HomeMy WebLinkAboutMINUTES - 11142006 - C.47 I
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TO: I BOARD OF SUPERVISORS = •S =�.� Contra
FROM: William Walker, M.D., Health Services Director o, Ji;i�ri;,. _ ;;z Costa
DATE: November 14, 2006 Y
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___:`_.
A �o�� County
SUBJECT: APPOINTMENT TO THE EMERGENCY MEDICAL CARE COMMITTEE
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SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUNDIAND JUSTIFICATION
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RECOMMENDATION:
APPOINT the following people to the EmergencyiMedical Care Committee for a two-year
term with an expiration date of September 30, 2008:
American Red Cross Representative American Red Cross Alternate
Paula Andrews Donna Hoffman
Base Hospital — Contra Costa Contract California Highway Patrol Representative
Representative Mark Mulgrew
Lori Altabet
Communications Center Managers' Contra Costa Police Chiefs'
Association Representative Association Representative
Tim Hennessy Charles Gibson
CONTINUED ON ATTACHMENT: __GYES SIGNATURE:
.RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
PPROVE OTHER
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SIGNATURE(S): �
ACTION OF BO D NI�pV,» e►r T, 2XQb APPROVE AS RECOMMENDED O HER
VOTE OF SUPERVISORS
/ I HEREBY CERTIFY THAT THIS IS A TRUE
V UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
` AYES: NOES: aF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN: n I ��
ATTESTED 1�LbV� 2-CM
I JOHN CULLEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact,Person: Art Lathrop (925) 646=4699
Cc: EMS
Health Service Admin, 9Y: DEPUTY
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Contra Costa Sheriff— Coroner Hospital Council — East Bay Alternate
Alternate Jeffrey Leinen, MD
Kevin Ryan I
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Public Managers' Association Trauma Center— Contra Costa Contract
Alternate Alternate
Scott Hanin Kristin Santos, RN
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Page 2
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TO: BOARD OF SUPERVISORS —_• Contra
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FROM Costa William Walker, M.D., Health Servicgs Director o� �:�.;,;�;,,w� •`s
DATE: November 14' I 2006 ~` v County
_ .•fir
sra'couK'�
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SUBJECT: RE-APPOINTMENT TO THE EMERGENCY MEDICAL CARE
COMMITTEE
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SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
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RE-APPOINT the following people to the Emergency Medical Care Committee for a two-
year term with an expiration date of September 30, 2008:
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Alameda-Contra Costa Medical Ambulance Providers—Contra Costa
Association Alternate Contract Representative
Catherine Hurt, MD Leslie Mueller
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Emergency Department Physician Emergency Department Physician
Representative Alternate
Ellen Leng, MD Allan Drabinsky, MD
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EMS Training Institution Representative Contra Costa Sheriff— Coroner
Susan Garske Representative
Lisa Hoffman
CONTINUED ON ATTACHMENT:--YES SIGNATURE:
!RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
(APPROVE +_ OTHER
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SIGNATURE(S):
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ACTION OF BOARD ON APPROVE AS RECOMMENDED OTHER
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VOTE IOF SUPERVISORS.
I�HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
l AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN.
II ABSENT: ABSTAIN:
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ATTESTED
JOHN CULLEN,CLERK OF THE BOARD OF
j SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Art Lathrop (925) 646-4690
CC: EMS
Health Service Admin_ DEPUTY
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Hospital Council — East Bay Pdblic Provider Field Paramedic
Representative Representative
Renee Juster, RN D�rreil Lee
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Trauma Center— Contra Costa Contract
Representative
Kacey Hansen, RN
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LKovalef@hsd.cccount To: JLatteri@hsd.cccounty.us
y.us cc:
4
09/19/2006 01:15 PM Subject: ACCMA representatives on EMCC
Below is the ACCMA nomination/alternate for EMCC. L
Lauren Kovaleff, Assistant Director
Contra Costa County EMS
1340 Arnold Dr. , Suite 126
Martinez, CA 94507
(925) 646-4402 or
(925) 646-4690 ext208
fax: , (925) 313-8381
Please note new email address: lkovalef@hsd.cccounty.us
----i Forwarded by Lauren Kovaleff/Ccchsd on 09/19/2006 01:15 PM -----
"Donald Waters"
<dwaters@accma.or To:
<lkovalef@hsd.cccounty.us>
g> cc: " 'Paul M. Freitas'"
<pmfreitas@pacbell.net>, " 'Katie Hurt'"
<hurtkatie@comcast.net>
09/19/2006 12: 47 Subject: ACCMA representatives
on EMCC
PM
Lauren:
In follow-up to our conversation at the EMCC meeting last week, this is to
confirm that the ACCMA wishes to reappoint Doctor Paul_ Freitas to serve as
our representative and Doctor Catherine Hurt' to serve as our Alternate
Representative .on the Contra Costa Emergency Medical Care Committee:
Should you need any further information please contact me.
