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ATC Associates Inc. <br /> (YVATC <br /> 1117 Lone Palm Avenue, 201 <br /> Modesto,Californiais 9 95351 <br /> 209-579-2221 <br /> fax:209-579-2225 <br /> ASS 0 C I ATE S I N C . <br /> IN WITNESS WHEREOF,the parties have executed this Agreement as of the date set forth <br /> herein above. <br /> Owner Name <br /> Owner Signature <br /> Owner Phone Number (notification number) <br /> Name of Investigator's Agent <br /> Signature of Investigator's Agent <br /> w� �6 hDT Vat v" Cohn o�, �o wl- <br />