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HomeMy WebLinkAboutMINUTES - 12151998 - C26 �� , :.BOARD.-OF SITEMS01 BWO Aoft Wceia r 15, 1998 Claim Against the County, or District Govid by the Board of Supervisors, Routing Endorse ts, ) NOTICE'TO CLAIMANT and Board Action. All Section references a to ) The copy of this document mailed to you is your California Government Codes. ' Mice of the action taken on your claim by the Board of Supervisors. {Paragraph IV below}, Oven N C y 13 1998 pursuant to Government Code Section 913 and COUNTY COUN$2L 615.4. Please note all "Warnings". MARTINEZ CAUF< AMOUNT: $4,000,000.00 in medical special, genual, and loss of earning capacity for Jonathan Christ; $850,000.00 medical special, general, loss/earning capacity for CLAIMANT: Jonathan. Christ, by his guardian, Randy Christ, Emily Christ. and Emily Christ, by her guardian, Randy Christ ATTORNEY: c/o Mark B. Abelson, Esq. DATE RECEIVED: November 12, 1998 Campagnoli, Abelson & Campagnoli ADDRESS: 120 Montgomery St., Ste. 1140 BY DELIVERY TO CLERIC ON: November 12, 1998 San Francisco, CA 94104 BY MAIL POSTMARKED: November 10, 1998 L FROM: Clerk of the Board of Supervisors TO. County Counsel Attached is a copy of the above-noted claim. PHIL BATICHELOR, Cler Dated: November 13, 1998 By: Deputy IL FROM: County Counsel TO: Clerk of the Beard of Supervi ors ( ibis claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). { ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). { ) Other: Dated: rf f `c By: (.,-� _ Deputy County Counsel IIL FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR,DEIR By unanimous vote of the Supervisors present: Eta This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: / PHIL BATCHELOR, Clerk, By eputy Clerk WARNING (Gov. code section 91 3) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAUJ NG I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: t 17. & y: PHIL BATCHELOR By Deputy Clerk CC: County Counsel County Administrator t7 Io on �- 1= ii (D c7 H, ro ' 0 = = r 4 on rt rt @rt 01-1 c) " fi O CDC07 *� ��- 0 Ln- 113W b tb Z LJo rt O z d r _....._._..._ �p1 N d �} G-C L- tip. _ S Cv. C ja oy mom... a Z Pik LA up rt Pr oz rte' ., •n c� 4`m a a 3$ C, ' 0A t �a cz s ru - s :0 ni all ED m i-1nj Q'IN El UJIco's ('v� O Fn'jj � Li FT ¢�i..� BUT S g`T t � iSt a g m •,c 7 1 +rr fr 07 w CI AIM -i z AC December 15, 1998 Claim Against the City, or District Governed by l the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action All Section references are to ) The copy of this document railed to you is your California Government Ctrs. } notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and X(9!E 3 T ) 915.4. Please none all "Whrrings" AMOUNT: $25,000.00 N O 13 1998 COUNSEL Dana Matteri MARTINC . ATTORNEY: DATE RECEIVED: November 12, 1998 ADDRESS: 5030 San Pablo Dem Rd., Apt. 1 BY DELIVERY TO CLERK ON: November 121, 1998 El Sobrante, CA 94803 November 10, 1998 BY MAIL POSTMARKED: L FRONS Clerk of the Board of Supervisors TO, County Counsel Attached is a copy of the above-noted claim. November 13, 1998 PHIL BATCHELOR, Clerk Dated: By: Deputy B. FRC1M: County Counsel TO: 'Clerk of the Board of Supervisors ( This claim complies substantially with Sections 9101 and 9101.2. ( } This claim FAILS to comply substantially with Sections 910 and 9103.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 919.8). ( } Claim is not timely filed, The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claire (Section 911.3). { Other: &;L a 14 r'f" i 6 e- / /k / ar e- fl z—t' Dated: ve DeputyBy:�� L���Z�:` s..�.��d'� � County Counsel IIL FROn- Clerk of the Board TOs County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). TV. BOARD tUI'tDEP-- By unanimous vote of the Supervisors present: (wl This Claim is rejected in full. ( } Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: 'lg?S�PHIL BATCHELOR, Clerk, By 454 Deputy Clerk WARNING (Gov. code section-913) Subject to certain exceptions, you have only six (5) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.5. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF NIAL1lNG I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above, Dated: 49 i t 19 /It By: PHIL BATCHELOR By putt' Clerk CC: County Counsel County Administrator Claim .te: DOARD Oh SVPtRg1SOR8 OF COB'TRA COSTA COUNTY ' INBIRDCTZON TO CLAIXAN_T A. Claims relating to causes of action for death or for injury to person or to personal property or proving crops and which accrue on or before December 31, 1987, must be presented not later than the -100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Gov't Code 911.2.) B. Claims must be filed with the Clark of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the board of Supervisors, rat43er than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. fraud, See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. ♦###!!!!!!!!!##!#!#!!###+iii!!#!!#!!i!!##!!!###!#!###!###!#!#!####t!#!!!# RE: Claim By Reserved for Clerk's filing stamp 1 3 i�i��T Si'yf`r Against the County of Contra Costa) pi;Q��5 }�y{fir o yj (fes- ►y '-�` L✓6.i`1J 'a++vE tC... � •../'' ) 7-y I f� District) £` A (Fill in name) } j The undersigned claimant hereby makes claim against the County of Contra Costa or the abovo-nazod District in the sum of S ? and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour). . 0 ! � LA IV 22'0'7 � . �fit,11614 . Where did the damage 6rnjpry occur? (Irr�,clude cit and county) 63 3. How did the daaaage or injury cur3 Give ,ful; det ils use *xtra Y if paper if equ red} c t r7 WV'� t)1SC-v i nc°1 t r (- `{ n� � 1�r ► 1 � C 't� fir} cs )ft [ �r 4. 'Who art cular a` or omission on - e strict ' p part of county or district officers, servants or employees c sed the inju or dMe. , t4 :ti t it S. What are the names of county or district officers, servants or &m=loy&es a using the damage r injury? , � ,��� � - 6. What ,mag.1�e or njuries do you claim resulted? (Give full extent of injur es or damages claimed.. Attach ty jw�gy'_ostim tes for, Iku,to damage w 7. Now was the amount claimed 'above compo ed? (Inc ode the estim'at d amount of any prospective injury or damage. ) _P_C51lo T Z� 1 s~ . r 8. es nd addresses of witnesses, doctors and hospitals. - t `a^r' inti^ 9. List the expenditures you made on account of this accident or injury. qq'�_ qffl � C Gov. Code Sec. 910.7 provides "The claim must be signed by the claimant or by some person on his jrj;p pT_IcEs To: [Attorney) 1 behx f." R Name and Address of Attorney ) ' J } (Claimant's Signatgre) } (Address) ) } Telephone Na. ) Telephone No: --7-�:> � Section 72 of the Penal Code provides: Every person who, with intent to defraud, presents for allowance or for payment to any stats board or officer, or to any county, city or district board or officer, authorised to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000) , or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. r , f O, ! 1t c jo tr LP ur Lin N o w. 3 - CLAIM r , . mo AoC E December 15, 1998 Claim Against the County, or District Governed by the bard of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All ,Section references are to } The copy of this document railed to you is your California Government Codes. } notice of the action taken on your claim by the ', t Board of Supervisors. (Paragraph IV below}, given pursuant to Goverment Code Section 913 and NOV 2 g 1998 915.4. please rote all "Warnings". AMOUNT: $3,000.00 cou TY CA SEL CLAIMANT: Neal K. McCarthy ATTORNEY: DATE RECEDED: November 19 1998 ADDRESS: 1356 Milton Avenue BY DELIVERY TO CLERK ON: November 19, 1998 Walnut Creek, CA 94596 November 18, 1998 BY :MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATC LOR, Clerk Dated: November 20, 7.99$ By: Deputy --- II. FROM County Counsel TO: Clerk of the Board of Supervise s {This claim complies substantially with Sections 910 and 910.2. { } This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 914.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filedlate and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ire x , n c oc V J Bated: tt a • 1 By: Deputy County Counsel III. PROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER;- By unanimous vote of the Supervisors present: This Claim is rejected in full. { ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: r WCUL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov, code section 13) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney Of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: & ki 1-2 l ?d By: PHIL BATCHELOR By Deputy Clerk CC: County Counsel' County Administrator ...._.... _...... _........ _. . _. - ....... .......... ............ ........ _. _....._.. ......... .._..... _ ........ _.........................._.. .. .. Clain to: BOARD OF SUPERVISORS OF C M?rRA COSTA COUNTY IXMUCTIONS TO CLAD CANT A. Claims relating to 'cau9es of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31., 1.991, mast be presented not later than the 100th day after the accrual of the cause of action. Claims 'relating to causes of:action for death or for injury to person or to personal property or growing APs and uh c h accrue on or after January 1, 1988, must be presenters not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the acoml of the cause of action. (Govt. Ocie $911.2.) B. Claims must be filed with the Clerk of the Board of :uperysflrs at its office in Room 106, County Administration Building, 651 Pirie Street, Martinez, CA 94553« C. If claim is against a district governed by the Board of Supervisors, rather than the County, the tame of the District should be filed in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E.• Fraud. See penalty for fraudulent claims, Penal. Code Sec. 72 at the end of this form. RE: Claim By ? Reserved for Clerk's filing stamp ::.. E )Lam, 135 Avg' 1W u%•,��--t:aff--- ) .. Against the County of Contra Crista � � t 19 as orOR LE Ra K ? District) c°n (FIll In name The Vrdersigned claimant hereby crakes claim against the County of Centra Costa or the above--named District in the Sinn of $ �,� "' and in support of this claim represents-as follows: 1. When did the damage.-or injury occur? (Give exact date and hour) 2. Where did the damage or injury occur? (Ineiude city and county) 3. How did the damage or injury occur? (Give 4,ull details, use extra paper if required) p G � V' e--x:T l oo_ Tib {,(�r op C` i�z-,r -ry JO vmit;` 4. What particular''act or omission on the part of aunty or distr>ict officers, servants or.employeescaused-the.in jury or.damage? Fo ,z L-Z"'UTY F"f I L�o 'I OH&-Z 4 017-YA-S (over) �. Wnat are the rams of county or district officers, servants or employees causing the damage or inJury? 1 Uvt N vw t� ��qui W ftt - SS Off 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) / / � ar 0 / NJJtt ��gfit7lC�i C � atr 8. Names and addresses of witnesses, doctors and hospitals. g. List`the expenditures you made on account of this accident t or injury: DATE ITEM OUNT R Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES 10: '`{ ttorne ) or some on his.behalf." Name and Address of Attorney ¢ X ! Claimant's Si tore C 31� r1 -'7V-'J Address .f..�,t'~ �ZJ"; Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides; "Every person who, with intent to defraud, presents for allowance district for or payment to any state board or officer, or to any county, cit officer, authorized to allow or pay the same if .genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail-for a period of not more thanone.year, by a fine of not exceeding one thousand ($1,000), or by -both such+ MOrisonment and fine;-.`or'by imprisonment in the state prison, by a fine of not exceeding ten thousand .dollars ($10,0001 or by. both such imprisonment and fine. 010 (. r so 0 '. " > +pv +� 211972 3 CA 94527.1972 ' t t� ► to a r, �3t1PCAvrSx S Xwnx "oil 14#4211##ttiritstl+tt►t�fttiti�ftrttttltititri Jo ! ► - 300 ...... CIAIM 2, ?.OARTf OF SLT yMS RS OF CONIRA COST.. CQUITY, GA FORNIA BMI) AGTIOAE December 15, 1998 Claim Agent the County, or District Governed by 1 the Board of Supervisors, Routing Endorsements, 1 NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to you is your California Government Cogs. ) notice of the action;taken on your claim by the Board of Supervisors. (Paragraph IV beloW, given iT c+ �a� pursuant to Government Code Section 913 and " 915.4. Please note all "Warnings". NOV 19 1998 AMOUNT: $5,934.84 CuuNTY COUNSEL CLAIMANT: Arthur William Ostrander MARTINEZ CAl.lp. ATTORNEY: DATE RECEIVED: November 18, 1998 ADDRESS: 639 - 35th Street BY DELIVERY TO CLERK ON: November 18, 1998 Richmond, CA 94805 BY MAIL POSTMARKED: Hand-Delivered L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATV44ELOR, Clerk Dated: November 19, 1998 By: Deputy 1 � ' 111. FROM: County Counsel M. Clerk of the Board of Supervis rs U { V�This claim complies substantially with Sections 910 and 910.2. { ) This claim FAILS to comply substantially with Sections 910 and 910,2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). { ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). (Other: I71 1 le,m t �,fitr smek Q`.s7 InGiele Dated: !!- By:-__Vf U', Deputy County Counsel M. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IVB BOARD ORDER By unanimous vote of the Supervisors present: {✓J This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:&(A PAIL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov. code section 9T3) Subject to certain exceptions, you have only six (6) months from the date this notice was;personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18 and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated:_ ' ' 0. Ky: PHIL BATCHELOR By Deputy Clerk CC: County Counsel County Administrator Clain to: BOARD OF SUPERVISORS OF CONTRA COSTA COMM INSTRUCTIONS TO CLAI ANT A. Claims relating to causes of action for death or for injury to person or, to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of.action for.death or for injury to person or to personal property or growing crops and which accrue on or after January 1 1988, must be presented not later than six months after the accrual Of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the.accr sal of the cause of action. (Govt. Code 6911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its offic=e in Room 106, County Administration Building, 651 Fine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal. Code Sec. 72 at the end of this arm. RE: Claim By } Reserved for Clerk's filing stamp Artnur Killian Ostrander8 law } Aga 'nst''the U5WNy of tra Costa or Y i District) ��c4 ►gQJTA M n name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: - -- . ��,__.rrwr,rr_a.+�rr•rwrrrr 1. When did the damage or injury occur? (Give exact date and hour) 4/16/97-7/28/97, 5/26/97, & 6/18/98 .rirw+.+.+rw.+++�+wor�s�wr' .ra_Jnr.wrr++.+.raw+a_r_rrr.srr.