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C <br />STATE OF CAIIFORNIA—HEALTH AND WELFARE AGENCY <br />DEPARTMENT OF HEALTH SERVICES GEORGE DEUKMEJIAN, Govemw <br />714/744 P STREET <br />SACRAMENTO, CA 93814 <br />s, <br />i�i� 1 X1:1.; .?. • ' .Mi Li •7• <br />Stodcton Scavmxjer Association, Ina. <br />• • BcDc 1747 <br />Stockton, 95201 <br />01x• 1., •. <br />` 1 t M�1.4 � 1 1'r + • b�I• • 1 . � <br />SM• ( • ►• T, i•: I r 1 • • •, <br />• 1 1 • 1 r • ar1 • � n • �- • � r #. <br />1•, .a •I. 1�1 f 1 WAIM <br />D / �i1 • <br />.-•,•4 r , 11, <br />(AOnor zed Signature) <br />A 2.. -,48 <br />