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San <br /> Joaquin • <br /> s <br /> Health • , <br /> -c.. P <br /> i­o�ta� <br /> 304 E Weber Avenue FAX #: ❑ (209) 464-0138 <br /> 3rd Floor, Stockton, CA 96202 <br /> Phone: (209) 468-3420 0 (209) 468-8392 <br /> (209) 468-3433 , <br /> FAXDate: Time: <br /> # of Pages (including this sheet): <br /> f m 6g `14,r j 'g <br /> To: t7 FAX: <br /> Of: 14 <br /> From: Cr Voice Phone #: t <br /> u� <br /> E) Urgent O For Review ❑ Please Reply O Please Recycle <br /> Comments: <br /> V l c (m C za +kA w t O CO 0 Q_r I rLS � -�• a�� <br /> STATEMENT OF CONFIDENTIALITY: 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, <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 <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 United States Postal <br /> Service. We will reimburse your costs in notifying us and returning the message to us. Thank You. <br /> EHD 48-41-012 <br /> REVISED 6.14-02 FAX COVER SHEET <br />