Grooms v. Colvin
Filing
15
MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 4/28/2015. (lab)
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e
g
ound
a qua e t s por a c us on b a r a ona e m i Ri ha ds v.Pe a e ,402 U . 389,401
de t o up t oncl i y e s bl nd. c r on
rls
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(971 .
1 )
The pl ntf , onna Gr s w asbor on J 1 1 a e nt ly co pl t d hi hi h
ai i f N
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une 0, 955 nd ve ua l m e e s g
shoole to Healoc ee at ye rc urea abusne sc lge a e r ade e (
c
ducain.
s ompltd wo a o s t i s ole , nd aned gre. TR
56 .Mr Gr
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r d s a c pern
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i 9,
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neft .
le d ha
he be m e di a e f r a 1f m s ofs t nta g nf e pl e on M a 1 201 due t s a i
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s bl d o l or
ubs a i l ai ul m oym nt
y 8, 0,
o ci tc
ne'e pr e s He tts C,a t ii,a he o r ds M r Gr s now m ant i t t he ha
l
v obl m , paii
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r m aned dia e t t pr e tm e
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s bld o he es nt i .
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neft
ni
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nd e onsdeai
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ai nd e e f e n
Admi sr tveLa J
nita i
w udge.I a opi on d t d J nua y 9, 4,t La J
n n ni a e a r 201 he w udge as de e mi d t t
lo t r ne ha
pl i ifi notdia ed.TheLa l
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paii
rhrts nd iht nkl tophyts ( 29) s t s hpr blms t La J
e . TR .De pie uc o e , he w udge
de e mi d t tpl i ifr t i t c pa t t pe f m a m e um r ng ofe ri
t r ne ha antf e ans he a ciy o ror
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xe tonala tviy,a
ci t s
d fn di 2 C. R. 41 .6 /) l a s sigp anifs e iua f n to l a a i teLa J d e
ei e n 0 F. j 69 7 . n se sn litf r sd l u cina c p ct h w u g
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nvol m nt n ood
p e rto o sr ie ( 3 ) Th La J d er ldt a panifi ds be f rh sp s rlv n
rpaai n r e vc . TR 0 . e w u g ue h t litf s ia ld o i a t ee a t
wo kasalnds a r whihi l dhe vye ri la tviy.( 3 .Ho ve,gi npli ifs
r
a c pe , c nvove a xe tona ci t TR 4) we r ve antf
r sdua f tona c pact a a tr c i rng M r Gr m s age e
e i l unc i l a iy, nd fe onsde i
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r
e re e,a wel a t si y fom avoc tona expe tt La J e f md t tpl i ifr t i
xpe i nc s l s e tmon r
ai l
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w udgeuli t l c ude t tpl ntf i notdia ed, nd
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pt d
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he
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he
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Adm i sr ton' A p al Co i. H a ng e us e al a l e a m i s r tve r m e e , M r
ni ta i s pe s unc l
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.
Gr shasnow a al d t t s c t
oom
ppe e o hi our .
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l ai if y
s bld or ran or
mpl
, he nl al acual
de e mi to i whehe pl i ifwa d s e f a lf msofs t talganf e oy e . See
t r nai n s
t r antf s iabld or l or
ubsan i i ul mpl m nt
42U. C.j1 () The ear f l ee nsofpr whi mus bec i r di maki s ha
S. 382ca . r e otr lme t
oof ch t onsde e n
ng uc n
a lss Th s ee n s r sl rz da flo :( ) be t eme ia fcsa dci ia fndn s
nay i. e e lme t a e t
mmaie s olws 1 o j ci
v dc la t n lnc li ig ;
( ) te o no a d c n lso s o te tn p y iins ( ) s be tv e ie c o p y ia
2 h piins n o cu in f r aig h sca ; 3 u j cie vd n e f h sc l
maniesai ofi i nt,a de ci d t o a cama ' tsi y;a ( t cai ts
f ttons mpanne s s s rbe hrugh li nts etmon nd 4) he l man'
e ton, ai l sor r sd ls lsanda .Vie v. nc 438F. 11 11 60( hCi.
ducai voc tona hit y,eiua kil, ge tk Fi h,
2d 57, 59- 4t r
1 ) Unde woodv.Ri c f 298F. 850,851( h Ci.1 )
971 ; r
biof,
2d
4t r 962 .
