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TO CKY OFFICE P.01 <br /> LdXare- <br /> Aff <br /> ~` � <br /> Medical Center <br /> Date: <br /> .` Time In: <br /> ,54 ! <br /> Time Out: <br /> ' ttt <br /> PRE-PLACEMENT REPORT <br /> Employer. s' <br /> Poaitlon Applying For: )t <br /> �% QUALIFIED WITHOUT RESTRICTIONS <br /> QUALIFIED WITH RESTRICTION�3•`\.I. <br /> _ HOLD FOR FURTHER TESTING <br /> — CANDIDATE RETURNED TO EMPLOYER—JOB DESCRIPTION NOT AVAILABLE .' <br /> � r <br /> i <br /> Physician ' <br /> ReadiCare <br /> Ez' �`' 210.1 Tanava Drive <br /> �"Md8esto, CA 95354 <br /> (209) 527-0080 <br /> Phone Number <br /> 1 <br /> I <br /> 'Form 0-105A(Rev. 5/92) WHITE—Patient's File • YELLOW—Employers Fila <br /> I, y <br /> TOTAL P,01 <br />