+w..wrr 2. Where did the damage or injury occur? (Include city and county) Martinez, CA Contra Costa County 3. How did the damage or injury occur? (Give full details; use extra paper if required) Please read Attachment A • 4. What particular act or omission on the part of county or district officers, servants or.employees caused the injury or damage? undue seizure of mcni 6s ' . (over) .......... what are the names of county or district officers, servants or employees causing the damage or injury? Jim Rogers, Cary Yancey, various attorneys of the District Attorney's Office 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. loss of monies 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or 'damage.) $1,816.5 seizes: acs $4,1185.30 tax refundinterce-,at.s $. Names and addresses of witnesses, doctors and hospitals. N/A 9. List the expenditures you made on account Of this accident or injury: TEM T a 4MDMT T/A • � -� '� if RE R 7f' �II if � if � � � 7[ —T 7.'.� �' � if if R � � � � [ �' 7{' 7f � � �"� � 7f 1f '6' Gov. Code Sea. 910:2 provides: "The claim must be signed by the claimant SEND 'iTIt5 T3: (Attorney) or some erson on.his.behalf." Name and Address of Attorney (Claimant's ignature` 639-35th. St. A dress Richmond, CA 94805 Telephone No. I Telephone No., (5 10) 2�3,*83.,. ... .. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if .genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one-year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine;- or-by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,0009 or by both such imprisonment and fine. ............................................................................................................................................................................................................................................................................................................................ Attachment A In violation of a Federal Court Order, the County of Co Coft has seized Wages and tax refunds for a total;amount of$5,934.84 from claimant. The UjfiWd States Bankruptcy Court of the Northern Dish ict of California issued an order on March 5, 1993 releasing dant from a1l discheqpable de, TIM COUrdy of C'Dntm Costa did not obtain a judo for cid support or an order for the repayment of monies'uNA Qcto 2Z 1993. Any debt judged to be owed by claimmt to the County of Comm Costa was discoedunder United Sties bardauptcy laws.. All monies siezed from claim were tin in viomon of the banlauptcy court order. chins natire vICTC)R J.WESTMAN DEPUTIES, CONTRA COSTA COUNTY PHILIP S.ALF COUNTY COUNSEL OFFICE OF THE COUNTY COUNSEL SHARON L,.AND RSON ANDREA W.CASSIDY ARTHUR W.WALENTA,JR. COUNTY ADMINISTRATION BUILDING MAR E L. EsTtAWES ASSISTANT COUNTY COUNSEL $61 PINE STREET,ft FLOOR MICHAEL D.FARR MARTINEZ,CALIFORNIA 94553-1229 LILLIAN T.FUJI I DENNIS SILVANQ B.MARCHES] GREGO C.GRAVES REGORY C.HARVEY ASSISTANT COUNTY COUNSEL JANET L.HOLMES KEVIN T.KERR BERNARD . AP GAYLE MUGGLI EDWARD V`LANEJ R. OFFICE MANAGER MARY ANN MASON PAUL R.MUNIZ PHILIP J , PHONE(925)335-1$44 VALERIE J.RANCHE FAX(925)646-1478 DAVID F.SCHMIDT DIANA J.SILVER BARBARA N.SUTLIFFE JACQUELINE Y.WOODS NOTICE OF UNTIMELINESS AS O A POI TIONOF THE CLAM TO: Arthur William Ostrander RE: Claim of Arthur William:Ostrander Please Take Notice as Follows: In regards to the claim you submitted on November 18, 1998 portions of your claim are timely and portions are untimely. The portions of your claim prior to MU 18, 199 that you presented against the County of Contra Costa governed by the Board of Supervisors fail to comply substantially with the requirements of California Government Code Sections 901 and 911.2, because they were not presented within six months after the event or occurrence as provided by law. Because the portions of the claim prior to MU 18, 1998 were not presented within the time allowed by law,no action was taken on those portions of your claim. The claim was forwarded to the Board for action on the timely portions of the claims. Your only recourse at this time is to apply without delay to the County of Contra Costa governed by the Board of Supervisors for leave to present a late claim as to the claims which are untimley. See Sections 911.4 to 912.2, inclusive, and Section 946.6 of the Government Code. Under some circumstances, leave to present a late claim will be granted. See Section 911.6 of the Government Code. You may seek the advice of an attorney of your choice in connection with this matter. If you desire to consult an attorney,you should do so immediately. VICTOR J. WESTMAN, COUNTY COUNSEL By: Monika L. Cooper Deputy County Counsel Page 1 CERTIFICATE OF SERVICE BY IVIATL (C.C.P.§§ 1012, 1013a,2015.5;Evidence Code§§641,664) f declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;1 am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this Notice of Untimeliness as to a Portion of the Claim by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: September 15, 1998,at Martinez,California. cc: Clerk of the Board of Supervisors(original) Risk Management H:\GROUPS\TORT\RISK-MGT\CLAIMS\UNTIMELY\OSTRANDR.WPD Page 2 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTYs CA_LUMENI D ACTT December'15, 1938 Claim Against the County, or District Governed by } the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this document mailed to you is your California Government Codas. ) notice of the action taken on your claim by the IF(MRIIWIXID Board of Supervisors. (Paragraph IV below, given pursuant to Government Code Section 913 and N 0 V 1 7 1998 915.4. Please note; all "Warnings". AMOUNT: $216.40 COUNTY COUNSEL MARTINEZ CALIF. CLAIMANT: Jeannette Ramirez ATTORNEY: DATE RECEIVED: November 16,' 1998 ADDRESS: 600 Wilbur Ave. , #2067 BY DELIVERY TO CLERK ON: November 16,_ 1998 Antioch, CA 94509 BY MAIL POSTMARKED: Hand-Delivered L FROft Clerk of the Board of Supervisors TO. County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk , Dated: November 17, 1998 By: Deputy 4.., e U. FROM County Counsel TO: Clerk of the Board of Supervisors ( V1 This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed)late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). { ) Other: Dated: jfBy: �:Z �~ .� Deputy County Counsel III. FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of the Supervisors present: ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:PC- 'rq /5� /'111 �PHIL BATCHELOR, Clerk, By g j j J , Deputy Clerk WARNING (Gov. code section 13) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney,' you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF NIAIMG I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: i f �B� PHIL BATCHELOR BDeputy Clerk CC: County Counsel County Administrator Clair to: 30ARD or SVPLR'VIBOR8 or CONTRA COSTA COUNTY A. Claims relating to causes of action for death or for injury to person or to personal property or graving crops and which accrue on or before December 31, 1987, :rust be presented not later than the Tooth day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988" must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause Of action must be presented not later than one year after the accrual of the cause of action. (Gov't Cade 911.2. ) S. Claims must be filed with the Clerk of the board of Supervisors at its office in Room 106, County Administration building, 651 Pine Street, Martinez, CA 94533. C. If claim is against a district governed by the board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, 'separate claims must be filed against each public entity. E. Fraud,, Be* penalty for fraudulent claims, Penal Cods Sec. 72 at the end of this form. RE: Claim by Reserved for Clerk's filing stamp ::�S- oQCZVT iZ s z (000 uta t.. P- "e 44 —100-7 j RECEIVED Against the County of Contra Costa) 1 61997 or District) C,���coa�a o ER aoR5 (Fill in name) I CONTRA COSTA CO. y The undersigned claimant hereby makes claim against the Count of Contra Costa or the above-named District in the sum of and in support of this claim represents as follows: I. When did the damage or injury occur? (Give exact ' dote and hour) Ct a+ 09 i 6 +)vCr< -S 2. More did the damage or injury occur? (Include city and county) L A ;Z;c u D (' ,blur . 3. Now did the damage or injury occur? (Give full +deti s; use extra paper if required) r N:)ePOTY tOAS DV kVi1V6:,t A PFieF, Dc- t'14ETA-L. P "Z t�# t�t �fi I QTr2J 017 Myr Ve�f+J&Lz . 4. that particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? -Dr,�.P 'A-K) &,15Z 7W CE, A-OD 415 v E-H GAA K, ��(� �'��'� `�.� a.,�r�.3►��� C?11 Gam. ��tC.� r,)� ��'�"�..,-. (ever) . ............ .......... what are the names of county or district officers, servants or employees causing the damage or injury? 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ) 7. Now was the amount claimed above, computed? (XnclWd* tha etatftat* amount of any prospective, injury or damago.) SPL L i.X, W i hJID c-, -/00 o. Names and addresses of witnesses, doctors andspitals. 9. List the prponditur** you made on account of this accident or injury. 0OP14S Gov. Cod* S*c. 910.2 provides "The claim must be signed by the claimant or by same person on his SEND NOTICES -fhtt2rnty) I be)aalf.* . Name and Address of' Attornoy 14P (Claizant's Signattre) (Addr*ss) T - - - elNo. T*I*Phono No.(9 Section 72 of the Penal Code provides: tvery person who, with intent to defraud, presents for allowance or for payment to any state board or off ic*r,, or to any county, city or district board or officer,, authorised to allow or pay the same if 9*nuin&, any false, or fraudulent claim, bill,, account, voucher, or writing, is pvMishablo either by imprisonment In the county Jail for a period of not sore than one year, by a fine of not oxc*edinv one, thousand ($IrOOO) ,, or by both such imprisonment and fins, or by imprisonment in th* state prison, by a fin* of not exceeding tan thousand dollars ($10,,000,, or by both such imprisonment and fine. MAIN OFFICE- ANTIOCH CONCORD P.O.BOX 3332 I AFAYETTE BENICIA 1140 ERICKSON ROAD 1610 WEST 10th ST. (510)258.15"S P.O.Sox 1343 CONCORD,CA 9020-3702 ANTIOCH,CA 94509.3332 BENfCIA,CA 9431(3.1543 (814)$27«4#73 FAX 10) 77}4 64 54-5428 (707)746.78 FAX(510)827-0332 A+TO-S#ORES"HOME FEDERAL tf(S#6801.7120 RESALE M SYCIit3 21.712037.0001 ACCOUNT NO. PURC14ASE ORDER NO. DATE At I.D. ORDER TAIIEN BY I-2fi,6:Z -] MOBILE INSTALLf ILL TO: JEANNETTE RAMAR I Z SOLD TO: CASH 600 WILBUR ##067 RED TRUCK ANTIOCH , CA CASH SALE 777--0852 - Hm Insurance Information vehicle Information Policy #a hake If NISSAN Claim #fit Model I PICKUP 85 Ate of loss Year If 87 Authorized ? vehicle IDs Cause-o--Loss Licence 11 Damage Odometer If ® FURNISH&INSTALL 0 FURNISH ONLY 13 LABOR ONLY QUANTITY PART NO. DESCRIPTION LIST PRICE TOTAL LABOR 3. 5 Hour(s) 172. @ 172. 00 172. 00 .Li -5- * I � WALLER NAME DATE PULLED ATE DONE DATE REINSTALLED k4T.1HOW PAID 0»00 'roperly cured sealants and/or adhesives,and the`Autog#ass are an important part of the safety feature of the TOTAL COST MATERIALS ehicle.We at Dan's lass,Inc.followvehicle manufacturers recommendations on sealants and adhesives utilized 0.00 i the installation of the`Autoglass in your ear.The cure time of the sealants or adhesives used are controlled by 7e climate(i.e.,weather)which could be 12 to 24 bows or more.Dan's Glass Inc.,does not recommend you drive SUB-TOTAL our car until the sealants arWor adhesives used have cured properly.Guarantee against water leaks for the life ,f the car(except for rust or prior damage to glass area).[fan's Glass Inc.is not responsible for any damage to chicle resulting from any water leak before or after glass work has been completed.This includes carpets,dash SALES TAX 0.00 ,rea,seats,etc. CSCR seg.From No. Date (Non-Taxable) AND*LEASE AAUTHORtZATioN TO PAY OTHER THAN INSURED OR CLAIMANT h*gls"hoab"nopWcodtofny*Wsfacftnendloothorin BALANCE 178. 00 make direct psyment to DAN'S GLASS,INC.the full amount due me under the terms of my Polley covering the Wald timd that It ter any mown my Insurencocompany does not pay thisclaim,I will to responsible for payment DEDUCTIBLE: laused Date 0.20 TMW WORK M S KM DONE M MY fIAT13PAGTIOiI-MNMM MOT I.IMMlfM WITHOUT PRIOR A"MMt TOTAL 172. 00 Nindshield and backglass MIST(1"PR COPY _ CONCORD NISSAN 1290 CONCORD AVENUE • CONCORD, CA 94520 (92S) 676-4400 anyautoxom f i s A M E R I C A y AU TO M0TIYE CONCORD NISSAN WILL ACCEPT PARTS FOR REFUND OR EXCHANGE PROVIDED THE PART(S) IS NOT A SPECIAL ORDER PART, IS NON-ELECTRICAL, NON-CARBURETOR, OR A NON-SMOG PART PURCHASED WITHIN 20 DAYS AND IS ACCOMPANIED BY THIS INVOICE. ALL PARTS ACCEPTED FOR RETURN MIDST MEET THE MANUFACTURE'S CURRENT PACKAGE GUIDELINES AND ARE SUBJECT TO A 20% RESTOCKING CHARGE. REFUND FOR PURCHASES MADE BY CHECK WILL REQUIRE A 15 DAY CLEARING PERIOD. ANY CASH PURCHASES OVER $25.00 WILL BE REFUNDED BY CHECK. SPECIAL ORDER ITEMS NOT PICKED UP WITHIN 21 DAYS WILL BE RETURNED TO NORMAL STOCK. DATE ENTERED YOUR ORDER NO. DATE SNIPPED INVOICE DATE INVOICE 16 NOV 98 116 NOV 98 NUMBER 4576 *QUOTE** ACCOUNT NO. 86 H PAGE 1 OF 1 D P CASH RETAIL T T O O SHIP VIA SLSM. B/L NO. TERMS F.O,B.POINT 113 1 CASH I CONCORD CA oI PAI 1,NO. [}ESCRTI€N 11 ,11ST NET AMOUNT 1 10 : ::7691:11 0 G 3 GA NTSH f 41 T.U: 41'.€12 41 .02 FREIGHT 0.00 *** INV_ O .ICE QUOTE - DONO PAY_ ** * k first A V t: 1 t C A AUTOMO Tlyt THANK ,ANK YOU FOR YOUR J. *CONCORD NISSAN'S PARTS DEPARTMENT** BUSINESS! IS OPEN ON SATURDAYS FROM 8AM TO 4PM! PARTS 41 .02 OUR MON-FRI HOURS ARE 8AM TO 6PM! ! i S JEILET 30 WITH A WINNING COMBINATION. FREIGHT 0.00 *GENUINE PAR'I`SAT CONCORD NISSAN** SALE TAX 3.38 iCUSTClMER'S siGNATURE x TE)TAL 144_.45 WARRANTY DISCLAIMER:The only warranties applying to this part(s)are those which may be offered by the manufacturer.The selling dealer hereby expressly disclaims all warranties,either express or implied,including any implied warranties of merchantability or fitness for a particular purpose,and neither assumes nor authorizes any other person assume for it any Nability in connection with the sate it this part(s)and/or service.Buyer shall*51%jentitled to recover from the damages to property,damages for toss of use,toss of time,loss of profftcg9TgmftR arr�y Vy incidental damages. ­­­­-,.....I.....................................................................................................I..''