Fl Case Document 2 Filed 03/07/18 Page 1 of 4 IN THE UNITED STATES DISTRICT COURT FOR THE EA TERN I TRICT OF CALIFORNIA CLERK. us. mam: EASTER EV CLERK IN THE MATTER OF THE Magistrate Docket Number: ADMINISTRATIVE INSPECTION OF WALGREEN COMPANY DBA WALGREENS #13000 860 East Avenue Chico, California 95926 0158 WARRANT FOR INSPECTION Return Accounting for Items Seized The Administrative Inspection Warrant was served on February 28, 2018 through March 1, 2018 during normal business hours. Controlled substance documents were seized pursuant to the Administrative Inspection Warrant. See attached copy of form (Receipt for Cash or Other Items) for items received from Walgreen Company DBA WALGREENS #13000. Case 2:18-sw-00158-AC Document 2 Filed 03/07/18 Page 2 of 4 U5. DEPARTMENT OF JUSTICE - DRUG ENFORCEMENT ADMINISTRATION RECEIPT FOR CASH OR OTHER ITEMS To: (Name. Title. Address (including ZIP CODE), if applicable) FILE NO. 305;, IDENTIFIER WQL GREENS 9 FILE ?b NE: (:DMSIOWDISTRICT OFFICE I 6mm MENTD I hereby receipt of the following described cash or other item(s), which was gwen into my custody by the above named individual AMCIUNT or QUANTITY OF ITEMS) PURPOSE (If Applicable) GB Bo?bLas (mum. 0.11 RX Embmc?mwMEh-?V 47cm FREE 1h, ml? (at, Bcr?nLEs OQIQEIPMIL cu: 0% (MT: mama ma?a ~m was HQ. (mum-L? CE RX mm? 11> ?1 Bo?mee. LXZIEIML an?. Tax {is (W m) axes (away nu) I-I'II'zoco - ?x 61% mas {me-mm CI: (?me Hm?h? WI 11 cu: (mam (1E (AK I It: 145536 1b(ad mweb 11L TD Lupus RECE (Signature) NAME AND TITLE (F?nm NA: . Wm 9' WITNESSED BY (Signature NAME AND TITLE (Print or Type) I547 571% gig/Ce; 5766 FORM DHJE {9?00} Fre?Irfaus editions obsolete Electronic Form Version Designed in JetFomI 5'5 Version Case Document 2 Filed 03/b7/18 Page 3 of 4 - RECEIPT FOR CASH OR OTHER ITEMS Title. Addressuincluding ZlF?Codd?, if applicable) . FILE NO. . MLIAZ OI - CH II FILETITLE . *i?sa EAsr we: I . I DATE . 2; I . DIVISION 1 DISTRICT OFFICE mam-W (?ch I hereby acknowledge receipt ofthe [allowing?described cash or other itemIs).I which was given into my custody by the above named individual. AMOUNT or QUANTITY - - .- - DESCRIPTION OF ITEMIS) - . I PURPOSE [IprpiicableI I . I07. . Bunnies IRIIQIWIA ?1 RX ?ISBl-?lz TO "Iz . W- I was mam. CII RX I (omeaB LILICII LISBI - - I .- MIXES RX I Q) Imo erh IllibL? TD it'l'I-I? KW IIGI am am I?wmb - . mam 41M 9% (BMWWA I I 1721 - Mme-s (LIE ~61:sz EIGIIH- . .?zg ORIGIN-IL Clifw??RK (IMMWEMEQ To IcI-gtliia A RECEIVED nature NAMEAND I W?g p] . Gm?tmfm?gm WITNESSED BY (Signature) NAME AND TITLE (Print or Type) S, . swag/ohm 5m War/me DE (Apr. 1933) -- 2 Previous edition dated me? he used until stock is exhausted Case Document 2 Filed 03/ 7/18 Page 4 of4 S. DEPARTMENT OF JUSTICE- DRUG ENFORCEMENT ADMINISTRATION RECEIPT FOR CASH OR OTHER ITEMS To- (Name Title, Addr?ss (including ZIP CODE) . FILE NO. - IDENTIFIER QWY FILE TITLE (Bid) WE cmco Ice 056m; DMSIONIDISTRICT OFFICE mama (WIFE. I hereby acknowledge receipt of the following described cash or other item(s), which was given into my custody by the above named individual AMOUNT DESCRIPTION OF ITEMS) . - I PURPOSE (If Applicabie} I 9'0! ma: mm Em?nchEfmwm?-JW WIN Pmma 1364: 2273 - Pvgm?vr . . madame-I Rams I I mm "warm dances 7 by, 221 Rum I MESL NEE-63915: ?10 a; mam; REC I {Sgnature} NAME AND TITLE {Print or Type) ZZMW DI 6m ILA. DI (Sighalure) NAME AND TITLE (Pn'nt ?o?r Type) Fom?j?k L30 I36 80:. MC, Siam Maw? 2 I9 00} Previous editions obsotere Elan-manic Form Version Hgnad In JetForm 5.2 Version