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Claim Photo <br />CIA File Number: <br />Adjuster: <br />Insured: <br />Date of Loss: <br />Customer File Number: <br />Policy Number: <br />091-010076 <br />Michelle Cortes <br />Werner Enterprises <br />08/13/2020 <br />2020667381 <br />CUSTARD <br />INSURANCE ADJUSTERS <br />Photo: 7 <br />Date Taken: <br />08/13/2020 <br />Taken By: <br />Patriot <br />Environmental <br />Services <br />Description: <br />Impacted shoulder. <br />Photo: 8 <br />Date Taken: <br />08/13/2020 <br />Taken By: <br />Patriot <br />Environmental <br />Services <br />Description: <br />Caltrans contacts <br />Page :4 CONFIDENTIAL 10/6/2020 4:40:00 PM *