...........I................I..................................... ... .......................... ................. .......... ...... CIAIM BOMM OF SlIffMMMS OF CONTRA COSTA COUNTY, CAUMENIA WARD ACTI December 15, 1998 Claim Against the County, or District Governed by the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this docurnent mailed to you is your California Government Codes. I notice of the action taken on your claim by the Board of Supervisors. {Paragraph IV belcv}, given pursuant to Governrnent Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $207.08 NOV 1 6 1998 COUNTY COUNSEL CLAIMANT: Christine Waddell MARTINEZ CALIF. ATTORNEY: DATE RECEIVED: November 13, 1998 ADDRESS: 1307 University Avenue By DELIVERY To CLERK ON: November 13, 1998 Berkeley, CA 94702 BY MAIL POSTMARKED: November 10, 1998 L PRONE Clerk of the Board of Supervisors M County Counsel Attached is a copy of the above-noted claim. November 16 1998 PHIL BA OR, Clerk , Dated: By: Depu U 11. FROM County Counsel TO: Clerk of the Board of Supervisors (vIl"This claim complies substantially with Sections 910 and 910.2. ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ) Other: Dated: By Deputy County Counsel x 13L FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). (This ARD ORDER: By unanimous vote of the Supervisors present: Claim is rejected in full. Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: &&W4Wt 1,5_1 /C11J11P"ML BATCHELOR, Clerk, By n•... TJ WARNING (Gov. code section M3) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice, AFFIDAVIT OF NL41LING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated:ageg=bn 00721 Iq By: PHIL BATCHELOR By -� ��eputy Clerk CC: County Counsel County Administrator Y, P <'C tom.) X tl Q F v1 LC1 O E-t `.D t3� r 173 oo Z y� z � H `.r 0 � ru E- E-4 Ca 14 # m C:3 R= $ N C ct) tai ru 4 0 cn W �1 � UN claim toe BOARD OF SVPZRVIBORS OF CONTRA COSTA CCtti+TY ZHSTRV=1Qff TO _CLhXX►LNT k. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or before December 31, 1997, must be presented not later than the .100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause sof action. Claims relating to any other cause of action :oust be presented not later than one year after the accrual of the cause of action. (Gov't Code 912.2.) D. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 pine Street, Martinez, CA 94553. C. If claim is against a district governed by the board of Supervisors, rather than the County, the nano of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. ,Fru, See penalty for fraudulent claims, Panay Code Sec. 72 at the end of this farm. ����:�srefas►s�►,��re�e��r�rr#�+�sref���#:��+�rrf#art►:�r+�#��fret�tf�s+�#�e�srfes�rf�rrs�r RE: Claim By Reserved for Clerk's filing stamp Against the County of Contra Costa) NON 1 or ) District) (Fill in name) Q :< The undersigned claimant hereby makes claire against the County of Contra Costa or the above-nazed District in the sum of and in >su Pa f R his: , 3a'a rapr tints as fall s: 1. When did a damage or injury ur? (Give exact date - � " i� � r Ce cL� v�+ , w� 1Vo a ed �- t VkA J 2. Where did the damage or injury occur? (Include city and county) S Ai amoa CAI linos- 3. Now did the dam=age or in ury occur? (G ve full details► use +extraV paper if squired 3+9 e- 41we Ar tt 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or dama e7 eks. 041T, to .il (ovIr*) t ri .............................................................................................................................................................. What are the names of county or district officers, servants or employees causing the damage or injury? V V�-c ko a x I e -t-AA 0 V'v C e-ep; ua-vrq wke dict 441 "L4t'k,� 6. What damage or injurlivs do you claim resulted? (Give, full extent of injuries or damages claimed. Attach two estimates for auto damage. ) -YE k.Ye-. 7. Now was the amount claimed above Onput*d? (Include tho estito amount of any prospective injury or damage.) VA of 6L te--" a. Names and addresses of witneo"S, doctors and hospitals. &M A I L ana S1 ECCL*4iS to ey 9. List the expenditures you made on account of this accident or 01,q I i o injury. D= MOUNT C) Gov. Code Sec. 910.2 provides *The claim must be signed by the claimant or by some, person on his raEND 149TICES TO: fAtjorn2y) ohm f.," Name and Address of Attorney (Claimant's Signature) (Addressl Ttlophone No. (eqq 1? Telephon* No.. XOTXCZ Section 72 of the penal Cod* provides: Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer,, or to any county, city or district board or officer,, authorized to allow or pay the same if genuine, any false or fraudulent claim,, bill,, account, voucher, or writing, is punishable either by imprisonment in the county Jail for a period Of not more than one year,, bL& fine of not exceeding one thousand ($1,00o) ,, or by both Such . prisonment and fin*,, or by imprisonment in the state prison,, by a fin* of not exceeding ton thousand dollars ($20,000, or by both such imprisonment and fine. v-e rIL-L+t',-LJ Je' -e-4 Pvc, q e V E- t`, (1, 1 rt-ro k_d vv\e- 44-t,-t �LUU-) Ce- P�,A' 4t C4,L4t" ............... ......................... ......... } FOR THOSE WHO EXPECT". HE VERY BEST � CARPET CLEANING C188 y� s/y 'sjjCa et[/yGCe�a�r}�ing € $4 1[.Ili {�`Jf. t'4/ i�G/L44t/. 'y{ CHAS rT , !RnofeCJq 94564 Pwa� SHELLEYANN SANBORN ' INDEPENDENTLY OWNED`&OPERATED SINCE 1974 , CARPET&UPHOLSTERY CLEANING a�'� AREA RUGS •;i r`n ,? k� (510)75$-.7322 (510)233-7322 (510)$65-3367 BLIND CLEANING'ALL TYPES" WATER DAMAGE RESTORATION' FAX(510)233-7328 DEODORIZING AND DISINFECTING f 717;71 'r R$d SAY-}Vie"'tel' > 2 f gra k. c`.J"£��t j •k u{W.., j SY .r- ',IUD r^ 5 R...;1 .ti 7r,'.„rt�t i:,?y,,'£3.^.£'b I,2.3};tt rc. � W f,✓nc£.;:: ; ..S A.0 c.{u u. Gx,..,+, .<, \.^;..f.W41k. ' z; f ;]a fy ✓ .. z11 40i i. v A^ ..• ; }} ( �5 w .{ �.I R}x1 a£:f� ✓j L �`f ? t i r: 117,0 ... {, v. a:.'n..y. :. :. _,.I.:'nn 1., v _.. x .c.,. cf>.. �$S >rf t/< ♦ r ::. ..:..........,.... ;..,.....;:......, .i:<.nk ':.xS. ,..L�n .....{h.2$::?: C.SK X,..i.. n ..wki n{xx. n . .„5 , i 0F, ..,.k aq a.c.}w.i::.., ;n I z} L..� .;• yrs 3 t 1 #$ IMPORTANT LIMITATIONS: Individual care is given to every lob; ut we cannaf b6tespr71751t ?'ftfistt tFtlr ge[st sftetc#tlrig'ctue to^...................... installation irregularities or hidden defects which might show up atter cleaning carpet. we exercise all due care in upholstery cleaning,but such factors as fugitive dyes,stretched fabrics,buckram dlscotoring and sun or wear deteriorated areas may cause discoloration or disintegration of the fabric for which we cannot be responsible. mINIMUM SERVICE CHARGE FOR RETURNED CHECKS•$211s76 .. .>...+.,..+ :....<. :. ..'•..) i 5.£ <.y'it' ,T. £„�% r?.,f,.>. r.`..... �..:A,ez- ... %A A. iv>t; w 1I! CIAIM RM Aan December 15, '1998 ClaimAgainst gainst the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section references are to 3 The copy of this d€reument mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Patagraph IV belovh, Oven pursuant to Governs ent Coda Section 913 and � 77 915.4. Please note all "1� rings". AMOUNT: $3,500.00 NCV 1 n 1898 CLAIMANT: Charles J. Stallworth COUNTYIN COUNSEL MAliTtl�iEz CAl,1�. ATTORNEY: DATE RECEIVED: November 13, 1998 ADDRESS: 1415 Broadway, 319 BY DELIVERY TO CLERK. ON: November 13, 1998 Alameda, CA 94501 BY MAIL POSTMARKED: November 12, 1998 L FROft Clerk of the Beard of Supervisors TO: County Counsel Attached is a copy of the above-noted claire. PHIL BA HELOR, Cler i Dated: November 16, 1998 By: Deputy_____ IL FROM County Counsel TO. Clerk of the Board of Supervi ors { This claire complies substantially with Sections 910 and 910.2. { ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed'late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 8— t 7'qk Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claire was returned as untimely with notice to claimant (Section 911.3). IV. ,00ARD ORFS M— By unanimous vote of the Supervisors present: ( ' This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: kA4 157 1g1?P1HL BATCHELOR, Clerk, By � , Deputy Clerk WARNING (Gov. code section 13) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claire. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately, *Far Additional Warning See Reverse Side of This Notice. AF WAVIT OF MAEUNG I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postagefully prepaid a certified copy of this Bpard Order and Notice to Claimant, addressed to the claimant as shown above. Dated: 1~7 /I%y: PHIL BATCHELOR By Deputy Clerk CC: County Counsel County Administrator ......... ......... ......... ......... _... _. _ _......._........_. ........ ..._....... . ......... . . ......... ......... ......... ................_. _ _ .............__.... Chis to: io3= OF scPZRVISOR8 OF 0031TRR COSTA COUNTY zmeTaoc�rlc TKAM . ..,. i:i.aims relating to causes of action for death or for injury to person oz. 'to personal property or growing crops and which accrue on or before 0Q0ambar 31, 19878 must be presented not later than the aoDth day ,after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after tate accrual of the cause of action. (Gov#t Code 911.2,) S. Claims must be filed with the Clerk of the board of Supervisors at its office in Room 106, County Administration Building, 631 Pirie Street, Nartines, CX 94553. C. If claim is against s district governed by the board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. ZMLudu See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this forma. RE: Claim By Reserved for Clerk's filing stamp Against the County of Contra Costa) or NOV 13 !9 ) t } COURT District) y - �--- ARD �sup# (Fill in name) ) The undersigned claimant hereby makes claim against the County of Centra Costa or the above-named District in the sum of $ 3� ,, and in support of this claim represents as follows: I. When did the damage or injury occur? (Give exact data and hour) ;.a_s_•-'S.i,3.'...t..:.�Q ,a ..d.ii...� ' �L.s..iLi a' i. 1.:_ 2 1Y I 96 2. Where did the damage or injury occur? (Include city and county) L: ,' n ! ^� +' f`''"S ^v1- "`?l V' {3'T' t3 F� , {- p n t - •C _va..:l � C}.�.. � �� ) _..£.•.�.. :.; n}E�v .+..r J._..:...s.,�� -..5-��.5`..L.:-,:� 'v:a.s 3. Row did the damage or injury occur? (Giv0 full details; use extra paper if required) t r nFn.»...L,. ,_.:-t ..,� ii.�"� T /�`E =T%t s.S_.,.i`t•0 Y �',i-h�r�."'... 5'z._.�':.: �.tF r)('CURR �.�GE- ..L -.::.i J.., ti'w. .-1.G .4». J-.-a:.4J .i... `,.i+J li.L�-..L....S.:V:�. —11' . :. 4•i L E T .!R'-'Ly .i_i a a; €s <r3'4<_.Z ...' Aia _:it E i d e Y._. —,1 s . !. What particular act or omission on the part of county or district officers, servants or employees caused the J1 �{ r .d e? ,.....—.. C d.- t) s_._.......:�.--'y�.F{ < w �7 -�^ f n T�'�'�t ,..c r,;{} x�}?1-T 1 , - T1 r 7' ! F rt : rn:- ln;DURT I'sl�a f �-T' y �1 1 098. x7 15��...k....__.E.». �f -i.2L.�.B�l1:�7:'is .ct t..J�.,...:z.��:tJ..:: i l l.l4 _S�� 1.v.... DU C0-IE:�41....r.LPC ;fit .�.1 ...sk.,:� .r l,�..,� l�ti-..JE, '." .ER.3...:3i...1,.`�.:.<5t_t ...�: {.1-'r!-C (over) ......... ......... .................. .111. _ _ _ _ ........ ........._..._._....._... .........._.. ......... ......... ......... ...._.... _ .1111 .1.111. .............. ..1 ...111.... . .......................... rye. what are the names of county or district officers, servants or employees causing the damage or injury? Ms s^47 n �' Lt kY -i".;. .._7"+T s3' �T `ni f'+.Dn n01 ,ro,- t 7 T- I r ,�n' ,fir 'Y ^]M ?J<.#:CJ _ +,Jet PST . x_._ 4:,D.:JA.3 JTSa< .V.., vk2M:__SS. `:C . . .,. a,Cr. x s!_.,, :-t 1.L 4sL°< .Ji 6. what damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. - { , r ; "� c'} r/,v,, ND ,� $ <t �r � .� 7 r:t �.:.10 P 1.J-.:,1 R.' • 2`v:�.... L_'_.V 'l CY f • !�' .— R.V ! i'Y'...]..w.1..F.S., .✓.. 5 s'i3 1'._.�. '1978 f T� k+:w_ i�� r i :: •.n x�-s T' riz,l t;,-T - ^�7f;3F'T-"E J r y�..` . CR my-, is 4 2850.0.�i0�dt 11Ci.f.}Y.�2yy.:✓-t'G .�.V ... -:i <'vl.v 6... :a;� /„�4 iJ�i2'-�371,r:�i �.I.��.p,. _£]v_t£✓ice. jai i JU."RE iU O L£�`.1`�P'S w:.i{ 21. TH ,;..,c..�.. 9' fTJL'3, ; V:i..} G101—iF1.L}.a2- 1,TGpR,V. .i `..R. i ...L 4 .�2.... twi.1 V ,..L,.3i 4 .;`.%L•...s t..L.�. 7. Now was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) =< > x�??, DA0VI ,101"'a�� Cay R.V. .3..:J:,02'3 29055 S;` earl, f Dlllp- S�L�i 1 Sl� J�. ,I1'» 94803. 7010".00. k.:T-D ,•;Z . t.t'�j- ;-vi 'f7 T+j ,'T"{{s'*' �T .: .�..e,{.� :%�`' z, zy Y.,� -�'^;;B z_ t' 'k't*��t•-rR7� lc, �-Y 1,1.1.ti♦ ..a4.lSY V..]> u .W: fY..f+•J 33.x. Y .._t, iiw J.11 ,. .._k.iJ .w .. -�:%...:{ C.O'.•. .Al"M _L13'.3-J3..:.�Y.t.. S«.. . °;t- } ..J JQNC '.QM 02 , 9 i'�z...�}. ilVi✓1�.... �L&_;2).��, �.LL 3.� ct .:3.., - B. Names and addresses of witnesses, doctors and hospitals. -p rx{ .� f-,1 ��^; 7e�.y,- em.Tl-a;7r.; r� �. r;l 3' - t is a'-Pt,• DODGE G u 3`00; C z"7 P7 : p '� .�?.•-(t?-'''l� ��?;.,._i3. L ..Yivc�. ...J.fl fir. jLiki .'.1.�/:'.._.. J�.Sl..:�.;�i L_ a3 ;3.:;.r f.,£,..... s :7i'`31�,.. i.J'£_l:J'�.'�".s �r,v�i z.)...L.^. s .€..:k. d,....VJ..'.a...iiJk=1 Un T r r'4 j 3 {I A,s T 7.'T - ``'t �,M1 r(7:'?'.`q T G^' ('-C T .'T'i is rz 6^�i�``;'q :J t I P r--� �{>!� t'Ad i s' (;<`'_...5_3J �..:}� J.............�..k.'ti..._. ::l.�.3.= _SJ:W 3. .- T✓...r'�t31:..t.L.v k�]. ,.a}�J.U�# c�J.i V .S...t:u 2.11 J �. 9. List the expenditures you made on account of this accident or injury. w F STILL tz-- UTIFE-111- w'3 H'3. 1•� ..L INN .>�'.,.r�r,: DISTM V7 �_�3 deet Ii ORT18, .,s_.. JJ ..L v v_ .. ;i£,_1 3....:1.a .1 J L.:t.,s %3 »HE�.�.i$ =`a.T 11T THIS ?..... ) Gov. Code Sec. 910!2 provides ) *Th* claim must be signed by the ) claimant or by some person on his Name and Address of Attorney ) 1-.'0-%M'-QER 12 ;98'. (Claimant's Signature) 1,,115 . >19 nr ,1, n p "j"t 94,50,1 (Address) ) ) Telephone No. j Telephone No. 5' -769-9992 YOTZCE Section 72 of the Penal Cods provides: Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, byy a fine of not excseeding one thousand (Si,000) 0 or by both such mprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousanddollars 010400, or by both such imprisonment and tins. MY CLAIM SUBMITTED TO THE BOARD OF SUIPERV I SORS OF CONTRA COSTA ;COUNTY EXPLAINING THE CIRCUMSTANCE OF OCCURRENCE: FEBRUARY 6 1998. WHEN I WAS LEFT WITHOUT ANY ALTERNATIVELY BUT TO FILE A DEFENDANT'S CLAIM, BECAUSE R.V. AMERICA 2905 SAN PADLO DAM ROAD. SAN PABLO CALIF. 94803. MR. DAVID LABARRE FILED A FRAUDULENT SMALL. CLAIM CASE. STATING THE I OWES R.V. AMERICA: $ 2.5.00. 00. ALL MONIES DUE FOR SERVICES RENDERED FOR WORK ORDER NUMBER 3915. SIGN AND DATED AND DECLARE UNDER PENALTY OF PERJURY UNDER THE LAW OF THE STATES OF CALIFORNIA, R.V. AMERICA ALSO SIGN AND DATED THAT FOREGOING IS TRUE AND CORRECT. CASE NO. BSO 5615. DOTH THE COURT COMMISSIONER HAD A CHANCE TO VIEW R.V. AMERICA ORIGINAL CONTRACT NUMBER 3915. THAT CLEARLY SHOWS I DID NOT SIGN A WORD:: ORDER FOR $ 2500.00. FOR A HEAD JOB. I HAD SIGNATURE REPAIR ORDER: 3915 FOR THE AMOUNT OF $ 745.34. THAT CONTRACT CLEARLY SPECIFIED, FOR THE HEAD OF MY 1978 DODGE FU TRUCK BE SENT TO A MACHINE SHOP TO BE RESURFACE, MAGNAFUXED AND REPLACE BAD VALVES AND GUIDES, GRIND AND SEAT ALL. VALVES. WITH LIMITED WARRANTY, THIRTY DAYS Ole: A 1.000. MILES OR AS SPECIFIED. AND CUSTOMER REQUESTS PART TO BE SAVED. R.V. AMERICA NEVER GAVE ME NONE OF THE PARTS FROM THE VALVE JOB. APRIL 233 -1998. COURT COMMISSIONER THE HONORABLE ROBERT BROUGHTON. ASKED R.V. AMERICA MR DAVID LABARRE TO PLEASE EXPLAIN TO THE COURT WHY THE DEFENDANT OWES R. V. AMERICA $ 2500.00 FOR REPAIR ORDER NUMBER 3915. THE COMMISSIONER ALSO ILLUSTRATED THAT R.V. AMERICA CANNOT HOLD MY VEHICLE AS HOSTAGE, AND HAVE ME PAY STORAGE. IT WAS ORDERED THE CASE WILL CONTINUE JUNE 9 1998. FOR THE INVESTIGATION REPORT FROM THE BUREAU OF AUTOMOTIVE REPAIR. MAY 20 1998, THE BUREAU OF AUTOMOTIVE REPAIR INVESTIGATOR HAD NEGOT I TATER WITH R.V. AMEN:ICA TO HAVE MY TRUCE=: TOWER TO SMITH DODGE OF RICHMOND CALIF. 