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r l G <br /> 2 '•Z <br /> • • • uin • td ' 1 <br /> - <br /> alth' 'Departmen <br /> • • ._ <br /> ���FORN`P <br /> 304 E Weber Avenue FAX #: O {209) 464-0'138 <br /> 3rd Floor, Stockton, CA 95202 <br /> Phone: (209) 468-3420 O {209) 468'-8392 <br /> (209) 468-3433 <br /> I <br /> I <br /> F A* Date: 0U i 0 2M Time: <br /> ' <br /> 1 <br /> # of Pages (including this sheet): <br /> To: r wGG r�� FAX: j <br /> � g <br /> of: -A { <br /> i <br /> A <br /> From: S Voice Phone #: <br /> Re: (J. <br /> -� A)F <br /> ❑ Urgent For Review O Please Reply ❑ Please Recycle <br /> Comments: <br /> u� Aer, <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legallyprintend a use of the addressee <br /> listed on this cover sheet. If the reader of this message is nohthe intended recipient,or the employee or agent responsible to deliver it to the intended recipient, <br /> you are hereby notified that any dissemination•distribution or copying of this telecwpy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by telephone at the number fisted 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 />