a. PRIVACY. ACT MATERIAL REMOVED 2 OS 408051 F ome » > MEDICAL EVALUATION This is to certify that I have determined that Eberline Instrument Corporation employee, ook a ms has no unusual medical conditions or physical impairments that would limit his normal duties of employment. Base Line Blood Counts: White Cell with Differential Hemoglobin /X Normal AX Normal // Abnormal /7 Abnormat / Lou!s H. ZUCA L, M.D. P.C, 5 Signatur es Bisa Street sorts pe te Mes 87504 "th Please type: Louis H. Zucal,MD P.C. Signature Name. 1300 Taisa St Street and No. Santa Fe, New Mexico 87501 City State | Zip SOS telephone 283 4O4G PRIVACY ACT MATERIAL REMOVED .