12300 SAN PABLO AVENUE, FOR A THOROUGH EVALUATION. JUNE 9 1998, THE COMMISSIONER THE HONORABLE ROBERT BROUGHTOM, WAS MADE AWARE THAT THE BUREAU OF AUTOMOTIVE REPAIR, INVESTIGATOR REPORT WAS NOT COMPLETED. AND THAT MY TRUCK WAS STILL BEING EVALUATED AT SMITH DODGE. IT WAS ORDERED, THE CASE WILL CONTINUE ON JULY 16 1998. JULY 16 1998, SUBSTITUTE COMMISSINOR THE HONORABLE WILLIAM PETZED, WAS MADE AWARE THAT MY VEHICLE WAS DAMAGED BY THE HEAL} AND VALVE JOB THAT R.V. AMERICA PERFORMED ON REPAIR ORDER 3915, ACCORDING TO SMITH DODGE SERVICE ADVISER. ALSO SMITH DODGE IS IN THE PROCESS OF REDOING THE HEAD AND VALVE JOB, AND SMITH DODGE EVALUATION REPORT IS STILL. NOT COMPLETED, I RECEIVED THE B.A.R. REPORT FROM THE COMMISSINOR. SUBSTITUTE COMMISSINOR THE HONORABLE WILLIAM PETZED. ON JULY .:}-.1 1998 ENTERED A SMALL CLAIMS JUDGMENT FOR ME TO PAY R.V. AMERICA $ 740. 34. PRINCIPAL AND $ 26.00 TOTAL JUDGMENT $ 771 .314. COMMISSINOR HONORABLE WILLIAM PETZED, JUDGMENT OF JULY 21 1998, THAT I RECEIVED ON JULY 25 1998, WAS NEVER SIGNED BY THE COMMISSINOR THE HONORABLE WILLIAM PETZED. ALSO THE JUDGMENT OF JULY 21 1998, WAS NEVER SIGNED BY THE COURT CLERK JACK I E ESPY. MY CLAIM AGAINST THE CITY OF RICHMOND CALIFORNIA IS THAT SMALL CLAIMS COURT SUBSTITUTE COMMISSINOR THE HONORABLE WILLIAM PETZED, JUDGMENT OF JULY 21 1998,CASE NUMBED: BS035616 NEVER: CONSIDERED ALL THE EVIDENCE THAT WAS RESPECTFULLY PERTAINING TO THIS SMALL CLAIM CASE. ALSO THE COMMISSINOR HONORABLE WILLIAM PETZED, JULY 21 1998, JUDGMENT SYMPATHETICALLY ATTRIBUTE OFF BALANCE SCALE OF JUSTICE. RICHMOND BAY JUDICIAL DISTRICT COURT, COST ME THE CLAIMANT $ 22800- 00.0. PLUS $ 700. 00. TOTAL COST $ 3500. 00. THIS CLAIM AGAINST CONTRA COSTA COUNTY IS SUBMITTED WITH GOOD FAITH AND GOOD MERIT AND WITHOUT PREJUDICE TOWARD THE CITY OF RICHMOND AND CONTRA COSTA COUNTY. SIGN AND DATED NOVEMBER; 12 1999. � .Pnmed=FlocYd.d Paver P3sk h @nAgement Division Office of the City Attorney 2600 Barrett Avenue,Room 301 Richmond,CA 94804 City of - loom November 02, 1998 Charles J. Stallworth 1415 Broadway, Apt. 319 Alameda, CA 94541 RE: Claimant: Charles J. Stallworth Date/Loss: July 21, 1998 Claim No: 0770ORL990065 Dear Mr. Stallworth: Your claim, filed against the City of Richmond has been received. Please contact me at (510) 620-6709 at your earliest convenience so we may discuss your claim. I may be reached at this office between the hours of 9:00 am. until 4:44 p.m.Monday through Friday. Sincer , Gale Carlos-Hernandez Liability Claims Investigator Telephone: worlUe 'Co pe s #i+s Glain abi�ty G7al r�ss Police and Fixe: (5 10)620-6973 (510)620-6709 All other departments: (510)620-6711 CLAIM AGAINST THE CITY OF RICHMOND (Pursuant to Government Cade Section 910,et seq.) CLAIMANT: Na rn. CHARLES J. STALL iORTH Phone( 51 Q) 769-9992 Address 1415 BROADWAY # 319 AL MEDA CALIF. 94501/ PERSON TO WHOM ANY NOTICES CONCERNING CLAIM SHOULD BE SENT: Name RICI-D(ONsD CIYY ATTORNEY MR. HUNTE3%one( 518 620-6518 Address 2600BARRETT AVENUE RICfZtOND CALIF. 94804 WHEN 010 DAMAGEIINJURY OCCUR: Date JULY21 1998 Time lrrn pm(Circle One) LOCATION OF OCCURRENCE: MUNTCTPAT, COTIET BAY _ 11JITCTAT. nj_,T2TCT ttNE_ HUNDRED THIRTY SEV2j STRF_T 'RTC.E),'in,, ) .AT.j _ 94An-,_ CIRCUMSTANCE OF OCCURRENCE(Use the back of form.if needed): IM ATTACHEDA THZEE PAGE-EULATNG :-: ANCE- OF OC-01-1-RIENCE, ALONE WITH 36 DOCUMENTATION'S INVOLED IN THIS MATTER. DESCRIPTION OF LOSS,DAMAGE OR INJURY(Use the back of form_ ,if needed): I HAD PAID R.V. AMERICA $700.00. ANIS R.V. AMERICA DAMAGE MY 1978 TRUCK FOR OVER $35QO.OQ ACCORDING TO SMJTH DODGE._ SND THE WREAU QE AUTOF10nVE REPAIR REPORT CONFIT4TNG, R.V. A`fERICA VIOLATIONS. NAMES)OF CITY EMPLOYEE(S)CAUSING LOSS,DAMAGE OR INJURY,IF KNOWN: T T v7 r rT T T T ti' NAMES AND ADDRESSES OF ANY WITNESSES DOCTORS AND/OR HOSPITALS: VITI; c c T T O 7�} l RTC!-T*,!QND n T Y7 (E CRAMMO CA. IF THE AMOUNT CLAIMED IS S10,000 OR LESS PLEASE INDICATE THE BASIS FOR THE AMOUNT CLAIMED- THE =DtISSINOR JULY 21 1993, JUDGMENT, ATTRIBUTE OFF BALANVE SCALE OF JUSTICE THAT COST ME $2800.00. PLUS $700.00. I PAID R.V. AMERICA IN NOVERBER 1997. $3500.00 IF THE AMOUNT CLAIMED EXCEEDS$10,000,PLEASE INDICATE THE JURISDICTION OVER THE CLAIM: ( )MUNICIPAL COURT ( )SUPERIOR COURT DATE: ftm.)BFR2A. 199,4. Signature of Claimant or person acting on his behalf CLAIM MUST BE SIGNED BY CLAIMANT OR PERSON ACTING ON CLAIMANT'S BEHALF ' Deliver or mail to: City Clerk,City of Richmond P.O.Box 4046 2600 Barrett Avenue,Room 302 Richmond,CA 94804 asrar r CHAMBERS OF 0NN46ICTON SPIOWN.,JUDGE r tip bntid)=l court 1 1 II a SAID JUDICIAL DISTRICT 1OOT Nar 4N VENTH Eer RICI��O,CAL PORNIA 94W5 + August 14, 1998 Mr, Charles J. Stallworth 1415 Broadway #319 Alameda, CA 94501 " Re: 9=11 Claims Case No. S 35615 Dear Mr. Stallworth: This correspondence acknowledges receipt of your letter dated July 27, 1998. This court cannot give you advice. Specifically regarding the question of whether an appeal would be appropriate, I urge you to immediately c a the Small Claims Advisor or an attorney of your ctW' ce. You may reach the Small Claims Advisor at 1-888 676-7277,` 1 Ve ul yo D.B. R4 Acti istrative Judge Y • t .r} t SEPTEMBER 10 1998 CERTIFIED NO. Z-153990846 HONORABLE JUDGE DIANA BROWN MUNICIPAL COURT SAY JUDICIAL DISTRICT 100. 37TH STREET RICHMOND CA. 94805-2178 DEAR HONORABLE JUDGE DIANA BROWN MY NAME IS CHARLES STALLWORTH I AM RESPECTFULLY IN GOOD FAITH BY ASKING THE MUNICIPAL COURT OF CALIFORNIA, SAY JUDICIAL DISTRICT. FOR RECONSIDERATION, SMALL CLAIMS CASE NO. S 35615. HONORABLE JUDGE. DIANA BROWN I RECEIVED YOUR LETTER 'DATED AUGUST 14 1998. I HAD CONTACTED THE CONTRA COSTA COUNTY BAR ASSOCIATION. AND I HAVE BEEN UNDER TREMENDOUS AMOUNT OF STRESS AND HEART PROBLEMS, BECAUSE OF THE PLAINTIFF $ 2500.00 ALL MONIES DUE FOR SERVICES RENDERED FOR WORK ORDER NO. 3915. IN SMALL CLAIMS CASE NO. S35615. AND -SMITH DODGE IN RICHMOND CA, HAD COMPLETED THE EVALUATION ON MY VEHICLE AUGUST 31 1998. RESPECTFULLY .ALL EVIDENCE IS IN WITH GOOD MERIT, AND ACCORDINGLY YOUR RECONSIDERATION WOULD BE FAIR. THANK YOU. r CHARLES J. STALLWORTH 1415 BROADWAY # 319 ALAMEDA CALIF. 94501 i' • tV + st omod*items 1 ardor 3 for Mk9donrt rerviue. I also wi8h bJ reCelVa 1118 rP*t owd par tnwn uMm wj�tddme on fa tover"of form ra OW we can mum Chir 44k.wid 4b. folkw4ft)tV�t�&(for an rAA#wh ft fwm to#*tru t of ow meilpirm or on dw be*it Mmm dans not t 13 Addressews Addren r ftr;m(vt ftepwefed`onthe mooew b6ow"uu�te ertxerbrr 2© ReatrlCted[Salivary *Mw p* m ROOW wits atrm to whom the rmda waver drtivwed and the drew Consdt postneftr for fee. 3.Wo Addressed to. 4a.ANds Ntmittar Z-�1.,5�3990€46 b.88;;W Type HONORABLE JUDGE DIANA BROWN 3 nW IM CsrBtled ► MUNICIPAL COURT .. ... 3_ExPnmMal i3 kwite+d BAY JUDICIAL. DISTRICT 3 Fiab 0 ftoripttor wee © coo 100. 37TH STREET .Dafar . ., RICHMOND CALIF. ,948�i5-21?S v 14 ttC&ed'By (PIW MWW) 8. d Addr�sas�£3►uY tequssted enol fse b p&" 8.slor aft".(Adr rm" Agent) Ps f=orm 3811,December 1984 DCtm s#ic MUM Receipt . 4 Z 153 990 846 Us Postal serAce Receipt for Certified Mail No Inwrancts Covwrap Provided. Dv f t tt►o ttse for IMemedJonld Mail "rsverse JUDGE DIANA BROWPi I t4urnDer 100 7TH STREETAzw RICK PtD' CALI 94805-2178 i r Cw0ed Fn IS""off►Fir Gly 1 VC? t / 7,, '12-YP ar MUNICIPAL. COURT BAY JUDICIAL DISTRICT Tafap!►aea: ' 374-3156 Treble 374,3171 Dame YOU A 'TRUCTED TO APPEAR •-at ameatan at 7th Street, , For:Rlamond, Ca. t ) Arraignment,plea t ) Order of Court l ) Judgment t ) Court Trial MjD t 3 Jury Trial , t ) Readiness Conference on t ) Pretrial Conference at t ) Preliminary Hearing t ) Pay fine of; is Oil .. ..... MUNICIPAL. COURT OF CALIFORNIA, SMALL CLAIMS DIVISION COUNTY OF CONTRA COSTA C, COORDINATED fiy*RIA�'L{D3C�}Fi�#'RxTS}�CONTRI�j45r COSTA COUNTY CASE NO. PHONE 100 37TH STRRET, ` �tIC" . RI�C22�fI?'CA 94805 . _ , s.C..-. _ .. ( O)- 374-3132 ,85035515 - f+tOTiCE T4 ALL PLAINTIFFS AND DEFENDANTS: AV/SO A TODOS LCIS DEMANDANTES Y DEMANDADM Your small claims case has been decided. if you lost the Casa, ju cash he orex1dre 1 to por , aorta '! ;.:-,0 famoa and this Court ordered you to pay money, Your ~;mages, money, Coma ales menorea, Si a Corte fta -deofdfdo en su and property may be taken without further-warnhig from the contra Y ha ordensa ,quo casted pe$are :dfrt�lracr; M fe court.'Road the back of,this sheat for important Information about deaden gaffer su $ins a, su dfnero,, .y ofrsa cases your right de . atr propledad, afn avlao° adfclonel pot p9tle rte eats carte. Lea of reverrfso de eats tormularlo para obtener fn#ormacldn do lmportancle acerice de aus derecft04L s._, a =f c s r V"61=FEN0ANT�DEtf*0ADO tfty*and acdrm of each): Pt.NNTiFF I L1EMA1'fDAft-r@(Natillf and Gi/eNCh)��"t .t .. , RV AMERICA . CHARLAS, JAMES,,STALLWORTH 2905 SAAB PA£iLO I}AM R0. _ 20.06-•-RAST` 21THI' ST.,,#k104 _. SAN PA8Lt7 CA 94iF03 -. - ;'OAKLAND"CA 9460#6 +A; .# ' L ;1�. v 1,S �a1�'t t . ,. .• - .... - ...._ - ,• - - ✓fir sy _ rt. is+Fkr' .gi'fi if, .Y'?,f IAj Lc 'i, ,, c a. 3'.' ?•�+K"S uJ `IIY. �t:ta }}�;�X G�. �'w� rt! ri"� j t.3.:t L.� `>+; t � 3>� '" lay. an iJ'ri s5 i mft i1 rN+ .` alt : 7 <sF6' I )}tltWruf 1ST=t{: yfS �. Otr13 .`} t #:xs lYf#tun `i tki;36t<, C1 OE �] See attached sheet for additional plaintiffs and defendants. s SFs?r <� u a+ i _ts Alt:I'�W A.. +E¢.�+'r `mrz Ati'.' vam r*ta se «..a•. ..s, 4xr .� .........} ✓�'.+ivr`ti 1V+✓�.l+�E OF ENTR`(tF�l�.NWENT' z 3 , f23�'�gk{T�€.- '2`. �r ,�j�! y��• Se zyr N 0 7 f�`3r JS'' dip } �vyY:»c++$.�<:�':lI 7&}.�r f i,.I7f�#'f , '� �' k I3MALL. CLAS, aIJ,GM1sI*tix N.Te tt,�I3�I2 t A�• k3.f" rs.tllX IVV q.' ab a < X '`; . ,�. x ��. r'"K't .z � ��' � ` �+��`� - ;''ea»` �x k,>'lP t '"- a t u e~•a �i � 1�.L,.'?` ii'GF'�i,+t>` j�"KF ZRDA�tT ' 'C ARL S'S`JAMS 'S 4LL.WORTH .�. SHALL' PAtc`PLAINTIFF IAV 'AM291CA X �L•.�ti�t12 #i;v .w �.. � .. r.tl t 'z ;s3 �}, it%.. r,r. f ��`,�;e x f tvy';yffi z i �>tz'x 4,7'46'- 4 'R;RINC;PAL A"$.26.,00 COSTS ON IRLAINTIFF S CLAM. ' ' 6 ..; a > .. X' i a�: .xr .S z C +,.., �.'•�Y .f s t r "DOTAL Jj1 # MIXT-47,71.34 1 =� w ., i'. L ,. s r�yr S; PL.AIft,1 ' 610It3 '1�F6t t7Wg' DZF' N�t�►NT ANY MOZY 4.O�t THE l7RF'SKDAtNT S;'F CLAIM.` "CLM Of,'DEFT -oF' STALLWORTH ...:, .,. Y: - t � '�{�' �k �:+ �x�,,3�`tt.r v` a::•.1.,� ail i Lk* ,z k} t' >:b} +l ar? Yt"{ .at XYi i" iy��.1 a,. .G _,Y .. •.fi x 1a it :.'.{ t x� .'.i M . Enforcement of the judgment is automatically postpon 3d for 30 days or If an appeal f$filed,until the appeal Is decided. lr CCP 1952(0)Exhibits Introduced axil!be destroyed 60.days following the final detern#Inatlon of',the judgment. CLERKS CERTIFICATE OF MAI --1 certify .fhat tjem-not a party to`this action '-This Notice` of nary 'of-Judgment wart maHed t X � ,lt . x�^. first.cis o ,poste`:Brei✓ a in,a.;.sealed.srnreiope.,to.Ahe pr�rtiss.at, tha._r"resaes,..ehown 6WVe. .its. mai ng and,.this._Cett ace#ion occurred at til$place and Ofi the,date shown 1PIQw� ^- 1 PLJ0.CEf}F MAILING•CO�i1Ohti�"r�/�}� y�} et16 { � i:t 3 ,+ �,rk� L t f�t�� !} d; l: t.2 .."" r� ; -i' ft , t5. �' .¢ I J 4 .70 `6A C{F MAiLiNGs — i ##wrr. �} ..�.4- t,,..,{. {a�E(.yT�j :J A4 I S ESPY The county provides$mail claims advisor services fret,of charge.Read the information sheet on the reverse. .,a. # a. .. _ ; .; z. 1..tsM�"• a ...�. - :\. � _ NOTICE OF ENTRY OF JUDGMENT 04.2003-(REV.1/97) (Small Claims) _.. ..__.. ......... ......... ......... ......._._...._... ..... ....._.........._._...... ........._... _........ ......... ......... ......... ........_........... *** Es S T I M A T E COPY __ - R Er P A I R, U R D E k e* r-:W rtYIEF:I AFPiIEa s 8 705 SAN PATI 1_0 DAM ROAD PAGE 14 : 1 (510) 6693 9- t05 WRITTEN BY : DL SAN P"ABLO, CA. 94803•- ESTIMATED BY a DL DATE PRINTED : 11/18/97 CUSTC3hiiICc DATA CAR DATA CHARLES STALLWORT H 11 ADGDG'E PICK UP 2 00 5 E- e 1ST S T. , t'P•T'10 4 LICENSE PLATE : 4899416lCA YEARi 1979 OA#,,LAND, CA. 94606 ENGINE SIZE/TME 1 442 " " DAY PHONE : EXT. -. * VIM MURDER 2 014MOS265429 EVE,. PHONE % (510) 335-0194 MILEAGE : 119524 PROD DATEt .y DATE- IN 1I TIME IN : 16:25 BATE DUE : 11118/97 TIME DUE ». 18:00 DEPOSIT e.00 CORE. DEPOSIT 0. 00 SUBLET ESTIMATE 0, ' x LAPOR ESTIMATE; PARTS ESTIMATE -r4 77 EST.1MATE TOTAL " TECH SERVICE DE:SCRIPtT'1(JN HRS. L BR. $ PARTS $ ? 1. REMOVE AND REPLACES MANIFOLD N/C FOR LABOR 5.0 2 E. REMCIVEi AND REINSTALL PASSENGER HEAD 4.7 347.80 139. 14 2 3. REMC)ViE,,,.AND REINSTALL ALTERNATOR 0.6 44. 40 4. HEAD TO MACHINE SHOP, TO RESURFACE t'iAr,NAFLUxE£}, : # tv? } E: AI? ND GUIDES. SUBLET UEti,Xl�fl} i!`li'l�Si»�1a � 140;G0 S. EitJ'fCli "Ti7 AGCC�MT ANYCUSto "`Tt`"4iPC) TitEt=ET"tEE FC)1 - [ L 74. 00 1> I hereby authorize the r •,� .'�_ w' � e necessary materials. Signat re - 2) I hereby authorize sub _t work r tired tin, expred e. ,rtrpai•rs. 3) I acknowledge your `right o a mechanics •li:6n for charges inctArred under this repair order and that the vehicle can be. held. until paid in full plusany legal fees or charges• 'incurred. 4) Storage at $10 per day will commence 46 hou-i s..afteriiotice of completici"ri of repairs as listed above." ` 5} Limited -Warranty,' 0 --miles, or as specified. ) (Estimates are ba-* ! o) at -r e: .& CUSTOMEE-R SIGNATURE Plv sviou s Repair Orde >t otn Phone Number r. C'51 �iEp'AIE Clf+llCR i# 391`. t{. }. r'' r,J v 0331'" "' t' .1=�. A. t CAL 0000J? 326 L STATE OF CALIFORNIA-STATE AND CONSUMER SERVICES 1GI NCY PETE WILSON,GOVERNOR DEPARTMENT OF CONSUMER AFFAIRS stai.of P.O.Box 94250T, SACRAMENTO,CA "GJitamta t apar+n,.si of 94258-0507 «i,r„• 1-800-952-5210 Consumer Affairs COMPLAINT FORM PLEASE USE SEPARATEFORM FOR EACH COMPLAINT PERSON FILING �+COMTTPL43N tT FC- MPLAMANT); COMPLAINT FdD�A^t/AtN T IrtI U Ti; OCENSUR40.NO i KNOV CHARLES .J. STALLWORTH RV. MMCA ADDRESS iNUMBERI is Rem ADDRESS (NUMBER! iSTREEri , 1415 BROADWAY f319 O 2 SAN PABLO DAM ROAD 91803 ICITY) h �t�T Ls tSTATE) IZIP CODE) ICiTY) I ATE) (XIP CODE) ALAN DA L+tSi I PHONE WHERE YOU CAN RE REACHED am5am PHONE 510/535/019 . 