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i <br />� .� p p"Q U f►y <br /> Z' G <br /> can e CoUntmental. H,ea' lth N � <br /> • <br /> r <br /> 304 E Weber Avenue FAX #; 0 (2D9} 464-0738 <br /> 3rd Floor, Stockton, CA 95202 <br /> Phone. (209) 468-3420 <br /> 0 (209) 468-8392 <br /> 54 (209) 468-3433 <br /> Dater t-��j &1� Time: <br /> FARC _ <br /> 7 <br /> # of Pages (including this sheet)` <br /> To: J4 FAX: C� J d <br /> Of: F <br /> From: � f <br /> Voice Phone #: <br /> Re: � LA) <br /> O Urgent or Review O Please Reply O Please Recycle <br /> Comments: <br /> k <br /> u <br /> I <br /> STATEMENT OF CON FfDENTIALITY: The information in this facsimile is legally privileged and confidential information intended only for the use of the addressee <br /> listed on this cover sheet.,If the reader of this message is not the intended recipient,or the employee or agent responsible to deliver it to the intended recipient, h <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please I <br /> immediately notify us by telephone at the number listed on this cover sheet and return the original message to us at the above address via Unified States Postal <br /> Service. We will reimburse your costs in notifying us and returning the message to us. Thank You. <br /> EHD 48-01-012 , <br /> REVISED 6-14-02 FAX COVER SHEET ! <br />