Thanks.
Donald Waters, Assistant Executive Director
Alameda-Contra Costa Medical Association
6230 Claremont Avenue
Oakland, CA 94618
Ph: (510) 654-5383
FAX: (510) 654-8959
E-mail: dwaters@accma.org
QS N; 143'7q `1 Z1� 3i 1
CONTRA COSTA COUNTY ADVISORY BOARDS,COMMISSIONS,OR
COMMITTEES APPLICATION FOILM
Name of Advisory Body applying for ��_..___: ._�.� -_ —•,
iii r�Application Form must be typed or hand printed
Name of Applicant: C(;�I'uinu �1• Lri _
Home Addrress: hynf;a �t/
N.�
rk �
City: l -+_1[WJ State: ZIP: q�7
Home Phone: rj � �1 71-(0b Work Phone:
Signature: Date:
Personal Experiences,Skills,and Interests
Education/Background:
Occupation/Employer:
J
Cc�„��fr1YU(C �`�(:� � by ��(;d���S
1
Community Activities:
Special Interests:
Information:
I. File completed application with Clerk of the Board.651 fine Street, Room 106, Martinez,CA 94553,
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements,
3. Address and other contactinformation provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day,usually once or twice a mnnth_
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. if you wish you may attach yoar resume.
Q�Qbt?a 90i L6££015 09:01 900Z'60 100
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"Mueller, Leslie" To: <LKovalef@hsd.co.contra-costa.ca.us>
' <Leslie_Mueller@amr cc:
ems.com> Subject: EMCC
09/13/2006 02:57 PM
Lauren-
This is to advise you that I am interested in serving as the Ambulance Providers representative to the
EMCC. If another agency wishes to serve as well, I would accept the alternate role.
Thank you,
Leslie
Leslie K. Mueller
Director of Operations
American Medical Response
Contra Costa County Division
5151 Port Chicago Highway
Concord, CA 94520
Office: 888 267-6591 x88024
Nextel: 925 250-5835
Fax: 925 602-1306
The information in this e-mail transmission,or the documents accompanying this e-mail transmission,may contain
confidential health information that is legally protected by state and federal law, including,but not limited to the
Health Insurance Portability and Accountability Act of 1996 and related regulations. This information is intended
only for the use of the individual or entity to whom this e-mail transmission is addressed. If you are not the intended
recipient of this information,or if you are not properly authorized to receive this information;you are hereby notified
that any disclosure,copying,distribution or action taken in reliance on the contents of this e-mail or the attached
documents is strictly prohibited.If you have received this information in error,please notify the sender immediately
by sending a reply e-mail indicating that you have arranged for the deletion of this a=mail and a destruction of this
e-mail and any attached documents.
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
� .
Name of Advisory Body applying for
Application Form must be typed or hand printed
Name of Applicant: k-ki t'C e—,,( I �—
Home Address: l a 10 (W moi/ 1.) U 0 i-0 P)"ezC
City: 0aj V'I,u 1L �G�—�—� State:C +— ZIP:
Home Phone; a F 7— 9 "S-w Work Phone:
Signature: Date:
P rson xperiences, Skills, and Interests
Education/Background:
Occupation/Employer:
Community Activities:
Special Interests:
Information:
1. File completed application with Clerk of the Board. 651 Pine Street, Room 106, Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day, usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resume.
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II LKovalef@hsd.cccount To: JLatteri@hsd.cccou6ty.us
y.us cc:
08/09/2006 11:39 AM
Subject: RE: EMCC nominations I -direction on sending requests
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So we have a change on the trauma alternate already. Would you please note
this onithe email from Bev? Bev might resend as well--will let you know.
Lauren
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Lauren Kovaleff, Assistant Director
Contra Costa County'EMS I
1340 Arnold Dr. , Suite 126
Martinez, CA 94507
(925) 6,46-4402 or
(925) 6;46-4690 ext208
fax: (925) 313-8381
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Pleasejnote new email address: lkovalef@hsd.cccounty.us
----- Forwarded by Lauren Kovaleff/Ccchsd on 08/09/2006 11:37 AM -----
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"Kacey Hansen"
<Kacey.Hansen@johnmuir I To:
<LKovalef@hsd.cccounty.us>, "Bev Jones" <Bev.IJones@johnmuirhealth.com>
health.com> cc: "Julie Crouse"
<Julie;.Crouse@johnmuirhealth.com> I
Subject: RE: EMCC
nominations - direction on sending requests
08/09/2006 10:49 AM
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One change - please make Kristin Santos my alternative.
