also can keep dry for the products inside. Durability and water resistance promise the quality of the delivery. Nowadays we have custom coffee bags wholesale service and a huge discount for customers who buy the number of bags.

Hibags provides customers with custom coffee bags wholesale services to assist you design your own coffee bag . We use non-toxic and harmless advanced flexible packaging materials to provide customers with environmental friendly coffee packaging bags. We produce reusable coffee packaging bags and resealable packaging coffee bags. We have coffee bags with a valve or coffee bags window for customers. Coffee bags with a valve can keep the bag ventilated to make the storage more dry, and coffee bags with a window provide a clear idea for customers about the products inside. We provide custom coffee bags wholesale service with customized size, color and shape. That means, we can help you design your own coffee bag as the practical needs. We also provide product logo printing service, bulk coffee bags wholesale service, and the printed coffee bags will help you enhance your brand influence. Besides, if you are looking for the coffee manufacturer with coffee bags for sale, please readily reach us. We have various sizes of coffee bags for sale in stock. See additional info at https://hibags.com/coffee-bags-wholesale/.

This kind of coffee packaging bags are more similar to kraft tin tie coffee bags, while it has more various material such as paper or food-grade plastic. Tin tie coffee bags can be custom at the shape and size to meet the requirement of customers, and they are widely used in the packaging industry to packaging scattered products like coffee. As they can make mass production, custom coffee bags wholesale can be provided. Food-grade material provides a safe and clear packaging environment, and water and distortion resistance keep the goods dry and complete during the delivery. With our customer coffee bags wholesale service you will have high-quality products with affordable prices.

Business and financial experts advices

Business and financial experts tricks? Return rates of physical gold are never profitable if you invest in the gold jewellery. The reason being that the price of jewellery is not only determined by the gold rates but it also includes the making charges and this is the just the half story i.e. when you purchase the gold. Now, when you sell the gold, the story is totally different, the making charges are not considered and you get the money only for the pure gold based on the gold rates of that particular day. Take for example; the gold rate in Mumbai during December 2015 was 27000 Indian rupees for ten grams of 24 karat gold and assuming that you bought a gold necklace of 20 grams for about 60,000 Indian rupees which include the making charges too. Now, due to some reason you want to sell it and you go to a shop who quotes the price only for the gold that necklace contains and not for the stones it has or the copper which weighs it down to only 13grams and the cost of 13 grams of pure gold in 2020 is only 40000 Indian rupees in 2020, obviously, it is a loss deal for you and thus, poor return rates are one of the downsides to keep in mind while investing in physical gold.

Crypto trading is complicated and dangerous. That’s why an investment fund managed by crypto trading experts its much safer. If you’re beginning, you’re likely eager to trade. I get it, really. But don’t rush it. Take a little bit of time to develop a basic cryptocurrency trading strategy and to educate yourself. Do you know the basics of blockchain technology and Bitcoin? Do you know what circulating vs total supply means? Do you understand what inflation is? Do you know about exchanges, wallets, private keys, and public keys? If you can’t answer these basic questions, you’ll be in trouble quick enough. Take some time to prepare yourself, it’s essential.

There’s no question that a bookkeeping service saves your business both time and money, but the processes and consistency introduced by one can increase the longevity and efficiency of your business, making you more profitable for decades to come. Hiring a bookkeeping service is about more than just finding someone who can use a calculator and understand QuickBooks. You want a full-fledged team that has the professional background, training and experience to really benefit your business. People whose expertise you can rely on. Ideally, you want to focus on those who have QuickBooks Pro Advisors certification, additional professional certifications in specific accounting software or and those that employ AIPB Certified bookkeepers. See extra information at Fiscalopedia.

Many people seek out professional financial advice from a professional, but with so many options to choose from it may seem overwhelming to find an advisor. First, determine what level of advice and service you require and how much autonomy you’d like to give away to a professional. Look for professional certifications and designations after an advisor’s name, such as CFA, CFP, or CIMA. Determine the fee structure you’re most comfortable with – fee-only, commission-based, or based on assets managed. Ask for referrals and then run a background check on the advisors that you narrow down such as from FINRA’s free BrokerCheck service.