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he s t t houl
t d ha he w udge sdiposton ofpl i if scai t ne i
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antf l m ur d n
l r m e ur on a i a i oft M e caN oc tona Gui lne pr
a ge as e
pplc ton he di l a i l dei s omul t d unde Appe x 2t
gae
r
ndi o
Subpa tP oft Admi sr tveRe a i Pa t404.The La J
r
he
nita i
gultons r
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ound t tM r Gr s ca e
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r
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1
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gh c
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duc to nd ac
r kil, nd s ng esdua u to
a ct o di
ri n,
Rul 203.4die t ade e m i to of d s e Howe r gi nt s mea ,e a i a wo k
e
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ve , ve he n ge duc ton, nd r
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04 r c s tr nai
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i
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t tRul 202. doesnotappl i M r Gr
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y n . ooms'cas
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pas wor andwhoha ahit yofuns led wor expere orwhohaveonl s lst
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y kil hat
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t m na i n
ia e
I fndi t t M r Gr s i c pa e of pe f r i m e um l ve s of e ri t
n i ng ha
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ro m ng di
e l
xe ton, he
Ad i sr tveLaw J er le ont r porsofnone m i ng saea nc physcins u whos
m nitai
udg e id he e t
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e
opi onst La J
ni he w udgea c dedthegeaes weght' ( 33)
c or l r t t i . TR .TheLa J
t
'
w udgea co de ls e
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w e ghtt t r po ta as e s e ofD r Vi t i Gr dy,who pe f r e a co ula i phys c
i o he e r nd s s m nt
. c or a a
rom d
ns t tve
i al
e i ton a t be s oft sa eag nc a t t r por a a s s m e ofDr Ltka zM yc w ho
xam na i t he he t he t t e y, nd o he e t nd s e s nt
. l s
,
tea ed pl i ifa t U ni r iy ofV igi aM edi a Ce e . The c ti sm pl una e t c l
r t
a ntf t he ve s t
r ni
c l nt r
our s i y bl o onc ude
t tt La J e' team e toft m e ca r co d i s po td by s tntale de e.
ha he w udg s r t n
he di l e r s up re
ubsa i vi nc
Aspa toft i ta sa e a nc r viw ofpli ifscl m f be is Dr Be tSpe ze
r
he nii l t t ge y e e
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ai or neft , . r
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ses
l he val bl vi nc
ptm r 3,
. tl u
rz he
cl
e denc asf lw s
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ri l i t to ue o eg ne ai s s a e t 7
ompli sofl we
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r pi
ed o ve u 1 a
i
m l t
l p
e n Rih S j it oe t h v tn e n s o ap t n. LEwe k s o ar p y
x m. g t lon n td o a e e d r e s np lai No
o
a ne s r to h
no e Cli a aloha ahit yofHe ttsC+ a i y wih no c
t d. am nt s s sor
pa ii
ntbod t
omplcai nsor
i to
c pl i s
om a nt .
( 93) Dr Spezlropi dt t rGr msc ne g i me tm lvesofwor a tviy.( 93 .
TR . . t e ne ha M . oo a nga e n dil e l
k ci t TR )
OnM ar h22, 2, no he
c
201 a t rnone m i ngsaephysca DrJ e neCa rr vi
xn ni t t
iin, . os phi
de , e ewedt a lbl
he vaia e
me ia rc r a p r o t erc n ieaino panifscam f r n t .( 1 7 0 ) Asp r o
dc l e o d s a t f h e o sd rto f litf li o be eks TR 0 - 8 . a t f
t rco i r tonpr ce s i wasdeemi t c
he e nsde ai o s,t
tr ned o ommison ac ulai e mi ton.( 1 .
si
ons ttve xa nai TR 03)
Thus Dr Ca rr ceveda c i r d Dr Vi raGr dy' c ulai exa nai r por a pa t
, . de e i
nd onsde e . do i a s ons ttve mi ton e t s r
ofhe r cons de a i r e . Afe c i rng a lt e de t n a iabl Dr Ca ropi t t
re
i r ton evi w
tr ons de i l he vi nce he va l e, . de
ned ha
pl ntf s fr fom de ne ai dic He ttsC, ndoseo esoft rg a e.( 1 .Dr
ai if ufes r
ge rtve s , paii a t phyt he iht nkl TR 08) .