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KaceylA. Hansen, RN
Trauma Program Director
John Muir Medical Center - Walnut Creek Campus
1601 IYgnacio Valley Road I
Walnut Creek, CA 94598
Ph. 9'25-947-5224
Fax 9'25-947-3220
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----;Original Message-----
From:l LKovalef@hsd.cccounty.us [mailto:LKovalef@hsd.cccounty.us]
Senti! Tuesday, August 08, 2006 5:21 PM
To: Bev Jones
Cc: Kacey Hansen; Julie Crouse
Subject: RE: EMCC nominations - direction on sending requests
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Thanks, Bev - I 'll go ahead and process them for Board of Sups
appolintment.
Lauren
Lauren Kovaleff, Assistant Director
Contlira Costa County EMS
13401 Arnold Dr. , Suite 126
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Martinez, CA 94507
(925) 646-4402 or
(925) 646-4690 ext208
fax: (925) 313-8381
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Please 'note new email address: lkovalef@hsd.cccounty.us
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"Bev Jones"
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r <Bev.Jones@johnmuir To:
<LKovalef@hsd.cccounty.us>
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i! health.com> I cc: "Kacey
Hansen" <Kacey.Hansen@johnmuirhealth.com>, "Julie Crouse"
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<Julie.Crouse@johnmuirhealth.com>
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1 08/08/2006 05:11 PM Subject: RE: EMCC
nominations - direction on sending requests I
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My recommendations would be the following; I
Base Station Rep--Lori Altabetiwith Julie Crouse being the
alternative. I
Trauma representative-Kacey Hanson with Dee Scott being the
alternative.
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----;Original Message-----
From: LKovalef@hsd.cccounty.us [mailto:LKovalef@hsd.cccounty.us]
Sent:' Tuesday, August 08, 2006 1:50 PM
To: Bev Jones
Subject: RE: .EMCC nominations - direction op sending requests
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For base we currently have Julie Crouse as member and Lori as alternate,
although Lori attends the meetings.
For trauma we currently have Kacey as member and no one as alternate.
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Lauren Kovaleff, Assistant Director
Contra Costa County EMS
1340IIArnold Dr. , Suite 126
Martinez, CA 94507
(9251) 646-4402 or
(9251) 646-4690 ext208
fax:i1 (925) 313-8381
Plealse note new email address: lkovalef@hsd.cccounty.us
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
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Name of Advisory Body applying for
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Application Form must
be typed or hand printed
Name of Applicant: 1—n�( /
AL An_ �C
Home AddriC
I'ess: } i ��<� -f-
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City: C State: �� ZIP:
Home Phone: g Z S Work Phone: Z 1Z 7 3
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Signature: Date:
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Personal Experiences, Skills, and Interests
Education/Background:
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Occupation/Employer:
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Community Activities:
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Special Interests:
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Information:
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1. File completed application with Clerk of the Board. 651 Pine Street, Room 106, Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or,in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day,usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resumd. i
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"Scott Daly" To: <Jlatteri@hsd.cccounty.us>
` <SDaly@so.co.contra- cc: "Dale Morrison" <DMorr@so.co.contra-costa.ca.us>, "Kevin Ryan"
' costa.ca.us> <KRyan@so.co.contra-costa.ca.us>,"Lisa Hoffmann"
<LHoff@so.co.contra-costa.ca.us>
08/17/2006 03:49 PM Subject: Representative--Contra Costa Emergency Medical Care Committee
(EMCC)
At your request, the Office of the Sheriff, Contra Costa County, has
designated a representative and an alternate for the next term of the
Emergency Medical Care Committee. Communications Director' Lisa -Hoffmann -will
w
remain as our primary representative, Captain Kevin Ryan ill now be our
alternate.
If you have any questions, I can be reached at (925) 313-2740.