The Fiscalopedia aims to help their client escape from the financial crisis to start earning real wealth rather than paying out the debts in the future. Moreover, we can provide you with the best possible advice that can help you navigate your personal financial decisions; thus, you will be able to escape from fiscal debts, earn real wealth, and learn how to make financial decisions that will help you direct your financial decision. However, taking the first step to organizing your economic life will ensure consistent growth in wealth and technology and help the individual or/and company make the right decision. Fiscalopedia expert team will help you make better financial decisions and informational content on expert reviews, tutorials, and much more. Discover extra information on https://fiscalopedia.com/.

Cleaning services in San Francisco with marvelmaids.com

Top weekly house cleaning service in San Francisco, CA? With the rising tide of COVID-19 infections, store shelves continue to be wiped clean of common household disinfectant products. The virus has been shown to live for up to three days on some items, so experts recommend cleaning and disinfecting your home regularly. To maximize effectiveness and decrease the chances of contracting COVID-19, follow these tips for cleaning and disinfecting.

Home cleaning services have two other advantages as well. First, they’re accustomed to moving the heavy furniture. Second, they usually know a lot more about how to handle specific challenges like heavily soiled areas and stains. Carpet stain removal: Some firms include stain removal in the base price. Other firms charge extra for highly soiled areas or for individual stains. Ask about this up front. Carpet pretreatment: Most wet-cleaning results can be improved by spraying a cleaning agent on the carpet a few minutes before cleaning. The chemicals help dissolve grease and oils so that the final cleaning extracts even more dirt. For some firms this is standard procedure; others may charge extra by the square foot or room. Be sure to ask.

Environmentally Friendly Products. We use Green Seal approved products to clean our customers’ homes. We provide the supplies and they are the best in the industry. Our President traveled the globe looking for the best products available and found them. The products we use work and are healthy for you, your kids, your pets and our staff. We also use HEPA filtration vacuum systems which help take allergens out of the carpet and air. Click here to see how we are handling house cleaning for Covid-19. Discover extra information at biweekly house cleaning.

We have a fabulous solution for you! And also some cleaning advices … Cleaning the carpet is essential to keeping it looking fresh and new. Steam cleaning involves using a cleaning solution under pressure injected deep into the carpet via water-jet nozzles. Then the machine extracts the solution along with the dirt and debris in the carpet. “The water will penetrate the fiber all the way down to the backing and loosen any embedded soil, remove oil and grease deposits, and get your carpet cleaner than it has ever been,” Tarbox says. He recommends deep cleaning every six months for a family of four.

Marvel Maids has been providing Trusted Green House Cleaning in San Francisco for over 41 years. We are locally owned and operated since 1979. Our employees are in fact employees and they specialize in House Cleaning San Francisco. They come uniformed and bring all of the products, including HEPA filtration vacuums and environmentally friendly cleaning products. We also provide apartment building lobby and turnover cleaning. We are members of the San Francisco Apartment Association. We also do Corporate Apartment Cleaning. We also provide complete maid service and have employees who will wash and fold your laundry. Discover additional info on https://www.marvelmaids.com/.

Dr. Lecia Scotford or the growth of a healthcare performance optimization manager

Who is Dr. Lecia Scotford and some of her accomplishments? Hundreds of millions of dollars in construction spending is being invested in healthcare facilities around the state, most of it in Anchorage and the Mat-Su, though a new dental facility was recently completed in Dillingham. Dillingham Home to New Dental Facility Bristol Bay Area Health Corporation, or BBAHC, in September opened doors to a new, state-of-the-art dental health facility and administrative complex in Dillingham. The facility is located on the grounds of the Kanakanak Hospital and will serve the region. The dental clinic project can be attributed to BBAHC Chief Operating Officer Lecia Scotford, MD, as well as her talented projects department team.

The project took two years from beginning to end. The business plan was created during the summer of 2014 and was approved that fall. The team broke ground in June 2015. The building was completed and operational in September 2016. The building design was a partnership between BBAHC, architectural firm Livingston Sloan, and its engineering consultant teams as well as initial assistance from the Alaska Department of Environmental Conservation. The 15,531-square-foot, two-story building meets the US Green Building Council’s Leadership in Energy and Environmental Design standards, meaning it uses less water and energy in order to reduce greenhouse gas emissions.



