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4 12/2012010 10:40 20993370 1 SUSD HEALTH SERVICES PAGE 01103 <br /> F]E,A�TH SERVICES <br /> 1144 Fast Qwuiel Street <br /> SM Stockton, Uffitria 95205 <br /> Stoch Hid School Disdct N <br /> (�1W1Ir3 <br /> Faxbate, <br /> HEALTH A T tiC 4t-/V�, <br /> nc <br /> To.�_ ` ��V ' 'C lMV6 Fr/�mo . <br /> S.U.S.D. Health Se.rvIces Dept. <br /> ( (209) 933 - 7060 ext. ��I <br /> Fax: (209) 933 - 7061. <br /> Fax No: �'i1.11 t1 „- #Pages (Including Cover. Page): <br /> Phone No: <br /> L9Urgent ®,A.s per your request "For your information 0 Please Comment ❑ For your approval <br /> CONFIDENTIA11TX NOTICE:This facsimile cransmissioo,may contain confidential'information belonging which is procrected.The <br /> information is intended only for the use of the individual or entity mined above.If you are not the intended recipient you ace hereby notified <br /> chat any disclosure,copying or distribution is strictly prohibited.If you have received this transmission in ermr,please norify us immediately by <br /> calling:(209)933 -7060. <br /> e ve, twd <br /> C�2 <br /> u <br />