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# of Pages (including this sheet): <br /> 2 <br />FAX DATE: 8/13/12 TIME: 2:15 <br /> <br /> <br />ci f'd <br /> <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue <br /> FAX #: C (209) 484-0138 <br />Stockton, CA 95205 <br />Phone: (209) 468-3420 <br /> <br />(209) 468-8392 <br />El, (209) 468-3433 <br />TO: Mike Mulvihill FAX: (209) 365-1331 <br /> <br />OF: <br /> <br />FROM: Jeff Carruesco <br /> <br />VOICE PHONE: (209) 468-3438 <br /> <br />RE: Service Request Form <br /> <br />0 Urgent c:ForReviewo Please Reply FT) Please Recycle <br />Comments: <br />Re-plaster fee is $250,00 made out to EHD <br />STATEMENT OF CO NFIGENTIALITY: The Irformatk)n In this facsimile s legally prIvIte,ged and contldertiar inforrnalbri intendeti only for the use of the addressee <br />listed an cover atteet. If he reader of this mac:toga is not he intended recipient, oT the Orn,A4e6 (A' agent reSponsibts to delver It to the Intended redpient, <br />yna ore hereby notified that arty diasemfnaticri, detribLbon r copying of thia leiemcy ia acidify prohibiled. U you have received he fecaimile in error, please <br />Immecietely noVy U6 by elephcrla at the number lted thia °over 'heat and rearn the original message to tEal the above ads:Masa vat United Stetes Postal <br />Service. We wit reimburse your costs ir coffyIngu and raturning the message to us. TInar,k Yoj, <br />END 48-C1-012 <br />REVISED 6-14-02 <br />FAX COVER SHEET