4
Ca ra s opi dt tM r Gr m sca pe f m m e um l l ofwo k a viyi vi nom o et n
de lo ne ha . oo
n ror
di eve s
r di t nvol ng
r ha
oc aso lci ng,soo ng,kne lng,a ca i ( 1 08)
c ina lmbi t pi
ei nd rwlng. TR 07- .
Dr V i t i Gr dy c pl t d he c ula i r po ton M a c 8, 2. U nlke D r Spe z e
. c ora a om e e r ons t tve e r
r h 201
i
. t lr
a Dr Cade , . a a t lye m i d M r Gr m s Dr Gr dyalor vi we a1 oft a ia e
nd .
r Dr Gr dy c ua l xa ne
. oo . . a
s e e d l he val bl
m e c le de e, uc ofwhi h w a c pie durngpl ntf si r c r t o Ba e on he p i a
di a vi nc m h
c
s om l d i ai if nc e a i n. s d
r hys c l
e m i tonandr vi w oft medial e or Dr Gr dyofe e t f l ng f tona a s s e t
xn na i
e e
he
c r c d, . a
f r d he olowi unci l s es m n '
.
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r y, s d oda s
e m ,i e ced t be sx. The ntmbe ofhotr t cai tc wa k i an ei xa s xpe t o
i
l r
ls he l man an l n
ght
ho w or y,ba e on t y' e m ,i e pe t d t be s x. The ntm be ofhotr t
ur kda
sd
oda s xa s x c e o
i
l r
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c a m a c n s ti a e ghthourw or y, s on t y' e m , sexpe t d t bes x.
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The a ountofw e gh t c ai a c c ny, s d o t y' e m , se c e t be
m
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20poundsoc asona l Then ountofwe g t cai
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m
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c i ly.
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ni a i i ttons: e n oda s xa t a ma houl
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Pos ur llm ia i : ed o t y' e m ,he c ai a s d bea et bend, t
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TR
58 . f antf s na e o it e ha we y
t i
F.
6. 1
pr de t the i una e t do m or t n lghtw or a tviy.
ovi s ha
s bl o
e ha i
k ci t
Asr teced a ve,t Admi sr tve La J
el t bo he
nita i
w udge a s a c ded l s e we g t a phys l
lo c or
e s r i ht o
ka
as e s e pr ded by Dr Lukas M yc The m e ca r c d r ve l t t i 201 a 201 M r
s s m nt ovi
.
z
.
di l e or e a s ha , n
2 nd
3, .
Gr
oomswass nby s ve a dif r n m e ca pr de sa t Uni r iy ofVigi aM e ca Ce e .
ee
e r l fe e t di l ovi r t he ve st
r ni di l nt r
Hi c
s ompl nt durngt t rodi l dhe r dswihr c a bledi i omni ,eft
ai s i ha pe i ncude morhoi t e t l e ng,ns
a l thumbpai
n,
l rba k pan, nd He ttsC.l t msofl rbac pai hi docor no e pa a tbr lm us l
owe c i a
paii
n er
owe k n, s t s t d r vere a
ce
s m w ih as oc a e ne opa hy. Roe ge
pas
t s i t d ur t
nt nogr phi s udi w e e s i t r ve m o a e t s ve e
a c t es r a d o e al der t o e r
ds d g n rtv c a g sa L5 S1 ( 6 8 .MrGr o rtr e f r u te te t n i S p e e
ic e e eaie h n e t - . TR 6 ) . o ms eun d o frh rr ame tn e tmb r
of2013. A tt ttm e,Dr M yc o de e a l bars ne M RI The M l lr ve l d m uli l ve di c a
ha i
.
r r d um
pi
.
t e ae
t -e l s nd
f c t d ne a i c nges s ve e c nt a c na na r i s ve e neur l f a i na r w i a
a e ege r tve ha
; e r e r l a l r ow ng; e r
a or m nal r o ng t
muli elves a rgh rna c t.( 675) Gi nt efndi , . t nLal m or r a
tpl e l, nd i t e l yss TR
. ve hes i ngsDrNaha rha deed n
e dur seoi ij ci a L4- ( 676)
pi al tr d n e ton t L5. TR
.
