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r <br /> �E of rti� <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF HEALTH SERVICES Ip <br /> TOXIC SUBSTANCES CONTROL DIVISION <br /> DEPARTMENT REGIOP 1 <br /> OF r�o <br /> HEALTH SERVICES 4250 POWER INN ROAD ' <br /> SACRAMENTO, CA 95826 <br /> o via���10 <br /> TELECOpzER MESSAGE � � <br /> ^ <br /> DATE! <br /> PLEASE <br /> DELIVER TO: <br /> PHONE NO: f' � '�g 3*Jam'* <br /> --rte-- <br /> FROM: , <br /> Plion NO: I I�o �" ! .�" "a 516 <br /> SPECIAL <br /> INSTRUCTIONS: <br /> I <br /> NUMBER OF <br /> WAGES: <br /> (including <br /> cover sheet) <br />