Laserfiche WebLink
SAN.P� �iQUIN LOCI°.L. HEALTH DIST ,I SERVING <br /> rrEs <br /> _ San JcaGuin Coumy <br /> Fres. <br /> 601 Est : Elton Avcnu'e City of Ma,teca <br /> bIl'Gl'O(I ..3lLOfn1< 45275 Gil 01 ESC20` <br /> c Y /�f_' Qty of L Edi <br /> J C,GI KHRPiN4 A'.0., 6i k H., C11S(RIa' HEALTH OFF(f;t V City of Tracy <br /> _ City of R:pon <br /> : /) —� i i h€Tt'7A) IA"`k..> San Jc Gu:r Co.;nry <br /> e,c ,oe.:,nn <br /> •,"-.n,oaQ'u:n Courtj, <br /> .•z v�y',i11 anc <br /> TO <br /> UNC '.E I'.uL?1� r )T l_ T'rL' 6!t :lA : E[iT LS <br /> GDIiRS•L IN;S'1Pt"TIOhS' ,1 <br /> thn all lnf, 0S . <br /> ONMENThL HEALTH <br /> EN\ ,r.11T�5E"./ICES <br /> Include La ledSl !c ''(. -�-, lvb : fi lug �J( . : ullri tx�G; }- .. <br /> DL niJ; -tYf.�LJ and i,jam 1 t "1 <br /> tLc I yr-)I 1(I( etivn f <br /> _eact)fiul�is, I;ullulnrJ d _ _'_1ty lineS <br /> i including w�,rcL; s..,,�( .ry <br /> 3. C;cm{ lute, L)rm HLOPLICATIO." �'.tt h!G "TANK <br /> ^, Le the ":RuthoYSzatiort to Ea_.Ieasr An,t]y. � . Data" arm. <br /> Su'rmir_ tl)e af,; r.o ri )ti ( 9 complete LfI d: rgcoun,d <br /> C un} i YU jLfl1:1 I F - 4�OY n: <br /> shc,n]d � rn .rlt,_on tuuuligLeS 1, <br /> _ ,_c'; ➢I�it ].1:� !.or Y]n ,cue, bran UOYLd'`_1orl <br /> 'tOL C Ot i'. _. __ -uni L .Cud On SLtr'; ' .� <br /> < 1 wllo W1.11 1:�e i?i >[x);ll:q 01 <br /> ua /o ester saI ,i,. _ nulr.aLh i flu <br /> CB nE r .L;v<_Tt '.Ilii �O °C..=111G,�1f1C) Prot 0001 <br /> "g CY'_tari,I . <br /> C.I . GUIII IFLIL -h scan. �r' II Dli t:ices 'b � �'1' 1 i3) <br /> 7 <br /> "Un� Y'c,, Ol,l: Ill G�� lig ReCJYii 11 . Th- i'c' Q&'r <br /> Of t1he DCI_!➢lt Lor ens"ming his f:oT-. <br /> The tw.iximum i ,r_�w tim S 1S w }. r,, day <br /> . �T�UlI trlr UI'at Ot . 'r'1 �/ C( pl,- E'11'i. <br /> 11, Advance in D L _ _c'- ' I i 011'"S is YEU LIl �tl � <br /> Y1.3��'( Vc nCd <br /> `71SJFC_ IOn , Oi lTJ( o&t J , �.J rOt`1l_f ire (�1 iY _ i_ <br /> EH 23 04IJ <br /> GiSVISt3D 12/i ti <br /> �� ��>>l/? I;,'. . _,-%r:i I�7l /J'!r :� Iii,=c.%/✓:F,h9 . <br /> ACm!ristra!iun Clinical Se,viess c:,;4ronrrentai Health Public Healt Ni:rSing <br /> 468-3333 463-3420 45A-386C <br /> CommUnl r :.rvic°c '.aI)oralcry ,VIC�. <br /> . {F,3-3o?C 4uH-3460 tick 3230 <br /> ;JpS Ip`onn.-',lun 4f G-1Ci20 <br />