Dr M ycc
.
ompl td af nc i la s s e on Dec mber5,
ee u tona s esm nt
e
2013.Dr M y di nos d muli
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e l ge r tve s s s e r e r l na tnoss t lr ni o
k i nd
He tts C. ( 680) l s
paii
TR
. n uppor ofhi di noss Dr M y ct t Mlli e eai fom
t
s ag i, . c ied he t ntmr tton r
Se e r1 201 a wel hi ownci c fndi .( 680) Dr Mycopi dt tpl ntf c d
ptmbe 3, 3, s las s
lniali ngs TR
. .
ne ha ai if oul
sand a wa k f no m o et nt t t eeho lsi a eihthotrwor y,a t thei lmie t
t
nd l or
r ha wo o hr
tr n n g - l
kda nd ha
s i td o
lfi a car ngnomo et ntnpo .( 681.DrMycopi dt t aitf ss o a
itng nd ryi
r ha e unds TR ) .
ne ha pl nif ymptms nd
l tto sh v p ritdwihtesmelv l fs v rt sn eJ l 1 , 01 ( 6 1.
i ain a e e sse t h a e e o e ei i c uy 1 2 2. TR 8 )
mi
y
Unde 20C. R.j41 927()1,ii e iil pr de t tge r ly, ewei wilbe
r
F.
6. c( ) t s xplcty ovi d ha, ne al mor ght l
gi nt t o ni ofame c ls c who ha acua l e mi dt c am a .l t i t tc e
ve o he pi on
di a our e
s t ly xn ne he l i nt n he nsan as ,
t Admi sr tveLaw J ec e rydico e t fndi , s s m e s a opi onsofDr Gr dy
he
nita i
udg l a l s unt d he i ngs as e s nt, nd ni
. a
a M r M yc w hie ac or ng t gr a e t w e g t t a s s e s of t non- xam i ng s a e
nd .
, l c di he e t s i ht o he s es m nt
he
e
ni t t
physc a .I s doi t La J
ii ns n o ng, he w udgec
omm e e asf lw s
nt d olo :
The o ni of he e pe t w hopr pa e t St t a nc r por sa egi n t g e t t
pi ons t x rs
e r d he a e ge y e t r ve he r a es
w e g , r i ul ry t m os r c n as e s e t . The e e r o ni a e bal nce
i ht pa tc a l he
t e e t s sm ns
s xpe t pi ons r
a d,
o j ci , ndc n itn wi t ee ie c o rc r a awh l,n ld n te t n
be t a o sse t t h vd n e f e o d s oe icu i g rame t
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es
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6
( 3)
TR 3 .
The c tc l
our onc udest tt La J e' r tona e i s m pl notc it ntwih t r c d i
ha he w udg s a i l s i y
ons s e
t he e or n
t sca e. A tt tm e D r Gr dy' co ula i r por w a c m i s one by t s a e age y,i w a
hi s
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nc t s
notdt tSt e de ea awhol ...snots t e tt s
e ha dhe vi nc s
e i
ufkin o uppor adecso ont cai ' ( 1 .
