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TRANSMITTAL COVER/ SAGE SHEET <br /> 975 South Fairmont Avenue <br /> P.O. Box 3004 <br /> Lodi Lodi,CA 95241-1908 <br /> Memorial Fax Num: (209)339-7672 <br /> Hospital <br /> ATTENTION: Environmental Health Department <br /> ADDRESS: San Joaquin Public Health <br /> 304 E. Weber V`0DEC P <br /> Stockton CA 95202 9 2004 <br /> tt <br /> FROM: Chris Dickey <br /> Manager, Facility Operations <br /> (209) 339-7511 <br /> DATE: 12/28/04 <br /> REGARDING: UST Certification and Designated Operator <br /> REASON FOR TRANSMITTAL: As Requested Fax Number: (209)-�� <br /> TRANSMISSION METHOD: US Mail # Pages Incl.Cover Sheet: 3 <br /> The following items are being sent: <br /> COPIES DATE DESCRIPTION <br /> 1 12/24/04 Owner Statement <br /> 1 09/02/04 LIST Operator Certificate <br /> 0 <br /> REMARKS: <br /> CC: <br /> Proj# 0 <br /> Ref# 1139 <br /> This message contains information that may be confidential and priveleged. Unless you are the addressee(or are authorized <br /> to receive this information for the addressee),you may not use,copy,or disclose to anyone the message or information <br /> contained in the message. If you have received the message in error,please advise the sender by replying to the sender at <br /> the(209)334-3411,then shred and dispose of this document. Thank you. <br />