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Ruff hlC�:q Cnv t i-orimLrit•3.1 PHbtt 6 t,10. : 209 369 4228 ( Na,. 2L•r_iS oD 4 whp.hi r' <br /> SAN JOAQUIN C;OUNTYPUSLIC HEALTH SEtRVICES <br /> F-NV1R0NMZWAL HEAL-rM ©tifl3tc3X <br /> 177` <br /> Y PUBLIC RECOMR nm <br /> Ata n i~>a—�Do N Ak5sc c . <br /> rurAziv AP�� <br /> USE �' a rcapp <br /> a> 6Nv T to 7 u Dt3i1[3�Y6 T= ' <br /> 4UM M '11 326,0*I alitMntitilJ <br /> �r <br /> CHECK 8Ox TO E KVMMTE szEau�r-278 Oa g aeri:s IN:;Swung boAlrs <br /> slGNATe.tRi;of;AppucariY pair <br /> A i et, S+bc <br /> JS,�Z -7 <br /> �a� rn `� A, � „ct•,GM '3wrn Yt i �Sa.� �-� <br /> / 6 Sd�ifrra�h5{, be +�P�+r»icf r+t�c a7J�S� SoZ7 <br /> r ? 2 - . k <br /> * <br /> 1.1 ,. — '.ass;6 20 <br /> W C - 3Sa C. <br /> 1211VI Ut`31it9MAL HEALTH DIVIMUN RLES1 s� i+ <br /> CJt 15t3tt7tY3 <br /> TANK;"-T) A94t1!>a MM 4P=M IM NOMM ARANEW_UT O sc Lw WA3m P'Acasr f <br /> OTFwk Ct,F.UWp WM t7 QN Q IeOQI]PAcmny ❑ 90133 v"xMvEWXL& <br /> 11Y1RGs� 'S`d1MiCi>f� fY�+igiJE�YcxvJst� C cow <br /> t1 re>eo v eax rtt a sscri; e� 4 M Ma TFcr. TUMt PLAW <br /> �t arrr �a r a ��a. a �u r�ucAcnr r crc>a <br /> Q TA'R4GY) WdQ 1� O PSA Q a1►tCIIIZAG0.Tt0?ISrCS <br /> 0 UEMCl1.161BUATEFAG&UT +9 L`1Na't;rR�lfSr�Li Q Clii6R[ALL►�5FgCIFY1►HIA� <br /> �. Lint up to tort natirasses its the spwu abm m. Said iiia typs(s�at tll�t►�is ilio flat +a by choctdng <br /> Ow apprapdaw tarax(vaI. At tome t orae fila tM MiUBT b,vokv-ML e <br /> 2 1awO VAU nosifgi the aW tcard it any Mfg rd" An appointment for review►wM ba eontrug ad <br /> approxhi Y fWv busln"s dayr:#tilt rtu ftW#tats tan(it) day"after rocript:.l app aU0n_ 'lata inns <br /> will be Raid JcT a mazft s un al five baaaima s dX0 far'raWow. Agpa`ir&nzats shoWd be st:iieciuir d <br /> 3. A 6 Ms that s acgvejy bwng rsrorkae on bry EHO stdf tray rmt ba irrmmQdiA aly avaftllh 10t miow. A rrtiw <br /> &PPit ation razy ba tuebmittw w1um the Ilia is xtradlpwo. <br /> 4. Any file riotr'oa'rmd in the sarsw crMdjtkM em r4lmaa nd will ha raargartlatx�et by stxgY$t theosiFitrtse <br /> o!the atsptiE ap intma file raYit t3y"4 n 6�09;Uf trt>tyrequire a VU Ott,tttposit prior to revww. <br /> PITATIViR appcintmah#lanae must hg ccrdimmd with EHC neat'!. <br /> fi. Apoticatlions remlyad M'bw 3=PM wit)bb prc caca=vd Uts nwa husinnas aay. <br /> CONFIRMED APPOWTMEUTDATE <br /> Tim <br /> DATE CONF3RMI � PHONE FAX tNMALS <br /> 1�£Uti D YEE NO <br /> +,x a. REVIF-W t7ATr= <br />