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opa,U <br /> !jro r 2 <br /> •' 4 i <br /> mental <br /> HealthDepartment <br /> ��LlJti o1x��P.. <br /> 304 E Weber Avenue FAX #; 0 {209) 464-0'138 <br /> Td Floor, Stockton, CA 95202 <br /> Phone: (209) 468-3420 . <br /> O (209) 468-8392 <br /> (209) 468-3433 <br /> Date: Zook Time• <br /> [FA) ; <br /> # of Pages (including this sheet): <br /> 1 <br /> To: <br /> FAX: <br /> Of: LA) Cn <br /> From: <br /> Voice P one #: <br /> v, S <br /> 0 Urgent For Review O Please Reply Ca Please Recycle � <br /> Comments: <br /> i <br /> • I <br /> i " <br /> r <br /> - I <br /> ISI <br /> E <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information intended 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 of agent responsible to deliver 4 to the intended recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received,this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this cover sheet acid return the original message to us at the above address via United States Postal <br /> Service. We will reimburse your costs in notifying us and returning the message to us. Thank You. <br /> EHD 48-01-012 <br /> REVISED 6-1-402 FAX COVER SHEET <br />