510/669/9005 DOME PHONE 55 YOU WANT TO REMAIN ANONYMOUS? UYES JIU&NO PERSON DEALT WITH; DAVID LA BARRE PLEASE SPECIFY TYPE OF COMPLAINT: Z Automotive(Repair E3 Electronic and/or Appliance Repair 13 cemetery ©Home Furnishings or Thermal Insulation C3 Privaia Investigator ❑Private Security Company ©Funeral 13 Burglar Alarm Company Q Repossession Agency 13 Security GuardlFirearm 13 Locksmith ©Fimarr/Baton Training-Facility/Instructor Smog Check ©Other. PRODUCT/MODELIYEAR OF VEHICLE11TEM OF CONCERN: DATE OF REPAIRISERVICE: DODGE 19?8 PICKUP 1/2 TON NOVEMBER 18 1997 ORMFLY DESCRIBE YOUR COMPLAINT IBE SPECIFIC-WHO.WHAT.WHEN,WHERE,HOW): (Use ad6ttloftW Peon it roodew DAVID LABARR,E 'TOOK ADVANTAGE OF MY INEXPERIENCE ON THE REPAIRING OF u_1 19?8 DOSE PICKUP TRUCK TO PASS THE SiIOG TEST. ( ADDITIONAL C TAINT ATTACHED TO THIS YORM. ) AFTER RV At LSCA COMPLETED THE REPAIRS ON MY VEHICLE TO PASS SMOG THAT RV. AMAICASPBCIFIED ON REPAIR ORDER 3915. 611 NOV11MER 1.8 1997. DECEMBER 16 1997ACCORDING TO THE CALIFORNIA'S9DG REFEREE, THE VMI LE IS IN MORSE CONDITION THENTHE PREVIOUS SMOG INSPEOTION' ON AUGUST 30- 1997, ACCORDINGLY SNE)G TEST RESULT: INVALID, ALSO ON DECEMBER 16 %9 =ML-B WOULD NOT 2TART -19223 FOR THE RETURN 'TRIP FRORM THE S'11OG REFEREE 3, I W 128!00 FOR TOEING. AND HAS Ly0Z,aEEN WHAT DO YOU WANT THE PERSON OR COMPANY TO DO TO SATISFY YOUR COMPLAINT? ( REE14BUREST THE , 128.00. I HAD ASK RV. kW01CA FOR THE PARTS FROM THE VALVE JOBS THAT SPECIFIED ON REPAIR ORDER # 3915. AND WAS DENIED. I WONT MX VEHICLE TO BE D A 0 EVALUATE THE DA14AGED CONDITION THAT 1E VEHICLE.IS ITT . I DON t T, THINK I SHOULD PAY FOR BAD SERVICES. READ THE FOLLOWING BEFORE SIGNING BELOW PLEASE ATTACH TO THIS FORM COPIES OF ANY PAPERS INVOLVED (CONTRACTS, BILLS RECEIVED; CORRESPONDENCE, INVOICES, ESTIMATES, ETC.). 'PAPERWORK RECEIVER WILL NOT BE COPIED AND/011 RETURNED. 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STALLWORTH Your Medical Record Number Is: 8893475 Date t Time : Monday, September 28, 1998, at 5:30 p.m. With HEALTHY THINKING Location BEHAVIOR HEALTH EDUCATION 3900 BROADWAY ST. CANCELLATION INFORMATIONI: To cancel only (510) $96-6348 7 days/24 hours To cancel and reschedule (510) 596-1075 Mon Fri 9:00 a.m. to 5:00 p.m �,a+��y • :t - est �tys i�''Y.'1' ;+' x tr iy, ^tr+.. , 4 T i A i yr fl �rr i � 52��iey rMI ' •vkevf.L`y"}�q Y`g' `. r,i_y 1°..q/? L i. Y''� tP+a tg x�tp``'s'lYy ++ �'� :. )Y 7„+ 'y��'s' y.•.y'f,1�3't'^:; • 1Z✓ �''� y+* } ,i • t:.. h:ti:.f�...Yv..:awa - Y«:Z•-¢,.H.ifat..hi.�S�xY�� .�iFa 1S r. {1iiS'Aif MCRIIJ'M1fN'tA^l r�Y7t'lOM1 ATTACH STAMP HE-Re POST OFFICE WILL NOT DELIVER WITHOUT STAMP i t 11111 t 1fill}}it{ Ilt/I.II.f�tiil�l/1��I1 &-1ititl}}t�tl/6(i�}tlit� PRODUCTION SERVICES KAISER PERMANENTE . 1850 CALIFORNIA AV CORONA CA 91719-3378 Appointment Corifirmati^- We have made " ., f .t' 1 .. • 1 . ' ♦ r if f`S�i y t 1, Z�'•.,p •< •• \ � t t, r ` r 1. y �yt t ,:� ,aY, . i 1 r•.`w{•. ' •♦ �w � Yw'.t..r .'` } r r t A l i� ti .a ♦ '.< Y # air • r;l r Y' •'t. �•' 4� ., •y r4 t. 'n• t ;r..; Iw. t j < ,Y t x a' r «. .ta ATTACH STAMP HERE Post OFFICE WILL NOT OELIVIR WITHOUT' STAMP III$$11111' 1 #hIIItoll 11II PRODUCTION SERVICES KAISER PERMANENTS 18501 CALIFORNIA AV CORONA CA 91719-3378 . 1 Appointment Reminder ! You have the following appointment with us: Patient CHARLES .# STALLVtiIORTH ' Your Medical Record Number Is: 6893475 ! Date Time : Thursday, Aupmt 37, 1998, at 10:00 am. With LOUISE MILLER, M.D. Location PSYCHIATRY � CANCELLATION INFORMATION To cancel only : (510) 598-8348 7 days/24 hours ' To cancel and reschedule : (510) 598-1075 Mon—Fri 9:00 am to 5:00 p.m. TO CANCEL: CALL 24HRS. PRIOR TO APPT. MON APPTS MUST BE t N CANCELLED BY SP FRI 0 i T FREE BART "TTLE SERVICE, AVAILABLE-FOR MORE , E INFORMATION CALL 596-7459 ` •o�/t S191� .. ' Appointment Reminder .... ..... ......__. You have the following appointment with us: Patient: CHXRLES J. STALLWORTH + f Your Madical"Record Number Is: 6893476 Date / Time : Thursday. July 30, 1998, at 11:30 a.m. With MITULKUMAR P. PATEL, M.D. Location INTERNAL MEDICINE 3801 HOWE ST. FAB4A, 4TH FLOOR CANCELLATION INFORMATION: To cancel only : (510) 596-6423 7 days/24 hours PLEASE ARRIVE 15 MIN. EARLY FOR YOUR APPT. PLEASE NOTE APPOINTMENT ADDRESS. N r, + � ' T FREE SART SHUTTLE SERVICE AVAILABLE-FOR MORE E INFORMATION CALL 595-7459 i. i 07/18/98 Appointment Confirmation We have made the following appointment for you: Patient.CHARLES J. STALLWORTH Your Medical Record Number Is: 6893475 Date t Time : Monday, August 10, 1998, at 11:30 a.m. With KATHALEEN WACHOWSKI Location CARDIO 'VASCULAR HOWE ST EAST ENTRANCE 2ND FL. CANCELLATION INFORMATION: To cancel only : (510) 596-1175 Mori-Fri 8:30 an to 4.30 p.m. To cancel and reschedule : (510),59$--,1175 Mon-Fri 8:30 +stn to 4.3 m. fit 1 E t`'/t17 ;" : may►""' t} ti*, '' e t 0 L' • i . (LS-0 t lCSNa vrn WRAM1MWftra*AS CALNU A.4MOCH R&*ICHO CORDOVA DAMS REDWOOD CITY FAIRFYLLD RUC€NiON'D j,,, � FRE'XON—r ROSE' US The Permanente if# r � �����j ��• HAYWARD SAS JOSE GILROY SAY miuvCISCO �TH EDUCATM, DEPART)UCENPr XAR LNZZ SAX RAFA.EL 280 IvE$T MackRTH'I3R BOULEVARD MOUNIlAS sAM ROS A •cocr.,-r.�L�r vtEar sr�.*zr�,acv. OA.KI.ds M, C ALIFORa 94611-5693 .uta S.UCRA.'+iE.Nrro t l0? 596-6150. XOVAro S.UX PlwvIsco PARK SHADELA.VDS VA.LLWO MAX-MA WAJ-N :i CREEK PLEA kA.'kMON Dear Health Plan Member: Thank you for your inquiry about our Basic Stress Management program, Getting Out of The Pressure Cooker."' This four week introductory grog=is designed to help you build skills necessary to control and even prevent some of the symptoms of suss. By,joining this progtam you will barn how to: • Notice early signs of stress • Take mini mental vacations • Relax your body in spite of stress • Manage your time more effectively • Gain more control over your emotions The easy exercises you will practice in class have a big effect can both your body and emotional well being. With a less anxious muni and more comfortable:,body you will be able to cope with the issues of your life. Basic stress management can also serve as a stepping stone to more to-depth stress management classes. r Our next class will take place on four Mondays March 9 through March 30, 1998 from 7` to 9 PM. To ensure a place In this class, please send a check for$24.00 made out to Kaiser' Permanente,Health Education Department, 280 W. MacArthur Blvd. Oakland,CA 94611. For your convenience you may charge the fee for this class over the phone. PLEASE t " w v Behavioral Ham...Building 2. on nd Floor. If you have any questions about this class,please call 596-6150. • Sincerely, 'Sincerely, Maria Soval,MPH Tamar Halpin Coordinator of Health Promotion Programs Department Secretary EXHIBIT NE4. "SER PERMANENME • - -•Vic.:, ... _ ..._ .... . __ ... v .. sir—rtasl�aa6't 7 CHARLES JAMES STALLWORTH 2005 E.21ST, NO.104 = . %Wkff 25 199$ OA"NO. CA 94608 DRT$ FAY*tOTmF- KAISER PERMANENTS HEALTH EDt3GATTt N DEPT. $ ',24,00 ORDER HE UM 2 4 of O�{�i` . DOLLARS CCf713mmo MEMO .1:'3 2 11? 1 W4r: drip!yc.p-4 name,address,an► MP 06de in 6 !�� __. _. l: L I I NQPR I L 40MG 1 DA I tY.. HYDRQCHLOROTHIA24DE 50MG 1• DAII,-Yi. `• '':• 3. ATENOLOL *OMG Z. DAILY. . ri t l 1 4. 1 SOSORB I DE 20MG 3 DAILY. : 5. PROZAG 10MG 2 DAILY. xr ' b. T tAZODONE• 100MG 1 NIGHTLY. ?. .AMITRIPTYLINE'56MG 2 NIGHTLY. t; , ' 8. METHOCARBAMOL 500MG 2 DALLY. w':l ''!''• 9. ASPIRIN 325MG 1 DAILY. r 10.NITROGLYCERIN 1 SUBLINGUALLY FOR t LXHIBI-T =0 ` STATt OF CAL.IF6RNIA-STATE RNLI CONSUMER SERVICES AGENCY ?E E WIM.Csc+WWM i BUREAU 1OFAUTOMOTIVE. REPAIR4W °+ PHONF_(510)785-196#,FAX:(510)785 It Consumer Alftun COMPLAINT REPORT DATE: June 24, 1998 COMPLAINT NUMBER: HA980033 6 SUBJECT: RV America 1905 San Pablo Ilam Road San Pablo Ca. 94803 Contact Person: David LaBarre OWNER(S) NAME: David A. LaBarre M ARD NUI ER: A-C177398 COMPLAINANT: Charles Stallworth 1415 Broadway Apt. #319 Alameda:Ca. 94501 (5 10) 769-9992; 535-4194 �t`.k` VEHICLE YEAR MAKE & MODEL,: 1978 Bodge Pick 14P ! °: ALLEGATION(s): Business and Professions Code: 9884.9 (a) exceeding the written estimate.:Health and Safety Cede: 44412 failure to perforin an inspection in accordance with procedures prescribed by.the department,pursuant to section 44013.. SETTLEMENT REQUEST: Pay only$754.34,:waive the storage fees and for the vehicle to pass the Smog Test. Vehicle'tole inspected by a facility of Stallworth's choice. ' COMPLAINT SUMMARY: Mr. Stallworth allege: facility performed approximately$1,600.00 worth of to the truck.but it will still not pass the Smog Test. Facility will not release the vehicle unless they are paid $2,600.00. Stallwbrth has contacted an attorney and has Small Claims Court date on June 9, 1998. Facility owner,LaBarre agreed to waive storage charges,have vehicle inspected by a facility of Stallworth's choice. LaBarre wants to be paid the$754.34 owed him. Small Claims Court action unresolved. I mediated the complaint, issued Notice of Violation Business and Professions Code section 9884.8/33 56, 9884.9(a)/3353(a). Reviewed Health and Safety.Code section 44032/3340.16(c). , DISPOSITION: I contacted Mr. Charles Stallworth to review his documents and complaint. Stallworth states: he.; originally brought the vehicle to RV America for the purpose of storing it because it did not pass the Smog Test previously. Stallworth states, on or about November 7, 1997 he authorized the facility to diagnosis the vehicle to Pace.cf determine the reason for the Smog Test failure. Stallworth alleges he informed and provide documents to the facility detailing his Smog Test failures and'previous diagnosis from North Highlands Grand Auto. Stallworth allege the facility told him the reason for the.Smog Test failure was vacuum leaksat the intake manifold. Stallworth authorized$700.00 on repair order 3896 to perform the recommended repairs. Stallworth made a $200.00 deposit prior to work being performed and paid off'the $500.00 balance on or about November 18, 1998. After paying off the charges, Stallworth stated the facility told him it still would not pass the Smog Test. Facility now recommended a valve job be performed, $745.34 quoted and authorized by Stallworth. tan:or about.December 16, 1997, Stallworth and an employee from the facility brought the vehicle to State Referee in Pacheco. Stallworth stated while driving to the Referee they heard loud clicking noises form the engine.-The vehicle failed the Smog Test with higher emissions levels than before the intake manifold and valve job was.performed. Stallworth sates he had the vehicle towed back to the facility. Stallworth has disputed the $745.34 charges ever since. Stallworth said with storage charges,RV America now wants$2,500.00, Stallworth said RV:America owner, David LaBarre has told him the vehicle runs fine but it will still not pass the Smog Test because now the carburetor is bad. Stallworth would like to have the vehicle evaluated by a Dodge dealer at his expense. Stallworth is only willing,to pay$745.34 outstanding balance after an evaluation. Small Claims Court date has'been rescheduled for June 9, 1998 pending Bureau of Automotive Repair:mediation. On May 18, 1998, I male a field visit to review Stallworth's complaint with facility owner,David LaBarge. LaBarre states: he wants to resolve the complaint.LaBarre is willing to have the vehicle evaluated in order to be paid for the outstanding balance of$745.34. LaBarre is willing to waive storage charges. LaBarre states: tl ey'drove the vehicle up from their storage facility,the vehicle had multiple problems."They initially quoted $74.00 to diagnosis the vehicle. LaBarge then quoted $600.00-$700.00 to repair vacuum leak at"base of manifold, riplace oil dipstick; repair.w res, and replace cracked,broken vacuum lines. LaBarre said once that was completed they found it needed a valve grind, $745.34 was quoted and authorized by Stallworth.LaBarre said they.4valuated the emissions readings throughout the repair process and found them to be higher than specifications. LaBarre said they,informed Stallworth the carburetor was defective'prior to Stallworth insistence of an Referee appointment.LaBarre said they have made the Referee's recommended repairs to the BGR valve, but the carburetor needs to be ieplaced. LaBarre feels that the vehicle runs properly at this time,but the high emissions are now caused by the defective carburetor. On May 1 , 1998,I contacted Stallworth froth LaBarre's facility. I also contacted Smith Dodge (Stallworth's choice)to set up an appointment (May 20, 1998)to have an evaluation performed on Stallworth's vehicle . I provided assistant manager,Peter Dianus some background information regarding,Stallworth's vehicle I informed Dianus that Mr. Stallworth would be in to authorize diagnosis of the�vehicle. Stallworth said that he would make arrangements with a tow truck to transport the vehicle from RV America. Stallworth will also make all arrangements at Smith Dodge. Stallworth said he will sit down with LaBarre to discuss and hopefully resolve their differences after the vehicle has been inspected. I then requested and Stallworth has provided me with additional documents related to repairs performed at Granit Auto and an invoice from Smith Dodge. On May 22, 1998, I called Smith Dodge to speak with Phil Hach. Bach is helping with Stalworth's vehicle inspection. Bach indicated they have identified a faulty carburetor and has remove carburetor for Mr. Stallworth so he could obtain an exchange unit under warranty from Grand Auto. Can Tune 2, 1998, I contacted Smith Dodge to speak with"Peter Dianus regarding status of Stallworth's vehicle. Dianus said exchanged carburetor supplied was also faulty, removed for Stallworth to exchange again. I also contacted Stallworth. Stallworth stated a carburetor is on order and he will supply as soon as it arrives. I reminded Stallworth of LaBarre's wish to resolve this matter as soon as possible. I'also called LaBarre to inform him of the status with Stallworth's vehicle at Smith Dodge. LaBarre reiterated his desire to be paid for the work they performed and their correct diagnosis of bad carburetor. On Tune 5 and 8, 1998, I made field visits to RV America. I obtained a copy of'final invoice#3896 date November 18, 1997; final invoice#3915 date December 16, 1997. LaBarre and I reviewed initial estimate and itemized repair carder requirements. I pointed out to LaBarre on estimate 93896- a$600.00-$700.00 range estimate is not within the requirements ofpursiness and Professions Code 9884.9(a)13353(a). We reviewed final itemized labor charges and parts charges on both invoices. Invoice43896 showed labor to be $1073.00, parts $158.76, customer paid only$700.00,LaBarre said additional''charges were written off, the mechanic took more time to complete work than was charged for, additional parts supplied to gat the vehicle running when it quit at the shop. LaBarre said he itemizes the actual labor charges then deducts for it from the actual charges quoted to the consumer. Final invoice#3915 states labor charges to be$15611.40, parts charges $161.27; estimate given to customer$745.34, additional charges on the invoice will be