Laserfiche WebLink
304 E. Weber St, 4-f)d Floor. <br /> Stockton, CA., 95242 San JoaquinCounty <br /> General Office: (209) 468-3420 PubliC Healthr-. <br /> Facsimile: 50 Floor - (249) 468-3433 o r <br /> 3rd Floor - (209) 464-0138 <br /> Division "PHS-EHD" <br /> 'I <br /> Fax <br /> j <br /> I <br /> +€!! <br /> 1 i <br /> To: Forms <br /> I <br /> Company: <br /> Phone: <br /> is <br /> :r <br /> Date: <br /> Re: �r <br /> CC: .I <br /> i Pages: i <br /> 1 .� <br /> E ❑ urgent j For Review Please Comment rt. Please Reply ❑ Please Recycfe <br /> i <br /> Comments: . <br /> I • -� -� <br /> f-i!A�1 <br /> STATEMENT OF CONR00MAUTY: The information in this facsimile is legally privileged and conadentiat information <br /> ' intended only for the use of the addressee listed an this cover sheet. If the'reader of this message is not the intended <br /> recipient. or the employee or agent responsible to deliver it to the intended�reapieM you ate hereby notified that any <br /> dissemination.distribution or copying of this teiecopy is stricdiq prohibited. 'If you have received this facsimile in error. <br /> please immediately notify us by telephone at the number listed an this cover sheet and return tate original message to us <br /> at the above address via United States Postal Service. 'Ale will reimburse your casts in notifying us and rerisming the <br /> j message to us..1 hank You. y <br /> l <br /> , <br /> j <br /> { <br /> r <br /> I <br />