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• ,' p,QUfN <br /> San Joaquin County <br /> Health <br /> • Dr : <br /> p-: P <br /> 304 E Weber Avenue FAX #; � (2Q9) 454-0'l38 <br /> 3rd Floor, Stockton, CA 95202 <br /> Phone. (209) 468-3420 <br /> D (209) 468-8392 <br /> �9 (209) 468-3433 <br /> Date: �� b �� �,(1� <br /> FAX � Time: <br /> # of Pages (including this sheet): <br /> To: _ / r FAX: /O'o l <br /> Of: <br /> From: / Voice Phone #: <br /> Re: <br /> C Urgent Q For Review O Please Reply O Please Recycle <br /> Comments: <br /> pleaj es ca&tU t10 oA til <br /> 3 <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and Confidential information intended only fo se of the addressee <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,ar the employee or agent responsible to deliver it to the inutended recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this teiecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately nottf!r 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 />