deducted and written off, customer will only be charged$745.34 quote, I instructed LaBarre to only document the actual labor charges as not to confuse the customer with higher labor chargefigures, and to itemize the actual labor performed along with the charges so the customer knows exactly what was done for amount charged. Facility currently itemizes the labor description on the bottom of the invoice, it is difficult to understand what was done and charged for. F' ; I issued a Notice of Violation#D3I5106,for Business and Professions Code#9884.9(a)/3353(a), 9884,81.33.56 requirements. I provided facility with write it tight booklets and a copy of the Laws and Regulations booklet relating to Automotive Repair Dealers, I also documented our discussion ofHwIth and Safety Code: 44032t3340.16(c)requirements(No person shall perform,for compensation,tests or repairs of emission control devices or systems of motor vehicles required by this chapter unless the person perforthing the test or repair is a qualified smog check technician and the test or repair is performed at a licensed smog check station.) on a station inspection report dated June 8, 1998.LaBarrejs willing to waive all storage charges and wants to.be paid $745.34 owed hien for the valve grind job.. On June 11, 1998 I contacted Smith Dodge. Phil Bach stated they have removed yet another defective carburetor for Mr. Stallworth to exchange with Grand Auto. Bach stated the,repair charges to date was approximately$1,0 0.00. Bach also stated he was also contacted by a 'representative from Grand Auto. He informed him of Stallworth's problem with the carburetors being supplied, On June 12 1998 I recontacted RV America_ LaBarre said the Small Claims Court action has been continued until July 9, 1998. LaBarre said he will be back into Court to resolve the situation. On June 22, 1998, I contacted Phil Bach at Smith Dodge.Bach said they installed another carburetor supplied by Stallworth. This carburetor seems to be operating properly. Bach said now they have identified the EGR valve is faulty causing high emissions at idle. I informed Bach that I believed.the EGR valve has also been changed previously. Bach said he has left a message with Stallworth of their current findings.I informed Bach I would be in contact with Stallworth to inform him of current findings.- On indings.On June 23, 1998,I contacted Stallworth to inform him of my conversation'with Phil Bach. I suggested he contact Bach to discuss their findings. Stallworth informed me he purchased a new EGR valve from a different Dodge dealer back in IDecember197 sometime and RV America installed it I suggested to Stallworth to inform Bach of EGR purchase and maybe they would be able to assist in a courtesy warranty through Dodge manufacture. I informed Stallworth I will be completing my report so that it may be subpoenaed. I informed Stallworth there was not much more I could do for him at this time, On June 24, 1998, I contacted Phil Bach to check on Stallworth's vehicle. Bach said they have an EGR valve on order. I asked.Bach if Stallworth mentioned about a recently purchased EGR valve from a Dodge dealer, Bach said there was no mention. Bach said the vehicle should be finished o`r ce they installed the EGR valve. Observations on the complaint based on the data provided: 1) On July 22-30, 1997, mileage 18,430 Stallworth paid$2140.03 for work performed at Grand Auto North Hg* hlands. Approximately $597.00 of the $2140.03 were charges to replace the carburetor, replace spark plugs, spark plug wires, carp and rotor, the remainder were for tires, brakes and suspensi6n repairs. J. 2) .On August 1, 1997, mileage 18,181 (51 elapsed miles) Oakland Grand Aute performed a Smog Cheek inspection. Facility noted spark control disconnected, high emissions at cruise and idle. No facility inspection printout, no Bureau of Automotive Repair Et TAS data available. 3) On August 3, 1997, mileage 18,274 (244 elapsed miles) Stallworth returned to Oakland Grand Auto(7)to perform a compression test because vehicle was running poorly. Oakland Grand Auto found low compression in #4 cylinder. Facility noted internal engine problem, possible valves or worn camshaft which they noted on their inspection report. Why was this low cylinder compression not found during the tum-top repairs per ort Jul,}t',311, I997 at Grand Auto North Highlands. the vehicle probably ran poorlyafter they performedthe repar'rs If fir. Stallworth was made aware of the additional problem with a low compression cylinder would Stathvorth have spent$2,140.03 ort the vehicle? ` 4) On August 30, 1997 mileage 18, 329 (299 elapsed miles) Stallworth brought vehicle to The Earth Station, Citrus Heights for another Smog Check. The vehicle failed as a Gross Polluter. Stallworth provided withi vehicle inspection report and emissions diagnosis recommended.` l 5) On November 7, 1997,mileage 18,524 miles(494.elapsed miles) Stallworth requested RV America to remove vehicle from storage to diagnosis the vehicle for didn't pass Smog test,engine knocking and smoking..RV America quoted $74.00 for a diagnosis. Facility found intake manifold gasket leaking, dip stick tube missing, cracked vacuum lines,. Facility quoted and Stallworth authorized'$700.00 to repair: 6) On November 18, 1997 upon completion of intake manifold gasket repairs RV America identified additional problems with valves on passenger side head. Facility quoted and Stallworth authorized$745.34 for removing the cylinder head to be sent out to a machine shop to repair. Stallworth requested parts to be saved. Facility completed repairs,then noted the carburetor is faulty: . . If Stallworth originally it formed RV America of the f lndings front Grand Auto of a low compresslon in #4 cylinder during the his original complaint, RVAmerica could have verified the problem with a cylinder compression test. RV America then could have quoted prices, or a valve grind, intake mart fold gaskets would have been replaced during cylinder head removal. A intake,manifold vacuum leak could have masked ax{ internal engine problem. Why wasn't the intake manifold leak detected during 0gk1and Grand Atito's inspection? 7) Can December 16, 1997 mileage 18,542 (512 elapsed miles) Stallworth and an employee from RV America drove to the State Referee in Pacheco to verify that the vehicle would pass the Smog Test. Stallworth wanted assurance vehicle would pass the Smog Test before paying the charges. Referee found high emissions at 2500 RPM and at idle, faulty ECR valve,repair proper vacuum to ECR valve. Stallworth had vehicle towed back to RV America. :r 8) On May 20, 1998 mileage 18,582(552 elapsed miles)Stallworth towed the vehicle from RV America to Smith Dodge, San Pablo to check cause car failing Smug Test,loss of power, engine noise. Smith Lodge has identified faulty carburetor, faulty EGR valve, causing,high emissions. Stallworth has obtained several exchanged carburetors through Grand Auto for Smith"Dodge installation. Bureau of Automotive Repair complaint mediation May 5-lune 23, 1998. Negotiated with RV America to have vehicle inspected by shop of Stallworth's choice, waive storage fees. The vehicle appeared to had multiple problems The vehicle probably rail poorly when it was brought into Grand Auto North Highlands ort.holy 30, 1497. On August 3, 1997 Stallzvorth Etas informed there was an internal problem in the engine,. Stallworth ntay or may not have it formed RV Arrterica of previous repairs and observations to the vehicle prior to them RV America stated they did trot charge Stallworth a second charge to remove the it main old to perform a valve grind. In essence RV America is charging Stallworth S 1445.34 to repair,jor a low compression hi #4cylinder. A valve job requires removing the intake manifold gasket along with the cylinder head to perform a cylinder head valve grind job. Approximate ly 552 miles has elapsed since the original repairs were performed by Grund Army North Highlands on.duly 30, 1997. During that time Mr. Stallworth has visited Grand Arito Oakland, T he Earth Station, RV America and Smith Dodge. ne diagnosis and repairs made by these facilities of a faulty intake manifold old gas ret, bad valvoiw faulty carburetor crud faulty EGR valve can cause high emissions readings in the Smog Test. CONFRIY D VIOLA.'TIGNS: RECOMMENDATION: Add.complaint to facility's master file. EXHIBIT LIST: Mr. Charles Stallworth's written complaint,supporting documents RV America's written account of the complaint final invoice#3896,#3915 ' Notice of Violation#17315105 FRANK CHU Program Representative I Hayward Field Office .5 • r• ..r iAr- ri'r yr ',:r;.;+vr.ufi"'r;ri-k.rn'a'- .._. ...... - .. BUREAU OF AUTOMOTIVE REPAIR 10240 System Parkway, Snermentu CA 95827 DATE LEASE ,PRJNT, STATION INSPECTION REPORT � FACILITY NAME y O I D EAt$1 O!t PRE ,fNAME ADOAESS „ r 1TY ZIP' SttSINIESS PHONE NO. i.{ L/ _ ,A ' fJ tJ 111/ t +F RESALE POW1 NO. TYtT PE INITIAL AUDif >SEAtcotc IssueOA.T! INSPECTION FOLLOW UP DA Rom `=J ARD REGiSTRA'nom NO. UM STATION NO. LAMP STATION NO. SAACE STATION NO. aUSINISS I PFA NO. t30YEPi14MEN7 NO. EXP.OA E EXP.DATE EXP.DATE EXP.DATE EXP.DATE EXP.GATE" TAS MAN PACT R MODEL NO. , TAS NO. MODEM P140NE NO. FACWY UMiTATIONS TEST ONLY UGHT OUTY TAS DATA APt:O NO. REGtON NO. CNTY COOS NO. I rui o OFAcE CODE CORRECTED �VERIFIED 197#A OLDER HEAVY*MY TYPE HC BOTTLE PROPANE EQUIVALENCY HC ACCEPTABLE CO BOTTLE CO ACCEPTABLE CO, BOTTLE COACCEPTABLE PAS AUDIT READING X FACTOR (PEF). ACTUAL RANGE IUI REING ACTUAL RANGE READING A&AL RANGE ' FAI LOW 300 X " PP14 REX * 14 PPH 1.0 X .93-1.07 6.0 X 5.f-6.6 MIDNI 1200 X , PP14 HEX s 36 PPM 4.0 % 3.81-4.19 12.0 % 11.4-12.6 XIDn2 2000 X PPt1 HEX t 90 PPP 6.0 % 3.54.6.46 8.0 % 7.418.6 NIGH 13200 X _ PPM REX 996 PPM 38.0 % 7.52-8.48 .14.0 X 13.4-24.6 1. ARD REGISTRATION YES NO 6. ARD SIGN POSTED YEt3 No11. REQUIRED ESTIMATES " •' YES N POSTED 2. OFFICIAL !/M 7. INSPECTION IiM 12.'APPROVED IfM STATION L CLASS PRICES POSTED L -rRK AREA/ L POOSTED B CLASS B pREMISE5 s 3. OFFICIAL SIGNS !1M 8. MAINTENANCE t tIM 13. INSPECTION Illi DISPLAYED L OF RECORDS L STEPS L B B FOLLOWED $ 4. MECHANICIINSPECTOR/ IIM S. CERTIFICATES UM 14. REQUIRED TOOLS! ' ':I/M OFFICIAL ADJUSTER L ISSUED L Et1JtPMENT/ L EMPLOYED B CORRECTLYS ' MANUALS B 6. MECHANICANSECTOR/ . I1M 10. RECORD OF I/M PIS. MAINTENANCE AND OFFICIAL ADJUSTER L CERTIFICATES L CALIBRATION L LICENSES POSTED 13 MAINTAINED B OF EQUIPMENT IIMARIcs: / . j tr�' �.z'`�-" .r�-� :��, is ` 'r' .� .0- jC 4f r - - Z. . " % fo?tl. ?�PJZ BUR u REP SENTATWLD. NO. BE 1 D y r o TI DATE f IPTI 1/. 9100 nI r3tt DISTl MJTIA: ORIGINAL-FILES } CANARY-REC+ISTRANT GREEN<BAR SUPPLEMENTAL PAGE �52AFLP COMPLAINT WORKSHEET 04/13/1998 BUREAU OF AUTOMOTIVE REPAIR FOR C:OMPLAlk: HA 98003386 ASSIGNED TO: FRAK CHU axsayaaxaa�;asaa�a�x:aa="x�:cac��aaast=at���a�3�a-��aa��a���#es�asst�ataaaas��tas��a.�sa�sa:r� . •OMPLAINT : H.A 98003386 WRK UFC: HA COUNTY: 1 BADGE: B1310FLC EGD DATE: 02/109/1998 DCA CTAT; H AGENCY CAT: I SVC CNTRCT: N OURCE: P RPT/REFL: PRIORITY: H COMPLNT TP: I COMPLAINANT °co� 74q m NAME: STALLWORTH CHARLES HOME #: ADDRESS: 1415 BROADWAY APT #319 WORK #: (510)535-0194 CITY,, ALAMEDA STATE: CA ZIP: 94501 RESPONDENT CLOSED COMPLAINT HISTORY j COMPLAINTS/VIOLATIONS ARD : AC 177398 EXPIRATION DATE: 83/31/1999 96 97 98 ORIG.ISSUS DATE 03/18/1998 NAME: R V AMERICA ADDRESS: 2905 SAN PABLO DAM RD " CITY: SAN PABLO 150 ZIP: 94803 2715 '. OWNER: LABARRE DAVID-ARTHUR PRONE: (510)669. 9005 )WNER TYPE: INDIVIDUAL LIG STATUS: 0 CANCEL CODE: CENTRALIZED CDE: :as��.»��-a� ----'� �r�srr���� az�x���as�se asz�•—��s�srzxa� �z_� _ss_:za CLOSURE STATISTICS -ETTLEMENT AMOUNT: REFUND ADJUBTMEN J()0•00 REWORKf ACTION CODES `` ALLEGATIONS/VIC}LATIONS 'ODE DATE DESCRIPTION CODE SFX SUB NOV :RCB 02/10/1998 COMPLAINT RECEIVED BY BOARD RIM 02/11/1998 REF TO INV - SMOG CHECK � � V :REV 02/13/1998 RECEIVED TRANSFERRED COMPLAINT .CSR 02/17/1998 CSR ASSIGNED TO COMPLAINT :ACK 02/17/1998 COMPLAINT NOTIFICATION LETTER SENT 'CSR 04/13/1998 CSR ASSIGNED TO COMPLAINT '- .�.� ;ACK 84/1 /1998 COMPLAINT NOTIFICATION LETTER SENT COMMENTS: ASSIGNED/REP DATE • RE-O DATE CLOSE DATE REVIEWED BY CAS CLOSED BY Y TREND SUBJECT W. 'TREND ALLEGATIONS v. .. �.�___._.. ''• `` `" . 6 •r l` 1 .i. �.. 'lam .. .. _..._. ..._ .� � .mow„'x. }[{''� •;tr ..� � .d+ j �. w,j �sa�lvl.aj4tlt a.. Ya' * r,.'.i; r,L. _ '• . •. • •"�` ! �-r�'!':iii„i.L'a: ea CRi2ClZt4 k4M SUVK74 AO&4C'Y t TLS YVSLTD4t, �, J. ,.` BUREAU OF 'AUTOMOTIVE 'REI .i-Yrx ••• r.. ZT'�y '�� 'p ; �'rN {{//'w+ nv ry a •O\ A O jt No D •I•'''''��{ .. 6 lip K GE?N+PLAINT NO.:; _' GCtMP lW4lVT: .. S .... . EST/lE1<L1 CN++yyTp: Rt: 19•TR;A7tOM ,APORw t to:nYt i OEM t. -' ” r1°Yai crew#rar�ai6y ei4iiiod flu&you ars In vto#anon of Mie fes Md;on(a)a ' BUS�1�N S.S AND yg+P#tyCy�FESSt. MS CODE #� --�`���-�•.•+.�' j��'t'.�G? " HEALI#•# ANt3�SAFE'tY' C+�:i3}pEJ.� CA lFC3RN6ULA IONS RIMMARKS ?712— R j AL 4-4-2-K- ; e-0- -!A&M--r-e Ye=1 e A�, 4� R$C1=t 0RY: Y .. �-=_ ".`r' a .r%F'l`-: , .•wi'+r'• ;_' {,''�""' . 8 NTATI1.C). NO. Trr-xs ts �t) �`:ip9nk-�-#tAR GeYwry►-•Rrgi�franf Whip:-"•'Pita Ei1ua-»--tnf�frre�aiio++ .- rt s 78265429 8 1 8 3 9 xdt� .s *INVOICE* CHARLES STALLWORTH a �` SMITH DODGE, INC.' 1415 BROADWAY #319 12300 SAN P'ABLO AVE., RICHMOND, CA 948 ALAMEDA CA 94501 PACE 2 (510) 215-4724 HOME: 535-0194BUS: SERVICE ADVISOR: 69 PHIL BACH 005A YEAH I MAKMO-09L VIN LICE NSE ::;.MILEAGE ItVI C)tJT 7AC GEN 78 BGE RAM D14B 8526512 14H90416 1 8442 1$8442 1 T891 IN SVC. DATE PROD. DATE iV,4RR. EXP. PR43MtSED int?NO. = :PAYMENTfJtiEV.DATE 01JAN78 1APR78 15:00 28AUG 8 0.00 CASH 31AL1G9 R.O. OPENED DA'Z'E CUST.i+OTIF{ELI OPTIONS. 08:00 4AUG98 11204 1A G98 LINE UR OPCODE TECH TYPE HOS LIST NET TOTAL EST: 427.00 26AUG98 14:59 SA: 69 CONTACT: CHARLES 535-0194 THAM{ YOU FOR CHOC,�S"IN'G SMITH' MOTORS FOR ALL; YOUR AUTOMOTIVE H3�EDS .eii :� iLxt slMi,.: a .tad ..,. .. 14.1 4 i1. t 'RE: t ' -- VISA 4 CASH.CHECK "PAID AUG31 1998 MIR! fan ORIGINAL FINAL DESCRIPTION TOTALS ESTIMATES REVISED ESTIMATE 9 LABOR AI EA T 248.00 f3AT FkME PtfON$N DR IN PERSON AUT i9fZE0 BY A001flONAL AM WF PARTS AMOUNT 175. 28 % GAS.OIL. LUBE 0.00' REASON REVISED TOTAL SUBLET AMOLINT 0.00 Doche DATE Time HONE If OR IN PERSON aIUTNOAiZED BY ADDITiONA6 AMOUNT MISC.CHARGES 0.00,–- r •00 s TOTAL CHARGES 423.28, t' MASO14 REVIS€DTOTAL ADJUSTMENTS 0.00 Is SALES TAX 14.46 t.s,>i1tV.11CCGE.n4flCE anro 4ML ApCRG`f4L QF aN f k KM Yyi Y t7Z i ttaV trCiiEaSE ua Cwc>Fiat EST1irtA�6 PirCE -AFCfsVz:c a COPY OF twin n,VOKr:. PLEASE PAY x x TM AMOUNT 437.74 EAR K EPA ry CUSTOMER COPY ........._.. ............ .. ... .......................................................................................................................................................................................................................................................................................... 