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V%eb 14 2006 14: 48 HP LASERJET FAX P. 1 <br /> 02/10/2006 11:33 4640138 ENV:RL-NMENTAL HEA_ PAGE: 01 <br /> q.0 <br /> San Joaquin • CC\11 <br /> EnvironmentalHealth Department <br /> Q <br /> G71 <br /> 304 E Weber Avenue FAX#: 0 (209) 464-0138 <br /> 3'd Floor, Stockton, GA 95202 O (209) 468-8392 <br /> Phone: (209) 468-3420 O (209) 468-3433 <br /> FADate: 2190t06 Time: 1'0.25 am -- <br /> ## of Pages (including this sheet): ", J <br /> �s <br /> To: FAX#R; f 209 )238$505 <br /> Of: _ Prg T ouch Automotive <br /> From: -B s Laso nice Prone#: 09 953-7995 _ <br /> Re: Form 5021 Information C(LaOae <br /> ED Urgent O For Review O Please Reply D Please Recycle <br /> sem= <br /> Comments: <br /> Per our phone conversation, please make all changes, include Tax ID#, sign, <br /> date and return to the above fax number or mail to the above address, <br /> attention Accounting. <br /> Any quea.ions, please call the number slave, Thank you. <br /> 0,10 d/ / NfD< 4f_� <br /> (, ✓ D <br /> STATEMENT OF'WNF[0ENTIA�iTY; ?he t,�fc moon M this ftell' la tegalN Privileged and coni dentia)i t Tesporm nel intended OMY for the me dr the C�drnaseo <br /> FS1C4 On ih b fAVt7r Sh9a' H tht r�fder al ih1E InySea6e is nal the lnlenead rCctplent or the�mptayoo Cr agent respernlhle o dgtiver IR l0 1t10 intended.e pvrbdtateiy <br /> at 0*taleca is sCk1I led. t( bavo recetvvtl th4s faesirttilo in ear <br /> ere natFod That an = G drx+ s1 bullar R CSs+�g� vs at the abauo ad aha via Urdled Stator Poeta)SAYiGS. We wiN <br /> notify us Dy teisphono al the nVnh�!e fisted en MIS ccuer r ill retum the Original <br /> rNmpurse your costs In>+ Y Mi u,+end r t"ln9"rr>masa;fe 10 ua. 7"l <br /> FAX COVER`SHEET <br /> EHD 48-01-012 <br /> REVISED 5-13.02 <br />