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PPE Request Form

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If you are a hospital, please utilize the established MHOAC procedures and email MHOAC@fresnocountyca.gov
 
The County of Fresno is currently procuring stocks of personal protective equipment (PPE) which will be available for distribution by request via the online form below.
 
Cost of items supplied will be provided prior to pick up. Billing will occur via a mailed invoice. Supplies may not be available when requested.

 


Please correct the field(s) marked in red below:

1
PPE Requested – Prices are estimates and subject to change
Quantity
Gloves Small (Box of 100) -- $5.58/box
Gloves Medium (Box of 100) -- $5.38/box
Gloves Large (Box of 100) -- $5.38/box
Gloves XL (Box of 100) -- $5.38/box
Isolation Gown (Box of 10) -- $60.17/box
Cloth Mask (Bag of 5) -- $11.05/bag
Surgical Mask (Box of 50) -- $27.92/box
Mask N95 NIOSH (Box of 20) -- $109.50/box
Mask KN95 (Bag of 5) -- $15.00/bag
Face Shield -- $4.50/ea
Shoe Covers (Bag of 100) -- $45.00/bag
Bouffant Cap (Bag of 100) -- $23.69/bag
Infrared Thermometer -- $77.25/ea
Goggles -- $0.63/ea
2
Your Name (Required)
3
Company/Organization
4
Phone Number (Required)
5
Email (Required)
6
County of Fresno Business Address (Required)
7
Billing Address (if applicable)