Laserfiche WebLink
i � ,, 9s=ray <br /> Ea 00 14 6RE SAN J0AQZTAv COUNa <br /> 3'CiBIYC YYEAI,TS SBRVI� <br /> ENVUGOI+RI MAL HEALTR bramN <br /> PUXX RECORM RELRASE ApNUCAMN <br /> APPI:i och At✓ 14ONE NOS2D]726�f-ZSi� <br /> ADDRESS ; fwo l— <br /> AGENC'Y MONR <br /> AI?DRESS <br /> FfLH D I LEAD AGEI3+?Yi DA331 <br /> . e <br /> i t <br /> THIS Nonc 31 IS BCT TO THE REQUIREMENTS IDENVTIP[6D IN� PUEIIC H <br /> SFR tnR iTTALMEALTH DIVISION(EHD)POU&094-067,O NANCE,, _t�1F SAN <br /> i JQ/qm NT1f EHD <br /> fs1 PEPS AND SERVICE CHAR06 RES(SSLUiIONS, ST 1VFA CODE, <br /> Govam r com� ND THE BYIDENCE CODE. <br /> IEN lMISISE�ICE lTM <br /> L i A gRj:sa tie?rAwaus ADORsssss rm rzFQussr. . <br /> 2, Pvau FSLESMECORDS REVIEW is 8Y APPO[NTH FNT 0NLY ArPo1NTuEN73 ARE ARRANmo sY <br /> CALLING 6468-AS4b- OPMS ROUFOR 1"011 7 Mt= ARE sCi7FAULED MONDAY TMU FMBAY <br /> EXCLUDING OLID�YS, 8:00 Ant TD 1200 Now AND 1:00 r14 To 4436 tu. <br /> 3. A Pv Uc•RsgoA,=RrLEms ArrucATTom (PARA) Is RxgquiExi <br /> 4. FI t ECORDS nOT Rufl1RRED M TLE RAms coMP6701+ AS RECMVED WILL R6 CORKSCrID <br /> RY+m Emim App At IDUJINSe Or THR AFRI _ RIS•ADDhlbHA4 S RVI= WU L 99 H14LED TO THE <br /> APrIJG1Nr 'PAY (SEE EHD Poucr 94-007) <br /> 5. NL Ptl i Ff LFiS1RECORJ?S SHALL NOT ER vEb FRou Tis EHD ruEMISM. <br /> S1G'�VATUREOr P APP1.i ANT - DAT& • T-7 9'S <br /> SIONATURRO RELr4SINGOUICJAL DATE <br /> No #USIEH 3 RecAgD�1F=ARE mommuD: <br /> ws � b.se.n IY�wu„a w,x <br /> P WUM RIecoKos/FtlEs o r an TAE ADDRESS(ES)MOTW. -Y U =r O40UF RD Vnt>gr <br /> RECORDSMLES ARE!AVAAU618 MR SMVlsrc- <br /> wrc e.m.s.., wr.o.�,o anaw <br /> TOTAL P.01 <br />