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LJ t^� s <br /> .,moo <br /> 2• Z <br /> .0 <br /> _ ,• _it <br /> ro,nmentalHealth <br /> Department+ <br /> 6I <br /> 304 E Weber Avenue FAX #: 0' (209) 464-0138 <br /> 3r� Floor, Stockton, CA 95202 <br /> Phone: (209) 468-3420 <br /> O (209) 468-8392 <br /> 1 <br /> (209) 468-3433 <br /> Date: Time: <br /> FAX <br /> # of Pages (including this sheet): <br /> To. �'�C��'� FAX: - 0-5 <br /> Of: <br /> From: Voice Phone #: <br /> Re: <br /> Urgent For Review O Please Reply O Please Recycle <br /> Comments: <br /> C <br /> - l <br /> STATEMENT OF CONFIDENTIALITY: The information in this Facsimile is legatly privileged and inters d only for the use of the addressee <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee or agent responsib a deliver it to the intended recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strict) prohibited, If <br /> ase <br /> immediately notify us by telephone at the number fisted on this cover sheet and return the original message ty you <br /> as the above ve e a dved 're scvia IUnitedle in rStates Postal <br /> Service. We will reimburse your costs in notifying us and returning the message to us. Thank You, <br /> f-- <br /> REV <br /> REVISEDSED 6-Fr14- FAX COVER SHEET02 " <br /> 5 <br /> 'I <br />