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I� <br /> 304 E. Weber St., Third Floor. <br /> 4 Stockton, CA., 95202 <br /> General Office: (209) 468-3420 , <br /> ublic Health SeMces, <br /> Facsimile: 5th Floor - (209) 468-3433 ental Health <br /> 3rd Floor - (209) 464-0138 <br /> Division "PHS-EHD"I <br />! ax <br /> I To: r From: <br /> 1 <br /> Company: Phone: <br /> Li <br /> Fax 62 3q (o —14q ( <br /> Date: 0 <br /> CC: <br /> Pages: 3 <br /> ❑ Urgent 2 For Review ElPlease Comment ElPl°aease Reply ❑ Please Recycle <br /> i <br /> • Comments. <br /> i <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information <br /> intended only for the use of the addressee listed on this cover sheet. If the reader,lof this message is not the intended <br /> E recipient,or the employee or agent responsible to deliver it to the intended recipient, you are hereby notified that any <br /> dissemination,distribution or copying of this telecopy is strictly prohibited, If you have received this facsimile in error, <br /> please immediately notify us by telephone at the number listed on this cover sheet and return the original message to us <br /> at the above address via United States Postal Service. We will reimburse your costs in notifying us and returning the <br /> message to us. Thank You. ti <br />