2 T WORTH' 4 ;`StWAY #319 ►P.�I:wi�A , ` 945'41 ,,. HO _553 1 4 . y�. EAR DODGE RAM D14BE8SZ654 SVC, OATS :PROD. DATE: .VifAftR.'EXP. ' ' . D 01 JAN7 1 APR78 ? : 0' tAtIG9£�r _ >' f;.A. OPENED ClATE,:CU#ST.NOTIRE[7� OPTION 15:48 1 AUG 8 1 1 .51 Z;1 AC[G9$ _ _._ ^° ,r"* _ x� :.=` =s `• LINE OEC. O E TEO TYPE HOURS— LIST •- A TOW .IN/CK CAUSE OF TRUCK. DIED AT STOP AND WO T RESTART/SEE R0 78593 a4'­ % S1 1 a DR.IVAHILITY CMBTSSI i /,' ,• 2 kk?g ✓ % (L7/fir+ 1 24955-3'i � I .`Q S 1--ASSY'IGNITZQN "� {N/C) 118622 1 8622 ENGINE tDI Apr T6t11 WARM —Up. i-ESTED j.Gis3.-�: { � t 4. :�� � .L i �• ;. B** REPLACE ST. 2,'G7k7N'T OVER.. ;•.. = }" ' „ . . •�• t Sl 2 ENGIM. MEC � �`x"` N. 1 Ra 1 X137 5 STARTER .$ HP c, 12 .•5Q' 123.50 118622 REPLACED STARTER....r �.r � � � � "r� � ^� � a... a j`' �C•C'flf.'JiP*'*.7i'*"�f'*5I1"' '*** ***'l�'.'�l'**'klz - +kw+ EST: a 4t1. t 9AU9$ 1 .5a SAW 69 ,:.:.. EST: 204 as ' . '' 2OAUG98 1.5 19 SA 69 CONTACT: CHAf�ES` , �r-.., 38 Q[9 , . ,. .NK YOU C; SMIW; 1TORS FORALL c:.: .. .Y�}E1R UTt7MQTIVE S a,n .. • L/ t 1. . `y{�✓r! V � f'�.v}Y4�]•r•: A N9 :l 4301322118748,"4 .'- ,• SHITH DiRYsm - EcP 12388 sm PALO �� Y►„r BICHM CA '4trs-i�,i3 +.c.K• • � b58-L3"1`-$139 ', �'�'��,�.�''.Q � :..•• TOTALS LABOR Armor 79.00 raol i AMwuNT PARR AMMMT i 2 3•.S a ACc€1, MEN Up. } GAB.OSE 0.00 471y0i+fw1483M 8351 9v►searor� IL UNE 0.00 ZOITIOZ.xM MISC.sCHARGES 01.00 fit rt TOTAL CHARGES 202.50 FRRt ;„Uw RUTH, kE 4 ,MvISC TOTAL At TUMS 0.00 91?iO3 881017 • SAISS TAX> 10.19 wOf vctics. «�V PLEASE PA'Y' THS AMOUNT 212-69 Gu i C ii2.J9 BARB EPA# -..�•- -C LusTurL.m COPY 78265429 8 1 8 3 9 abdge *INVOICE* - CHARLES STALLWORTH I, . SMITH DODGE. INC. '1 41 5 BROADWAY #319. 12300 SAN PARLO AVE.. RICHMOND, CA 948 ALAMEDA CA 945031 PAGE 1 (51€) 215-4720 HOME: 535-0194 BUS: SERVICE ADVISOR: 69 PHIL BACH COLO — YEAR MAKEIMODtl. VIN LICENSE MILEAGE IN/O7UT TAL GREEN 78 Lx3RAM S265429 4H90416 188442/188442 T89t IN SVG. DATE PROD.DATE WARR.EXP. PROMISED „ PO NO. PAYMENT INV.DATE 01 JAN78 101 APR 78 15:00 28AC7G98 o_oQ CAS;; 31 A G98 R.O.OPENED DATE OUST.NOTIFIED OPTIONS: 08:00 24 98 112: 04 31_A G98 LINE gRCOQg TECH TYPE H URS LIST NET T0TAL A TOW INICK CAUSE OF TRUCK DIED AND WON'T RESTART,SEE RO 78793 5-20-98 AT 118,582 MILES AND Rt? 81729 #•27 5110 DRIVABILITY (MBDS) 27 ; ?. ; 248.00 248.00 1 3635172 G.WOE-ASSY AbkR 89.€ o 89.00 89.00 1 3895846 Ct NDUCTOR-A:S5Y-CA-PACIT0`*'R& 65.00 65.00 55.00 8 4437.565 SbCKET-ASSY-ELECT TRAVELS 1 .46 1 .46 11 .6.8 8 L00601:94 BULB > ' Q x: .1 .20 9'.60 188442 BATTERYJS DEAD "AND WILL NOT. JUM`P,:START. PUSHED CHARGED BATTERY. .BATTERY PASSES LOAD FEST.. -THERE �� No . I?� LGNITIC}N,GAUGES OR LIGHTS WIGGLED WIGS ON REAR OF AMP GUAGE'Al`10 THE ENGINE STARTED, LIGHTS 'A D GUAdjES WOtRKED.:'''REMOVED IN BTRU I T CLUSTER TO REPLACE AMP GUACE. PINS ON ELECTRICAL C4NNECT0R ON BACK OF CLUSTER.. ?ULLED OUT NEEDS PRINTED CIRCUM BOARD . INSTALLED.:NEW•PRINTED-CIRCUIT BOARD AND AMP GUAGE STARTED ENGINE AND 'TESTED CHARGING SYSTEM. ALTERNATOR OUTPUT IS NORMAL. 60AMFS AT 1:2.3 VOLTS*' i 3** CK CAUSE. OF VERY FAST IDLE WHEN STARTED CQLDISEE.. LINE. A 5110 DRIVABILITY .(MBDS3 27: IU (N/C) 88442 RESET FAST IDLE SPEED. SEE LINE A EST: 0 .00 24AUG98 08:01 SA: 69 EST: 294 .00 26AUG98 11 :45 SA: 69 CONTACT: CHARLES 535-0194 ORIGINAL FINAL DESCRIPTION TOTALS ESTIMATE REVISED IESTIMATE LABOR AMOUNT S DATE TIME PHONE#OR iN PERSON AUTHORIZED 9Y ADDITIONAL AMOUNT PARTS AMOUNT # GAS.OIL,LUBE REASON REvtSE0 TOTAL SUBLET AMOUNT' Dt3"I C�L� DATE TIME ONE.OR IN PERSON AUTHORIZED 9Y ADDITIONAL AMOUNT MISC.CHARGES t TOTAL CHARGtS # REASON REVISED TOTAL ADJUSTMENTS s SALES TAX t ACKN0WC£06ENOM-6 At-45 OAAt. V AL Of AN 1 ti WL 'i Mt -ANp 1 H►V INCAEA.5£.NT}r£ORMWAL ESTIMATEMCE. A£C£iv£ii A COPY OR TMIS+.'.NYGtC£ PLEASE-PAY x x THIS AMOUNT BAR N EPA# CUSTOMER COPY RO ME 5.35-70194' S:-- • .4%, Fes! w�, ♦:. .. L .:!. MEA RAM Z N SVC.DATA PROO.OATET WARR.;EXP. = KtOMISEO :171A7E OMP rk-W7, 01 JAN7 6 1 APR78 WAIT 18AUC98 Q 0#3 € R.0.OPEC+M DATE CU1ST.NO'nFJEO OPTIONS: �e {� � UG98• 10:00 }00 2 12:32 2 g p. LINE OPQOQZ E T E HOURS L INTAL ' EST'. 1 ,868.00 07JUL98 039.09 SA: 69 CONTACT: CHARLES :° .535-0194 'ta •. 9't y k .a." 3cc t' EST. 2,713..01.f3 w � 09JUL98 :.37- SA.' 69 a ry;.•l` '� '.'4 )7$k�ice'+. EST: 2,963,;- 1.1.J UL9 8 {39:44 CONTACT: CHARLES.. ,; € 13 ' EST: 3,098-0a. 033AUC98 1:.5:1 1 .•wA: 64 CONTACT.-: CHARLES :.. ; .' 535=0194: A EST: 3,418.0301 18AUG98 12:,24 SA: 69 CONTACT: MR 535-0194. h MAY RADIATOR AND TRANS REPAIR THF YOU FOR CHO'OSINO S �T^:2 ORS FOR ALL ' SOON. YOUR AUTOMOTIVE, NEEDS PAIDAIC c ' 3 , FINAL DESCRIPTION TOTALS ORIGINAL } L,,L7 . . ESTIMATE s j j c i LAW,R AMOUNT 1783.0303 DAZT TIME 7NE r OR tN£=ERSON! AUTHORIZED ST AW ZONAL AMOUNT PARTS AMOUNT 202. 7 GAS,O£L.LUBE20,00 RLY£5ECi TOTAL sysuT AMOtwt 402.50 DodgeOATS TIMEONE.OR M PERSON AUTHORtZW BY ADDITIONAL AMflWgr MISC.CHAAGES 0.0-0- • TOTAL CHAR09S 31€7 .87 REAl50k RVa D TOTAL ADJUSTMENTS 01. Q SALES TAX 4.45 uicn rwI n+u �siSlIMAit MC �� 'a�ccwID A fOPr��ws wwaace. � ANO'wa PLEA PAY x x �..�. __._ _.--.-_ THS AMOuM 3182. 32 BAR'!1 EPA# :C CUSTOMER COPY Sf•MP.r .. +r _':.�10 .: i. W SLA�h� a^r. s�•d 1.. .�1 ............... K. ! Y. S �,liL � '{�` L ^hY`l+.w•.J. 'Y��.� �. t#d'i•`. 3f + '`✓-G i7 -" i9S a"`�"kw. 5 -78265429 YY'Y�w1.� ..r7C6 .. Y «,,,c•r+'✓ r t. ' a+,�„ at y' r+ :'" 3 a '`'-...».i:r S + ' +rP�.3�•-d .r rf •. ;: CH ,. .r.x.. 4f+ ARLES STAL wokTH s �,:t z �. ,;x„ 1415 BROADWAY> #319 :a , ,. �z.c t,l > " i"'"' ALAMEDA CA 94501 PAGFr r5; �' Q} 5�47'Zt`1 HOME53 . . ``3-0194 :BUS .»..» ,.. . .� ar= ' .m a.t<. •r.. .� se ADWSOR: ' r3"P .� .'. QLi IYEAR PIA L : . GREEN + �x�y?�jj�/S•y�}}yy i C? C;;jRAM +y� py�/�y�� I�14 EBR 6 4 9 � , 9� 1 yT1 11 yyyy/ 2- Ir IN 3Y4+. ATE L T4Vr/. `cA .sltir. r 34�it7r i ': a .. ..� ►Li NO...:I&IAV a�. f5 7iS.tir'YA 01 JU78 1Q.1-APRT$ WAIT 1 BAUG $ MO.—Ot} 1 B UG98 R.Q. OPENED DATE BUST.NQTISECJ I OPTIONS: 10:02 20 V(4A 2 1 BA G98 LINE OPCODE' TECH TYPE HOURS RT IT TOTAL 118582 DURING SMOG TEST THE ENGINE DIED AND WOULD NOT RESTART. REPLACEMENT DIST IS DEFECTIVE.. ATHE P CKUP COIL IS OPEN WHEN Ei©T INSTALLED REPLACEMENT DISTRIBUTOR rYX. 9k•Ir�Cr�Il+ykatrjk�lr�*�ricic`��t��kir^r�ir�ic�lrieik�F�'xk�llr�iryk^�ricyk�IrSF•Ic-��Ir �•^1�^a��lc�ir�lrs�c9r�fc7k�k�k . LUBE GAS CP > r 20.00. 20.00 EST": 100.00 '2.QMAY98 10:04 EST: 650 .00. 28kkY98 1-7:10 ;: SA: -•69 CONTACT: CHARLES 535.-E194 EST: 700 .00 2.9MAY98 15:31 SA: 69 CONTACT:. MR STALLWORTH CHECK GAS GUAGE INACCURACEY! EST: 900.00 10JUN98 14:37 SA: 69 CONTACT:. CHARLES 535-0194 EST: 1 , 183.00- 11JUN98 10:24 SA: 69 CONTACT: CHARLES 2.15-4747 EST: 1 ,468.00 23JUN98 11 :46 SA: 69 CONTACT: CHARKES 215-4747 fINAL DESCRIPTION TOTALS ORIGINAL REVISED ESTIMATES ESTIMATE! LAI30A AMOUNT DA E TUNE Pt10NE r INiERS�N AU HflRtZEO Y AO131TIDNALAa>�iUNT FARTS AMOUNT'' • it +(3AS.CIL,LUSS REASON RIMSED TOTAL SUBLET AMOUNT ElodcDATE T%At HONE S OR INPERSON AUTHORIZED BY ADOITIONALA1NW;F MiSCz CHARGES Imo" i TOTAL CHARGES t REASON REVISCD TOTAL ADJUSTMENTS s SALES TAX Ic ° a 1 "s Co'" ao1i �" n,tT.4$M— PLEASE PAY x x I THIS AMOUNT REPA11 AR# CUSTOMER COPY ° i"11:'U �.,� .�•, L`,!»"i` y r fprr,t4 al >R wPrt.�5. ,, y. +: rt `..'tiW r�""`` t i' T :: _ • .a. ...... fYf V265429 8 y x w :14 + r x Y . -► Vt.a• ...• t `^ '#.ry;T»;+Mv. - v.-jt CHARLES STALL_W`0'RTH 1415 BROADWAY ROCaWA #31 9 w1y . `1' ,wSP'...Twi AMa"+ ! A�L�A EDA•��C�A��9445y01 z;�p* -'' w r " '' r � '. P �� ���t�3 y ,I� >' CR ND H�1'+i:r:, S J S-019 4 'Y3US. .r.Y a r ,.. •-.' AGE s t,/°i.. " •^ i i. r __ �s� SERVIC i.. . 5t •• `ai•Y. 'fit' ,.S ••j•} L EN 78 Kal., GRE }x iN svc, DATE ROr . DA t E WARM.axp. PROMiSIED T >PO NO �4'7GNl rr:; a tV:t3ATE 01 JAN78 1 APR7 'WAI 1 AUG98 0.00 CTAT CUSI".NL>Tlit) f�P77t7tuS; 18Ar ing8 10:00 20MAY98 1 2 i G98 LINE PCODE T CI E OUR 29 C:P LIS NET TOTAL 1••F 1 4240277 UNIT PKG-FUEL TA1 `.:SENPIN (-196.00 196.00 2 244876-1 1< � �> ,�. .>. 79.00 . 79.00 79.00 1 60 2.CC30EER. h{� F 2.25`A 2.25 4.50 1 18582 6117 REM< EUEL TANK FROM SIC 19-_Ii�iSTALL��P '�END i4iCa�t �T.3.09 3.09 . FUEL SUPPLY 'LINE .A 7 FUEL ,FILLER 1/2' VAPC�2 FOSE ��� .;N TUBE IN STOCK ST1L NEW FUEL SUPPLY LZIE ANDFUEL REINSTALL TANK, AM RECHECK. GAUGE OK. r ... .. �.. r;. r w .. D** REPLACE CARB AG N,TRIS ONE WON'T .Aa)UST,CUSTOIKER TO ANOTHER C.,.ARB .r:. S 1 10 DRIV >< :.... s. . 12D.00 120.00 27. E** TRUCK DIED SND' Io11'T ,REPLACE, DIST-` - k {" 5110 DR.IttABILITI•: ( Ds� 27 ( { 1 80212104 ,DISTRIB-318-360 CID ENG Yh��{ter>s%� 57.00 57.00 118582 ENGINE DIED..bURING...TEST. NO SPARK.. LIST P-ICKtTP .IS O�EI� �7HOT.8.00 78.00 INSTALLED REPLACEIbtNT DIST, ***�•ok•�r'�r�r yk yk,r*_****��•�c'r '�r�•**** x-•�r t�r tk•�c*,��•�r�r* t•�r��t�r �t^�•r# F** NEW DIST NO G©OP/SEE LINE E CAUSE: BAD DIST S12 ENGINE MECH (L.D.) 27 ' WD . 1 80212104 DISTRIB-318.-360 CID ENG (NIG) CORE CHARGE W (NIC) 1 .2875923 O RING-DISTRIBUTOR (NIC) FC: PART#: COUNT: (NIC) CLAIM TYPE,: AUTH 'CODE': ORIGINAL FINAL ESTIMATE! AEYISED DESC IigN TOTALS ESTIMATE LABOR AMOUNT—" AF T,ME PHONE t GR IN PERS N AUT HOR#Z�8y 1l TIOWAL AMOUNT PA;S AMOUNT REASON : GAS;"011.Lim } 1 ► av,SEra TOTAL SUBLET AMaWT QATE TIM£ t?NE rt Qp tN PERSON AUTHO 8Y A{9pfTICy4AL AMOUNT NU$C.CHAMES f TOTAL CHARGES REASON A£Yt5EO TOTAL ADJUSTMENT 70'AM = V HES TAX a, PLEASE PAY �+ca�si r+�tuuae�,.i sr°uwrE a��" pecEiy"I,acry ac*we vftg I HD i r+iy SAL THIS yyVUy. BAR 9 �`{��.# CUSTOMER COPY • w t, 78265429 .3 4 . 7 8 59'. IWO CHARLES STA.LLWORTH 1415 BROADWAY #319 `° g; Qi« x•• ... .p'.;, i 1� r � ♦�liLrHY3 AI,AMEDA CA 94501 PAGE 3 . . .� xk tii 1 ) 5'� 4 HC3ME. 535-0194 BU �w�S . �" ��'��r�'"�E- •&�����;��4K .4..�. SERVICE Atrt1llSm.' ": "`: Zb—t_WR­ Y MAr(EiM66EL wy{}yid �yy�. +�+}� ywY L•r4 � •A L.� ..4 • GREEN l8 D 14 8S26s 2 • 4 M # 118582/118582fT. tAl SVC.PATE P�tOC�.DATE U1lAf4R.EXP. PRtJM�lSECi ., NO. �" �h°a��?} ti=1?'�►�!!�!lENf x�.- ,.���[41/.L7ATE 01 JAN78 IQ1 JAARnR,78 WAIT _18Af1'G98 0.{3l3 1 tTC�98 CtPENED LATE CUST.NOTIMED OPTION 10.00 20k=9$,112:32 18AUG98 LINE OPCdDEI TECs TYPE H URS LIST NET TOTAL AND RAN ENGINE UNTIL HOT. ENGINE IS MISSING ON # 5 AND #8 CYLINDERS- RECHECKED COMPRESSION. 145 TO 155 PSI IN ALL 8 CYLINDERS. INSTALLED LEAKDOWN TESTER IN #5 AND #8 CYLINDERS. EXCESSIVE LEAKAGE IN BOTIL #8 HAS 55% LEAKAGE AND-AIR IS FiEARI?_ IN THE CRANKCASEr , N THE,. T` KE. #5 HAS 35% LEAKAGZ i RE MVED INTAKE. AND EXHAUST MA.N3C H USED LEA WN TESTER TO PRESSt7EtI ALL $ CYLINDERS. THERE IS .AIR ZF�ZNG PAaT BOTH THE INTAKE .AIT EXHAUST.VALVES ON CYLINDERS # 'R•#5, �' #8 VED CYLINDER HEADS-AND. SENT, TO MACHINE SHOP FOR MACHINE SHOP :REPLACED ALL 1.6 VALVES DUE TC? 'WEAR OR -- E TO THIN FOR REUSE..._14/S.•la%JRLED THE VALVE WIDES :CSF *£� ! VALVES WERE; INCORRECT' "EX+ VALVES FROM A..:360" C'YLINDER`� <'$F1r.�I` INSTALLED IN THIS 318" M. THE ENGINE 2.HAD DIFFERENT STYLE` 'I ' " •• HEADGASKETS WHEN TORN DC WN REASSEMBLED ENGINE AND, ppoVL TO 23RD+r'•ST+ AND ATTEMPTED TO ADx3UST TO PASS SMOG. '-S 40G MAC:H:1rI�E•00NITO �iiENT'>OC?W� IN THE MIDDLE OFADJUSTINd. RETUl ' D TO 23 ST. TO FINISH".. lNG Td PASS SMOG CHECK. THE ENGINE DIED AND WOULD NOT RESTART'i' TF:S�� THE DIST. PICKUP. IT WAS OPEN WHEN HOT. INSTALLED REPLkC.EMENT D `ST �ENCr RAN ROUGH AND' DIED. INSTALLED ANOTHERREPLACEMENT DIST.,—0�STEI7. IGNITION TIMING TO SPECS AND SET CARB PERFORMED SMOG INSPEL T•09� CERT # OC4 864 3 7 ON 6-10-98. DURING THE- FIRST TEST THE ENGINE RAN!FIRST I' C. I=`13EL+ ON 6-24-98 DURING TEST THE ENGINE RAN OUT OF FUEL+\ .REPLAC�Q„�"ASTENE+RS FOR. EXHAUST` MANIFOLDS AND BOTH HEAD PIPES. REATTACH TEE I��7?STICK TUNE . TO ITS MOUNT. B** REMOVE CUSTOMER. CARB AND INSTALL THE NEW ONE THAT CUSTOMER BRINGS US/THIS CARB SECONDRAY STICKING AT TIMES,CAUSING VERY FAST IDLE 5110 ORIVABILITY (ME3DS) . 27 CP 120.t3Q 120.00 118582 CUSTOMER SUPPLIED 4 REMANUFACTURED C",ARBS BEFORE GETTING ONE THAT WORKED. C** CHECK CAUSE OF GAS GUAGE INOPERATIVE. S12 ENGINE MECH (LiD4) 27 CP FINAL DESCRIPTION TOTALS ORIGINAL REVISED LABOR AMOUNT ESTIMATE S ESTIMATE II DATE TIME PtK)tE r OR IN PERSON AUTHORIZED BY ADDITIONAL AM PART'S AMOUNT s GAS_01L.LUBE REASON REVISED TOTAL SUSUT AMOUNT s �`� i✓o&W DATBTtME ttEdME.DR w PERSON AtJTjjOAEZED 8Y AOOSTMNAL AMOQN7 M=.C14"OES Y TOTAL CHARGES REVISED TOTAL ADJUSTMENTS i S " REASON s SALES TAX WC U M t"s cam:ItZ n°w s"or "4scss eo ccvr ar rws wvc ct `"�o,•` PLEASE PAY x r THIS AMOUNT BAR N EPA# CUSTOMER COPY PRICE ER 78265429 78 5 3 ;. + .. ► t INVOICE!. C. LES STALLGJORTH 1VV i 1415 BROADWAY 319 'Y2300' I?A fdChlM i O`CA 9 AI.AtJLEDA CA 94501 PAGE „•_Y 't W'"�y� 10) 215 4720 HOME:- 535-0194 BUS: v'.:I Irr - . s; i K., ` ";= :"�`"r .• ti SERVICE ADVISOR. •3 69 'PHIL £ `«+-. •TtL;+'.,.r. .•.. OLC?A YEA MAKElMQ EL VIN �,:y ticlit *:' EAGE IN/PUT'::: amv GREEN 78 DODGE RAM D14BESS265429 AH904161 t185 2 118 82 T= IN SVC. GATE PROD. OAT'E WARR.EXP. PROMISED ;:.PQ NO. �.3. �?��: ..,24Y]MIMI1 ".3KV«•C3ATE 01JAN78 01APR78 IT 18AUG98 0:00 SH 18AUG98 TOO NED DATE COST.NOTIFIED OPTIONS: 1C3»00 20MAY9J812:32 iSAUG9$ LINE OPCODE T CH TYPE H0URS LIST NET TOTAL COMPRESSION IS 145 TO 155 PSI IN ALL $ CYLINDERS. PLUGS ARE FOULED AND NEED TO BE REPLACED. THE PLUG WIRES ARE FROM 2 DIFFERENT SETS AND NEED TO BE REPLACED.THE EGR VACUUM AMPLIFIER SUPPLIES VACUUM AT IDLF,r`MD NEEDS TO BE REPLACED. THE CARB THROTTLE SHAFT IS WdRII:�,:CAUSING.'k VACUUM LEAK AND THE ;~LOAT,`IS:'`ZET TOO HIGH CAUSING THE STAELt G/LACK"OF POWERDUE TO LACK OF .FUEL' USED PROPANE TO TEST`. FOR VACUUM I .AKS"ABOUND THE INTAKE MANIFOL5'. ENGINE. RUNS TOO ROUGH TO DETERMINE: IF HERI~:rARE ANY INTAKE LEAKS. -THE DIST CAP AND ROTOR ARE OK.':-THERM :I5 .X, 'I SS PLAY IN THE DISTRIBUTOR.SHART. THE EGR. VALVE t3PERATES I':'. ' fix' ' .,,• VACUUM IS APPLIED., RECOMMEND REPLACING TM..'SPARKE . PLLTGS;$I,-U' 'I�W; 'EGR VACUUM AMPLIFIER,FUEL 'FILTER AND CARS. TO`:PUT; ENGINE IN CONDITION. RECOMMEND SUBLETING CARB REPAIR TO.HAVE THE..-THROTTLE SHAD BUSHINGS REPLACED. REMOVED GARB AND GAVE TO THE OWNER REPLACED v-- PLUGS,PLUG WIRES,FUEL FILTER,EGR VACUUff. AMPLIFIER, .AND 3=: WAC LINES. PUSHED OUTSIDE UNTIL.,OWNER RETURNS WITH. REPLACF.I`dENT; CAR'S `II�fiALLED REPLACEMENT CARE AND DROVE TO 23RD ST TO'ADJUST IT'... OSE �IDARIES STUCK OPEN AND ENGINE'HAD TO BE SHUT OFF IN ORDER TO STOP iRB' SECONDARIES STICK. WHENEVER OPEN AND WILL NOT CLOSE. 'NEEDS CA REPLACED. REMOVED CARB AND GAVE TO THE OWNER. ' PUSHED OUTSIDE 'EO :WAIT FOR REPLACEMENT- INSTALLED-REPPLACEMENT CARR AND ATTEMPTED. 