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PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> t- d- � <br /> FAX TRANSMITTAL COVER SHEET <br /> Date: <br /> Number of pages Including cover sheet—Z;?— <br /> FAX <br /> TO: � FROM: <br /> rt <br /> Fax number:_ Fax number:_. � <br /> Phone: Phone: l <br /> REMARKS: *rgcllt For your review E_j Reply ASAP E]Please corrttnettt <br /> S tATEhIENT OF CONFIDENTIALITY,The ioforntation in this facsimile is lcgt+lly privileged and confidential information intended <br /> only for the use of the nddresscc listed on this cover sltcct_ If the render of this message is not the intended recipient_ar the employee or <br /> agent responsibic to dclivcr it to the intended recipient you are hereby notified dial any dissemination.distribution of copying of this <br /> telecopy is strictly prohibited. If you hove received this G7-simile in Mur,lrleasc imrncdiately notify us by telephone nt the number listed <br /> on chis cnvcr sheet nr►d return the origianl message to us ut the above address via the United states Postal service- We will reimburse your <br /> costs in notifying us and returning the message 10 us. 'hank you. <br />