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Oct.11, 2012 5:32PM 0 <br />442 E. Hampton Street, Stockton, CA. 95204 <br />Telephone: (209) 466-0456 <br />Fax: (209) 466-8140 BUSIMESS OFFICE <br />;M <br />Fax: Or- U /_ <br />Rez�/ f.�. i / <br />0 <br />No. 4930 P. 1 <br />rgont Q For Review Cl Please Comment ❑ Please Reply Cl Please Recycle <br />al�e aAe "a-fd( <br />Confidential <br />Health Care Informatlon Is personal and sensitive Information related to a per, -,Ws healthcare. Suds Information is being faxed to you after appropriate <br />authonizatlon from the patient or under dro instances that do not require paGant authorization. You, the redplent, are obllgated to matntaln It In a safe, <br />secure, end confidential manner. Re-d1sctosure without additional patent consent or as permitted by law Is prohibited. Urtauthorized re-disdosure or <br />faqure to rrainlain confldentlality could sub;eet you to penalties under federal end state law. If Vou eve received Ihts fax In error and/or are not the <br />igIgnded recipient, you are trereby no -q t tQ- copVvHa. dlsiributlno, or actlon taken In reganee on the contents of these documents Is <br />rsMy wohlbRed Please call us Immediately at (810) W -I 90 to reoetve Instntcllons regardino Ilse desiructj qor [his sensitive information <br />Received Time Oct.11. 2012 5:45PM No -0299 <br />