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Certificate Of Completion <br />Envelope Id: 47EBD22A4EB14A1FA36D14227CF97DB3 Status: Completed <br />Subject: Please DocuSign: CSA Amendment for Central Valley Toxicology, Inc. <br />Source Envelope: <br />Document Pages: 4 Signatures: 6 Envelope Originator: <br />Certificate Pages: 6 Initials: 0 Patricia Felts <br />AutoNav: Enabled <br />EnvelopeId Stamping: Enabled <br />Time Zone: (UTC-08:00) Pacific Time (US & Canada) <br />835 E 14th St <br />San Leandro, CA 94577 <br />pfelts@sanleandro.org <br />IP Address: 192.83.149.201 <br />Record Tracking <br />Status: Original <br /> 6/1/2023 1:47:17 PM <br />Holder: Patricia Felts <br /> pfelts@sanleandro.org <br />Location: DocuSign <br />Security Appliance Status: Connected Pool: StateLocal <br />Storage Appliance Status: Connected Pool: City of San Leandro Location: DocuSign <br />Signer Events Signature Timestamp <br />Eduardo Espiritu <br />Eespiritu@cvtox.com <br />Director <br />Security Level: Email, Account Authentication <br />(None)Signature Adoption: Drawn on Device <br />Using IP Address: 96.81.191.178 <br />Sent: 6/1/2023 2:08:19 PM <br />Viewed: 6/2/2023 8:25:28 AM <br />Signed: 6/2/2023 8:28:27 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 10/8/2021 9:00:50 AM <br /> ID: bdf0f386-a0f4-406c-b75e-d190407f64c7 <br />Chief Pridgen <br />apridgen@sanleandro.org <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 192.83.149.205 <br />Signed using mobile <br />Sent: 6/2/2023 8:28:28 AM <br />Viewed: 6/5/2023 7:32:59 PM <br />Signed: 6/5/2023 7:33:29 PM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/5/2023 7:32:59 PM <br /> ID: 76b81553-96d6-4c7a-9cb5-90690fb8f5c9 <br />Richard Pio Roda <br />rpioroda@meyersnave.com <br />Principal <br />Signing Group: City Attorney <br />Security Level: Email, Account Authentication <br />(None) <br />Signature Adoption: Pre-selected Style <br />Using IP Address: 206.169.145.130 <br />Sent: 6/5/2023 7:33:31 PM <br />Viewed: 6/8/2023 12:49:42 AM <br />Signed: 6/8/2023 12:50:37 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 6/8/2023 12:49:42 AM <br /> ID: 2c2f869c-ca12-44fe-8430-b8adeb2d4279 <br />Mayette Bailey <br />mbailey@sanleandro.org <br />Signing Group: Finance Available Funds Check <br />Security Level: Email, Account Authentication <br />(None) <br />Completed <br />Using IP Address: 192.83.149.200 <br />Sent: 6/8/2023 12:50:40 AM <br />Viewed: 6/8/2023 7:36:58 AM <br />Signed: 6/8/2023 7:38:48 AM <br />Electronic Record and Signature Disclosure: <br /> Accepted: 11/1/2022 9:01:21 AM <br /> ID: 3f00e764-6354-490c-8670-e07332d02d45