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• `" a Gia <br /> q�®t;®R� <br /> 600 E Main Street FAX #: O (209) 464-0138 <br /> Stockton, CA 95202 <br /> Phone: (209) 468-3420 O (209) 468-8392 <br /> ® (209) 468-3433 <br /> FAY DATE: Aril 7, 2008 TIME: 1:08:49 PM <br /> of Pages (including this sheet): <br /> TO: Necita Triquero 209-957-7866 <br /> OF: Tri Valley Home Health Care <br /> FROM: Kasey Foley VOICE PHONE: 209-468-3451 <br /> RE: LQHE <br /> o Urgent o For Review O Please Reply o Please Recycle <br /> Comments: <br /> Hi Necita, <br /> I need this application completed before I can sign it. Please complete the information where <br /> the medical waste is treated (who picks up your waste and where do they take it?) <br /> T ank you, <br /> Kasey Foley <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee or agent responsible to deliver it to the intetevoided eMy fop the---nded recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify 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 FAX COVER SHEET <br /> REVISED 6-14-02 <br />