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CITY OF SANTA ANA <br />X I. Does toilet stall for individuals with a disability have bars on each side of the wall. <br />P er D ept. of R ehab. S ect. 504 <br />XI I. l s there a telephone reasonably accessi ble to individuals with a disability? <br />P er Dept. of R ehab. S ect. 504 YES■Nc[J <br />XI 11. Is there a water fountain reasonably accessible to individuals with a disability? <br />P er Dept. of Rehab. S ect. 504 <br />XIV. Are auxiliary (s upplementary) aides available when requested by the individual? <br />Per CFR Title 20,29,41 <br />Youth Service Provider Information: <br />Print First & Last Name <br />Jus tine Palmore <br />Service Provider Signature 1~ <br />Business Address <br />1055 El Camino Dr Ste E, Costa Mesa, CA <br />92626 <br />Business Phone Number <br />(714) 356-5437 <br />Date <br />3/25/2025 <br />YESIK]N0 O <br />All information is subject to validation by SA WDB staff upon approval of award. <br />EXHIBIT 3 <br />  <br />  <br />City Council 10 – 394 7/1/2025