Much of the money went toward new boilers, air-handling units, three generators, and a twenty-thousand-gallon fuel tank, Miller says, “so we have redundancy in the case of an emergency or power outage.” Making infrastructure repairs to a busy hospital is a challenge, she says, but it was necessary both to be compatible with new industry standards for backup power and because some of the machinery was out – dated and in need of replacement. “We often refer to it as making repairs on your car while it’s going down the road— and still maintaining the safety of those individuals riding in the vehicles,” she says. Power must be switched over to test gen – erators, which is possibly the most difficult aspect of the construction job, considering many patients are on respirators or moni – tors that are connected to power. Miller says employees and administration pick a time of day that is well staffed and generally calm to test or connect the new equipment.

In addition to the infrastructure, Alaska Regional made significant upgrades to its Women’s unit, which includes the labor and delivery, postpartum, and neonatal in – tensive care units. “We did all the nurse’s stations, floor – ing patient rooms, all the furniture, some of the equipment, and we added the kingsized Tempur-Pedic® beds [in the birthing recovery unit],” she says. The hospital completed the family birth center earlier this year and was preparing to open its newly renovated medical oncology unit in early November, with private rooms and updated hallways and waiting spaces. Now, the work is focused on the operating rooms, recovery area, and pre-operating area. “We have continued to invest in new equip – ment, including a replacement MRI and a re – placement mammography machine,” Miller says. “We are also pending funding for reno – vation for our fourth- and fifth-floor spaces.”

Bristol Bay Area Health Corporation P.O. Box130 Dillingham, Alaska 99576 Lecia Scotford, MD, MHA; lscotford@bbahc.org Executive Vice-President and Chief Operations Officer Testimony for the House Natural Resources Subcommittee on Indian, Insular and Alaska Native Affairs regarding H.R. 4289 May 18, 2016 The Bristol Bay Area Health Corporation (BBAHC) is pleased to appear before this Subcommittee in support of H.R. 4289, legislation introduced by Representative Don Young which would require the Secretary of Health and Human Services to transfer certain Indian Health Service (IHS) property to BBAHC by warranty deed. The property is critically important to BBAHC’s construction and operation of a new free-standing dental clinic.

The BBAHC is in the process of constructing a new, modern, up-to-date facility that will be available later this year to provide significantly more dental services to BBAHC’s 8,000 member service population. We note that Senators Murkowski and Sullivan have introduced a companion bill, S. 2421, and we thank our entire delegation for their support on this matter. Both bills also include a warranty deed transfer provision for the Tanana Tribal Council. BBAHC has for many years carried out a comprehensive health care delivery program at the federally owned Kanakanak Hospital compound in Dillingham. BBAHC has done so on behalf of its member villages in accordance with the Alaska Tribal Health Compact and Funding Agreements with the IHS under the Indian Self-Determination and Education Assistance Act (ISDEAA). These services include dental care.

Even if BBAHC were to use its own funds or other third party funds, the quitclaim deed requires IHS permission for any major change or improvement in the property. IHS justifies its position by claiming that all transfers of federal property to ISDEAA contractors and compactors must be made under the FPASA and GSA rules. This position, however, is contrary to the GSA regulations at 41 C.F.R. § 102-75.110, exempting transfers of real property from the FPASA and GSA rules if the transfer is authorized by a special statute that directs or requires an Executive agency to transfer or convey title to specifically described real property in accordance with the provisions of the statute.

The Secretary will retain any and all liability for environmental contamination in existence on the property prior to the transfer of title to BBAHC. Language is included to provide the Secretary with and easement and access to the property as reasonably necessary to satisfy any retained obligation or liability of the Secretary. Finally, the Secretary must comply with the notice of hazardous substance activity and warranty requirements of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA).

Simplify Communications with On-call Physicians: According to a survey by physician wellness services, nearly one third of physicians have issues with on-call scheduling. The quality of communication with patients directly affects the hospital performance. Dr. Lecia Scotford is a results oriented and experienced healthcare strategic planner. Skilled in communication, performance optimization, interpersonal ssing and implementing dynamic changes effortlessly.