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CASCADE HEALTH SOLUTIONS <br />JoLynne Anderson CONFIDENTIAL <br />Anderson's Erosion Control <br />PO Box 205 <br />Junction City, OR 97448 <br />Certification of Enrollment in Random Selection <br />11/20/2009 6:27:50PM <br />Batch R0004336 Generated on 11/20/2009 <br />This document certifies that your company's employees are. subject to computer- generated random selections <br />for alcohol and/or drug testing. You should storethis d6cument'with your other permanent drug testing <br />records. <br />Number of your employees eligible for selection: <br />Number of your employees selected for Drug testing only: <br />Total number of your employees selected for testing: <br />Total number of participants in this random pool: <br />Total, number of participants selected from this random pool: <br />Total percentage of eligible participants selected for Drug Testing: <br />Total percentage of eligible participants selected for Alcohol Testing: <br />Authori gnature <br />Scheduling;: Cascade Flealth Solutions <br />2650 Suzannc Way Suite 200 <br />F ug;ene, OR 97408 <br />Appointments: (541) 228-3100 <br />19 <br />1 <br />19 <br />1 <br />5.26 <br />0.00 <br />)n-Site collections avaiable for an additional fee. Nfcdl'1xi-css (541) 228-3009 <br />Questions? Mary Stine: <br />(541) 463-7789 <br />Fax: (775) 20176256 <br />E-Mail: i-nary stine fr.c:oiiwast.net <br />2650 Suzanne Way Suite 200, <br />Eugene, OR 97408 <br />1 <br />