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� a <br /> ' s <br /> ,o PqU, ..co <br /> JoaquinSan • <br /> Environmental Health - • , Q <br /> 304 E Weber Avenue FAX #: 0 (209) 464-0138 <br /> 3rd Floor, Stockton, CAI 95202 D (209) 468-8392 <br /> Phone: (209) 468-3420 D (209) 468-3433 <br /> FAX Date: 4/5/06 Time: 4:50 pm <br /> # of Pages (including this sheet): <br /> To: Jose hi a FAX #: ( 209 ) 983-1105 <br /> Of: Pape M chinerv Cz .L P <br /> From: Norva Gi se Voice Phone #: (209) 468-0340 <br /> Re: Name cancie on invoice <br /> D Urgent OF r Review D Please Reply D Please Recycle <br /> Comments: <br /> Per our cnversation I am faxing you the 5021 form to complete any changes <br /> necessary. <br /> Please co plete, fax back and then send the hard copy to the above address. <br /> If you ha any further questions, please feel free to phone. <br /> STATEMENT OF CONFIDENTIALITY: T e 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 his message is not the intended recipient,or the employee or agent responsible to deliver it to the intended recipient,you <br /> are herebynotified that an dissemination distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please immediately <br /> notify us by telephone at the number liste on this cover sheet and return the original message to us at the above address via United States Postal Service. We will <br /> reimburse your costs in notifying us and rE turning the message to us Thank You. <br /> EHD 48-01-012 FAX COVER SHEET <br /> REVISED 5-13-02 <br />