'I#,3- ADiT= IT. THERE IS NO CHANGE IN THE IDLE CO READING WITH THE MIXTURE ;SCREWS TURNED ALL THE WAY IN OR COMPLETELY REMOVED- 'T'HE ENGINE' WIE' NOT IDLE AT LESS THAN 1100* RPM. CARB IDLE CIRCUIT' IS PLUGGED OR IS- ASSEMBLED INCORRECTLY. NEEDS CARB REPLACED. REMOVED CARR GAVE IT TO THE OWNER. INS'T'ALLED REPLACEMENT CARB AND ATTEMPTED TO ADJUST IT. ENGINE RUNS ROUGH AT IDLE AND WHEN THE THROTTLE SHAFTS ARE SPRAYED WITH CARB CLEANER IT DIES.. THROTTLE SHAFT BUSHINGS ARE WORN. OUT. THE'CARB NEEDS TO BE REPLACED. REMOVED GARB AND GAVE IT TO THE OWNER.. PUSHED OUTSIDE TO AWAIT REPLACEMENT CARE. INSTALLED REPLACEMENT CARB AND ADJUSTED. IDLE CO IS HIGHER ( .60) BUT THE IDLE IS ROUGH AND UNSTABLE. ENGINE SPEED INCREASES AND GETS SMOOTHER WHEN PROPANE. IS APPLIED TO THE EGR VALVE PINTLE. NEEDS EGR VALVE REPLACED DUE TO VACUUM LEAK. REMOVED CARB FOR ACCESS TO THE EGR VALVE. INSTALLED REPLACEMENT EGR VALVE AND REINSTALLED CARB. REMOVED AND INSTALLED PLUGS AFTER CLEAT' ING. STARTED fRNAL OESCRiphok TOTALS ORIGINAL REVISED LABOR AMOUNT ESTIMATE ESTIMATE S OATS TIME PHONE r OR IN PERSON AUTHORIZED AY AOOITIONAL AMOUNT PARTS AMOUNT = GAS.Otl_LUBE REASON :"SED TOTAL —F—StfT AMOUNT Dodge DATE TIME rIONE•OR IN PERSON AUTHORiZ81 fly AODITIONAL AMOUNT MISE.CHARGES x TOTAL CHARGES REVISED TOTAL ADJUSTMENTS t f i REASON It SALES TAX t=txhCwif G€»6ttC u+C�xxt avaG•r At Ci av x :ixraGrt fl ..dfln . w s anC+issv wcA€as€r+ r a 4cll+st ESQ"M�tE Pstf nfCEx rfQ.C6rr swds uvvoK€ PLEASE PAY X , THIS AMOUNT BAR g EPA# -�..— a- CUSTOMER COPY y� rrYl� �.rzu�n •�. Z. t 1 _♦ �• "+�.. *INVOICE* CHARLES STALLWORTH ' .�.�'.. ..,.. ,�. ►+ 5M! 1415 BROADWAY #319 ".. `' �' t�� _,r. iit11 ' y 2300 SA[V ABLlCNM1fbCA ALAMEDA CA 945{11 PAGE 1 `:` r�` "� (510)115-472 HOME. 535-0194 'HUS. : , . ... +•* � F SERVICE ADVISOR: `=69 PHIL,-BA . . ,4NZkF.f. COLOR YEAR "FdMODEL : :. vI ',:. s'ti�ENSE h•gMM(LEAt"aE Hit!OUT., GREEN 78 1 DODGE RAM D14BE$S265429 4H90416 ' 11-85$2/11A582 T' IN SVC. [LATE PROD.DATE .'NtARR.EXP. PROMISED PCS'No., aY..•��{tstq 0' YMUIT •' � 4W.DATE 01 JAN78 1 APR78 WAIT 18AUG98 0.00 ' 1, 8ALT498 R.O. OPENED DX S OUST. NOTIFIED OPTIONS: 10:00 20MAY9$ 1,2:32 1 A G 8 LINE OPCODE T CH TYPE HOtMS LIST NET TOTAL A CK CAUSE OF CAR FAILED SMOG TEST,HAS LOSS OF POWER WHEN HOT AND CLANGING LIKE NOISE FROM MOTOR WHEN MOVING S110 DRIVABILITY (MEDS) a>: 27 : •:; < " " '` 1290.00 1290.00 .;.:. : Ri2YC8 521369r 3:.75 3.75 30.00 1 4419358 SABLE PKG-IGNITION SET ' _ 5.33 52.33 52.33 1 4041732 AMP8700 87.OU . 87.00 1 603582.4 CLAMP Y Q ,` }•r3 '09 3.09 1 2084467. .-FILTER 10.38 1 4287938 GS-KT-INT 14ANF EGR VAL FLA. �`�«.�9 ssx�4 3 r 99 3.99 1 53883 EGR/VAALVE 55:: Q :' . •65': LAW OFFICES OF FREDERIG GAMPAGNOLI CAMPAG-NOLI TELEPHONE MARK 13.ABELSON , ABELSON & CAMPAGNOLI (415)421-1616 FREDERIG A.GAMPAONOLI 120 MONTGOMERY STREET, 'SUITE 1100 FAX(416)421-2610 SAN FRANCISCO, CA 09104 November 10, 1998 NOV 12 !9,� VARD OF SUPE SOPS po Via Certified Mail Clerk of the Board of Supervisors COUNTY OF CONTRA COSTA 651 Pine Street, #106 Martinez, CA 94553 In Re: Public Entity Claims of JONATHAN CHRIST and EMILY CHRIST Dear Clerk: Enclosed please find an original and one copy of a Claim For Damages Against the County of Contra Costa, submitted on behalf of JONATHAN CHRIST and EMILY CHRIST. Please return a stamped copy of the Claim acknowledging your receipt of same in the envelope provided. Thank you very much for your cooperation. Ve truly#yOUr-s, S i ¢{E Y MAXIS B. A)3ELSON MBA:lg Enclosure(s) MARK B.ABELSON CAMPAGNOLI,ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, California 94104 Attorneys for Claimants CLAIM FOR DAMAGES AGAINST COUNTY OF CONTRA COSTA TO: CLERK OF THE BOARD OF SUPERVISORS COUNTY OF CONTRA COSTA The following claims for damages are hereby made by and on behalf of JONATHAN CHRIST, by his guardian, RANDY CHRIST, and EMILY CHRIST, by her guardian RANDY CHRIST, and the particulars of the claims are as follows: A. Name and Address of Claimants: JONATHAN CHRIST, by his guardian, RANDY CHRIST, and EMILY CHRIST, by her gita.rdian.RANDY CHRIST C/O Mark B. Abelson, Esq. CAMPAGNOLI, ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, CA 94104 B. Address to Which Notices Are to be Sent: JONATHAN CHRIST, by his guardian, RANDY CHRIST, ai0 EMILY CHRIST, by her guardian RANDY CHRIST C/O Mark B. Abelson, Esq. CAMPAGNOLI, ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, CA 94104 C. Circumstances Which Give Rise to This Claim Description of Injuries and Damages to Claimants and Additional. Circumstances %ich Support This Claim: On May 12, 1998, JONATHAN CHRIST was driving his Datsun pickup truck eastbound on Concord Avenue, approximately one-quarter mile west of Creek MARIA B. ABELSON CAMPAGNOLI,ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, California 94104 Attorneys for Claimants CLAIM FOR DAMAGES AGAINST COUNTY OF CONTRA COSTA TO: CLERIC OF THE BOARD OF SUPERVISORS COUNTY OF CONTRA COSTA. The following claims for damages are hereby made by and on behalf of JONATHAN CHRIST, by his guardian, .RANDY CHRIST, and EMILY CHRIST, by her guardian RANDY CHRIS, and the particulars of the claims are as follows: A. Name and Address of Claimants: JONATHAN CHRIST, by his guardian, RANDY CHRIST, and EMILY CHRIST, by her guardian RANDY CHRIST C/O Mark B. Abelson, Esq. CAMPAGNOLI, ABELSON & CAMPAGNOLI 120 Montgomery Street, .Suite 1100 San Francisco, CA 94104 B. Address to Which Notices Are to be Sent: JONATHAN CHRIST, by his guardian, RANDY CHRIST, and .EMILY CHRIST, by her guardian RANDY CIIRIST C/O Mark B. Abelson, Esq. CAMPAGNOLI, ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, CA 94104 C. Circumstances Which Give Rise to This Claim Description of Injuries and Damages to Claimants and Additional Circumstances A'hieh Support This Claim: On May 12, 1998, JONATHAN CHRIST was driving his Datsun pickup truck eastbound on Concord Avenue, approximately one-quarter mile west of Creek Road, when this accident occurred. Claimant EMILY CHRIST was a passenger in the pickup truck. The roadway was the possession of the COUNTY OF CONTRA COSTA and the COUNTY OF CONTRA COSTA had the legal responsibility to control, maintain said avenue. As Claimant JONATHAN CHRIST entered a curve in the roadway, his vehicle encountered mud on the roadway, an obscured white line dividing the road from the shoulder (because of the presence of mud on the white) and a shoulder that was soft and muddy. All of these conditions taken singularly and jointly caused a dangerous condition and the COUNTY OF CONTRA COSTA had notice of the dangerous condition that existed at that time. Claimant JONATHAN CHRIST was caused to lose control of the Datsun pickup truck because of the above-stated dangerous condition, and crossed over to the north side of Concord Avenue, causing his Datsun pickup to crash into a ditch on the north side of Concord Avenue. Claimant JONATHAN CHRIST was knocked unconscious and suffered injuries to his head and brain. Claimant JONATHAN CHRIST has suffered permanent damage to his brain. Claimant EMILY CHRIST was also injured by suffering injuries to her head and brain, and she had multiple cuts and abrasions and stitches. Claimant EMILY CHRIST has permanent injury and scarring as a result of the stitches and continues to have physical pain and suffering from her head injury. D. Amounts Claimed: Claimant JONATHAN CHRIST has and/or will incurmedical special damages in an amount of $500,000.00; a loss of earning capacity in an amount of $2.5 million dollars, and general damages of$1,000,000.00. Claimant EMILY CHRIST has and/or will incur medical special damages in an amount of$100,000.00; a loss of earning capacity in the amount of $250,000.00, and general damages of$500,000.00. Dated: CAMPAGAOLkABELSON & CAMPAGNOLI By: Attorneys for Claimants JONATHAN CHRIST and EMILY CHRIST C"1 � Q yx ; 8 > ' tdp 1 s , o# H r: zH A H Ln c> r-� # rt hr It n rA 9Ho � t I ro rt 00 P tr K .0 to wt �orL C� �y rpt, � f . .... rxi ro to � Oone- wn �. ® �� ('''*A }��'�•y �''* ('+�y--(' LAW OFFICES OF OF/^+ -��{ A /''��'7� ''[� -MAR E13, BELSONNt7L1 CAMPAGNOLI ABELuSC.J1V & VAMP11\.3iV OL.I 415 211.1515 *SARK B,AHELSCN f FREDERIC A.CAMPAONOTA 1.20 MONTGOMERY STREET,SHITE 1100 FAX(415)421-2510 SAN FRANCISCO, CA 94104 ' i w j3 z November 10, 1998 L01,'-LERK BOARD 0-':7" Via Federal Express Clerk of the Board of Supervisors COUNTY OF CONTRA COSTA 651 Pine Street, #106 Martinez, CA 94553 In Re: Public Entity Claims of JONATHAN CHRIST and EMIL Y CHRIST Dear Clerk: Enclosed please find an original and one copy of a Claim For Damages Against the County of Contra Costa, submitted on behalf of JONATHAN CHRIST and EMILY CHRIST. Please return a stamped copy of the Claim acknowledging your receipt of same in the envelope provided. Thank you very much for your cooperation. Very...truly yus, NfA 1✓. ABELSON MBA.Ig Enclosure(s) MARE.B. ABELSON CAMPAGNOLI,ABELSON & CAMPAGNOLI �--- 120 Montgomery Street, Suite 1100 `- San Francisco, California 941041 _ , ;..y. 1 Attorneys for Claimants '}{�$°4Uo%,sIoscls TRA C. SIA CO. CLAIM FOR DAMAGES AGAINST COUNTY OF CONTRA COSTA TO: CLERK OF THE BOARD OF SUPERVISORS COUNTY OF CONTRA COSTA The following claims for damages are hereby made by and on behalf of JONATHAN CHRIST, by his guardian, RANDY CHRIST, and EMILY CHRIST, by her guardian RANDY CHRIST, and the particulars of the claims are as follows: A. Name and Address of Claimants: JONATHAN CHRIST, by his guardian, RANDY CHRIST, and EMILY CHRIST, by her guar d ian RANDY CHRIST C/O Mark B. Abelson, Esq. CAMPAGNOLI,ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, CA 94104 B. Address to Which Notices Are to be Sent: JONATHAN CHRIST, by his guardian, RANDY CHRIST, and.EMILY CHRIST, by her guardian RANDY CHRIST C/O Mark B. Abelson, Esq. CAMPAGNOLI, ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, CA 94104 C. Circumstances Which Give Rise to This Claim Descril2tion of Injuries and Damages to Claimants and Additional Circumstances Which Support This Claim: On May 12, 1998, JONATHAN CHRIST was driving his Datsun pickup truck eastbound on Concord Avenue, approximately one-quarter mile west of Creek Road, when this accident occurred. Claimant EMILY CHRIST was a passenger in the pickup truck. The roadway was the possession of the COUNTY OF CONTRA COSTA and the COUNTY OF CONTRA COSTA had the legal responsibility to control, maintain said avenue. As Claimant JONATHAN CHRISTentered a curve in the roadway, his vehicle encountered mud on the roadway, an obscured white line dividing the road from the shoulder (because of the presence of mud on the white) and a shoulder that was soft and muddy. All of these conditions taken singularly and jointly caused a dangerous condition and the COUNTY OF CONTRA COSTA had notice of the dangerous condition that existed at that time. Claimant JONATHAN CHRIST was caused to lase control of the Datsun pickup truck because of the above-stated dangerous conditions, and crossed over to the north side of Concord Avenue, causing his Datsun pickup to crash into a ditch on the north side of Concord Avenue. Claimant JONATHAN CHRIST was knocked unconscious and suffered injuries to his head and brain. Claimant JONATHAN CHRIST has suffered permanent damage to his brain. Claimant EMILY CHRIST was also injured by suffering injuries to her head and brain, and she had multiple cuts and abrasions and stitches. Claimant EMILY CHRIST has permanent injury and scarring as a result of the stitches and continues to have physical pain and suffering fiom her head injury. D. Amounts Claimed: Claimant JONATHAN CHRIST has and/or will incur medical special damages in an amount of $500,000.00; a loss of earning capacity in an amount of $2.5 million dollars, and general damages of$1,000,000.00. Claimant EMILY CHRIST has and/or will incur medical special damages in an amount of$100,000.00; a loss of earning capacity in the amount of $250,000.00, and general damages of$500,000.00. Dated. CAMPAILL`AIILSON & CAMPAGNOLI By: K MARK A. ABtLSON" Attorneys for Claimants JONATHAN CHRIST and EMILY CHRIST -2- MARK B. ABELSON CAMPAGNOLI,ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, California 94104 Attorneys for Claimants CLAIM FOR. DAMAGES AGAINST COUNTY OF CONTRA COSTA TO: CLERK OF THE BOARD OF SUPER'V'ISORS COUNTY OF CONTRA COSTA The following claims for damages are hereby made by and on behalf of JONATHAN CHRIST, by his guardian, RANDY CHRIST, and .EMILY CHRIST, by her guardian RANDY CHRIST, and the particulars of the claims are as follows: A. Name and Address of Claimants: JONATHAN CHRIST, by his guardian, RANDY CHRIST,' and EMILY CHRIST, by her guar&an RAND Y CHRIST CIO Mark B. Abelson, Esq. CAMPAGNOLI, ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, CA 94104 B. Address to Which Notices Are to be Sent: JONATHAN CHRIST, by his guardian, RANDY CHRIST, ' and EMILY CHRIST, by her guardian RANDY CHRIST CIO Mark B. Abelson, Esq, CAMPAGNOLI, ABELSON & CAMPAGNOLI 120 Montgomery Street, Suite 1100 San Francisco, CA 94104 C. Circumstances Which Give Rise to This Claim Description of Injuries and Damages to Claimants and Additional Circumstances Which Support This Claim: On May 72, 1998, JONATHAN CHRIST was diving his Datsun pickup truck eastbound on Concord Avenue, approximately one-quarter mile west of Creek Road, when this accident occurred. Claimant EMILY CHRIST was a passenger in the pickup truck. The roadway was the possession of the COUNTY OF CONTRA COSTA and the COUNTY OF CONTRA COSTA had the legalresponsibility to control, maintain said avenue. As Claimant JONATHAN CHRIST entered a curve in the roadway, his vehicle encountered mud on the roadway, an obscured white line dividing the road from the shoulder (because of the presence of mud on the white) and a shoulder that was soft and muddy. All of these conditions taken singularly and jointly caused a dangerous condition and the COUNTY OF CONTRA COSTA had notice of the dangerous condition that existed at that time. Claimant JONATHAN CHRIST was caused to lose control of the Datsun pickup truck because of the above-stated dangerous conditions, and crossed over to the north side of Concord Avenue, causing his Datsun pickup to crash into a ditch on the north side of Concord Avenue. Claimant JONATHAN CHRIST was knocked unconscious and suffered injuries to his head and brain. Claimant JONATHAN CHRIST has suffered permanent damage to his brain. Claimant EMILY CHRIST was also injured by suffering injuries to her head and brain, and she had multiple cuts and abrasions and stitches. Claimant EMILY CHRIST has permanent injury and scarring as a result of the stitches and continues to have physical pain and suffering fiom her head injury. D. Amounts Claimed: Claimant JONATHAN CHRIST has and/or will incur medical special damages in an amount of $500,000.00; a loss of earning capacity in an amount of $2.5 million dollars, and general damages of$1,0300,000.00. Claimant EMILY CHRIST has and/or will incur medical special damages in an amount of$100,000.00; a loss of earning capacity in the amount of $254,000.00, and genera da, ages of$500,000.00. Dated: CAMPA L LSON & CA P'AGNOLI By: �- MAR.I LSON Attorneys for Claimants JONATHAN CHRIST and EMILY CHRIST -2-