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Pa•U.t N. <br /> '•.OG <br /> San <br /> Joaquin County <br /> { <br /> • HealthDepartmentc. <br /> 304 E Weber Avenue FAX #: O (209) 464-0138 <br /> 3rd Floor, Stockton, CA 95202 <br /> Phone: (209) 468-3420 O (209) 468-8392 <br /> (209) 468-3433 <br /> Date. 7 700 ) Time: <br /> FAX <br /> - I <br /> # of Pages (including this sheet): <br /> AE— <br /> To: ( FAX: -- 7 <br /> < < < � <br /> Of: A <br /> From: Voice Phone #: <br /> Re: �I -2 , <br /> t!kE1 �� 2 <br /> O Urgent N� For Review O Please Reply O Please Recycle <br /> Comments: <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information intended only for the use o e addressee <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee or agent responsible to deliver if 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 and 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 6-14-02 FAX COVER SHEET <br />