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<br />Declaration Number: 001 <br />Effective Date: 07/19/2006 <br /> <br />Policy Number: SBP204616-1 <br />Luis E Rivera MD, Inc <br /> <br />Page 2 <br /> <br />LOCATION SCHEDULE <br /> <br />List of Locutions <br /> <br />I,ocation: I <br /> <br />J\.:ledical office-drug pre screening <br />2222 S Main Street, Sanla Ana, CA 92707 <br /> <br />L <br /> <br />Date Primed 07/25/2006 <br /> <br />INSURED <br /> <br />BOP Lo.'S,'h,duloa <br />