t iin he l m. TR 03)
'
I t co tsviw,i m a ltl s ns t a r ngef ac ulai e m i ton,ft co ula '
n he ur' e t kes ite e e o ra
or ons ttve xn na i i he ns tnts
a s s e of es d l t c i l a c t ba e on ar c d r vi pe s l m i ton, nd clni l
s es m nt r i ua fm tona c pa iy, s d
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idn , s li tl ee td
The Law J
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sr t
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s s es m nt i
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s esdua unci na a ciy s s m nt is
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ontmporne r ame
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ne he mbes he
t e t e t n a t U ni r iy ofV igi a M e ca Ce e .I e i wasDr M yc w ho a r ed f
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r ang or
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he t pef r d n e tmb r 3 2 3. TR 7 ) s be tv t d e utd n n mp e so
ofm uli l vel s and f e d ne a i c nge wih s ve ec ntal a na r i a s ve ene al
t-e dic
ac t ege r tve ha s t e r e r c nal r ow ng nd e r ur
fr mia n ro nga mutpelv l.Dr My s cfc l ctdte eo j ciefn n s a wel s
o a n l ar wi t l l e es . c pe iial ie h s b e tv dig , s la
i
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sandi a wal ngrquie f me um wo ka tviy.( 680- 1.Thec ti nos r f
t ng, nd ki e r d or di
r ci t TR
8)
ourfnds uppo tor
t La J e' obs r ton t tt no xa i ng s a e ag y physci n r por s i l a l r fec a
he w udg s e va i ha he ne m ni t t enc
i a e t ç e ry e l t
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t r h r vi w oft r or a a e s
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t bl ' n he t t
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we e complt wel be or Dr M yc' as e s e a t l ba s ne M l l upon w hi t t
r
eed
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s s s m nt nd he um r pi
t
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ses
s s d.
2 D r Cader' r
s eporti dat M ar 22N201 . The i em r t ton oft l ba M RIi dat
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Sept
embe 1 2013.
r ,
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l s tt co t oncude t t heCommi sone ' fnal c so i t sc ei nots
n horshe ur c l s ha t
s i rs i de ii n n hi as s
uppored
t
by s t ntal vi nc Gi n t M l l e t whi h doc e ss ve em us ul ke e a de e t i t
ubsa i e de e. ve he t r por, c
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c os l t l f c s n he
l ba s ne a w e last r po t f om Dr G r dy a Dr M yc t c tfndst tpl ntf hasm e
um r pi , s l he e r s r
. a nd .
, he our i ha ai i f
t
t btr n ofpr i e t bls ng t thewasdia e f a hi mor t n lghtwor aci t a
he lde
oof n sa ihi ha
s bld or nyt ng
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a l i o anda trM a c 8, 2.I f l t tpl ntf hasm e t bur nofpr i e t bls ng
l tmes n
fe r h 201 t olows ha ai if
the de
oof n sa ihi
dia lt f alf ofs t ilg nf e oy nt e20C. R.j41 969a Rul 202.
sbiiy or l onns ubsanta ai ul mpl me .Se
F.
6. nd e 04
ofAppendi 2 t Subpa tP o t A d i sr tve Reg a i PM 404.
x o
r f he m nit a i
ul tons
Fo t r as s a e t c ti c ta ne t c l t t t Com m i s one ' fna
r he e ons t t d, he our s ons r i d o onc ude ha he
si rs i l
d cso i no s p o tdb s bsa ta e ie e Dee a tsmo inf rsl r j d me tmus
e iin s t u p re y u tn il vd nc . fnd n ' to o l
mmay u g n
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ni d.
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pu s a t oteAc i e tb ihn d sb lyf ra1 omso s b tn il an u e ly n u g n
ru n t h tn sa ls ig ia ii o 1fr f u sa ta g i f l mpo me tj d me t
t
wilbe en e ed i fvo oft pli if The Comm isone ' fnalde ii n de ng s eme a
l
t r n a r he antf.
s i rs i
c so nyi uppl nt l
s trt i om ebe tt wilber ve s t t e e t tt de a wasbas o t tndi t t
ecliy nc
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antf s t s bl
we r i e he mm s i r
ppa en l
onsde ed
t r
pl i if m e t t fna a elgi lt r quie e s unde t SSIBe i Pr r m ,t cour m us
a ntf e s he i nci l i biiy e r m nt
r he
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t
t
rma d t c s t teCo sine f ra a p o it d tnn n to . Ano de a dj d me ti
e n he a e o h mmiso r o n p rprae ee i ai n
r r n ug n n
c o m iy w ilbe e e ed t s da
onf r t l
nt r hi y.
TheClr i die t d t s nd c rii co e oft so ni t a1c
e k s r c e o e e tfed pis hi pi on o 1 ouns lofr or
e
ec d.
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