10/05/2006 18:04 9253132479 CCC SHERIFF DISPATCH PAGE 02
CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR COMMITTEES
APPLICATION FORM
Name of Advisory Body applying for: Emergency Medical Care Committee
Application Form must be typed or hand printed
Name of Applicant: Lisa Hoffmann
Home Address2226 Greenidge Drive
City: El Sobrante State: CA Zip: 94803
Home Phone: 510-758-53,2S Work Phone: 925-313-2454
Signature: Date: - -
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Personal Experiences,Skills,and Interests
Education/Background:
Occupatcon/Employer:
Communications Center Director for the Contra Costa County Office ofthe.Sheriff
651 Pine Street,Martinez, CA.94553
925-313-2454
Community Activities:
Special Interests:
Information:
I File completed application with Clerk of the Board. 651 Pine Street,Room 106,Martinez, CA 94553,
2 Members of some advisory bodies may be required to file annual Conflict of Interest Statements,
3 Address and other contact information provided on this application will be accessible to the general public.
4 Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation-
5 Meetings may be held either in the evenings or during the day,usually once or twice a month,
6 Some boards assign members to subcommittees or work groups requiring additional time-
7 If you wish you may attach.your resume.
Contra Costa Emergency Medical Care Committee -F;
Emergency Department Physician Representative
From Dr. Alice Hunter
I am recommending the following individual for appointment by the Contra Costa
Board of Supervisors as the Emergency Department Physician representative to
the Contra Costa Emergency Medical Care Committee as either a member or
alternate member.
Name: �—�- ' L
Address:
11 J C
Phone #:
e-mail:
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Employer:
You may either mail this form to the EMS Agency at 1340 Arnold Drive, Suite
126, Martinez, CA 94553, or you may email the information to
jlatteri@hsd.cccounty.us. You will be notified once the Board of Supervisors
makes the Emergency Department Physician appointment.
John Muir Medical Center, Walnut Creek
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PHaII hsd.cccoun
@ ty.0 To: JLatteri@hsd.cccounty.us
s cc: Ikovalef@hsd.cccounty.us
08/28/2006 03:11 PM Subject: EMCC Member Nom
Dr. Leinen, Medical Director, Sutter Delta, called to nominate Ellen Leng
as the ED Physicians' representative to the EMCC. He called his nom in
since Friday was the deadline, he will also forward a note.
Pam Hall
EMS
Contra Costa County.
1340 !Arnold, Suite 126
Martinez, CA 94509
Ph: 925 646-4690
Fx: 925 646-4379
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
Name of Advisory Body applying for
plication Form must be typed or hand printed
Name of Applicant: Ore. V�U'��
Home Address: ` �� 7) CGS,,°—j
City: Uy �,� L�'��L State: ZIP: `l
Home Phone: ^ Z `} Work Phone:
Signature: Date: ( �
Personal Experiences, Skills,and Interests
Education/Background:
t Sties ,,
Occupation/Employer:
1
1 e�.n
Community Activities:
Special Interests:. lr�ti� S
Information:
1. File completed application with Clerk of the Board. 651 Pine Street,Room 106,Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day, usually once or twice a month.
6. Some-boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resume.
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David Birdsall To: jlatteri@hsd.ccdounty.us
<MDBirdsall@aol.com> m-Allan Drabinsky<APDMED@aol.com>
Subject: Dr.Allan Drabinsky
09/13/2006 09:09 PM I
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To whom it may concern:
I would like to nominate Dr. Drabinsky to Icontinue on the EMCC
committee. I believe that he would be a valuable asset to this group.
Sincerely,
David A Birdsall MD
Medical Director
John Muir Concord Campus
Emergency Department
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
Name of 'Advisory Body applying for
Application Form must be typed or hand printed
Name of Applicant: &I AA, Jbm&xysley
Home Address: 302
City: A-)RzQ 61K 6KE&1<- State: C-4 ZIP:
Home Phone: . -' �� � � Work Phone:
w
Signature: � —�-- � ��� Date:
i"
Personal Experiences, Skills, and Interests
Education/Background:
/h
Occupation/Employer:
Community Activities:
Special Interests:
Information:
1. File completed application with Clerk of the Board. 651 Pine Street,Room 106,Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this I application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
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5. Meetings may be held either in the evenings or during the day, usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resume.
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Contra Costa Emergency Medical Care Committee
EMS Training Institutio6 Representative
Received from Susan Garske
I am recommending the following individual for appointment by the Contra Costa
Board of Supervisors as the EMS Training Institution representative to the Contra
Costa Emeraenry Medical Care Committee as either a member or alternate
member.
Name:
Address:
Phone #: ��S �6 ,y� ��j ��(J k Z-7 3
rr II D
le-mail: Y1��c `tri 14 �' S(f, ,A-r.
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iEmployer:
i
You may either mail this form to the EMS Agency at 1340 Arnold Drive, Suite
126, Martinez, CA 94553, or you may email the information to
jlatteri@hsd.cccounty.us. You will be notifigd once the Board of Supervisors
(makes the EMS Training Institution appointment.
Mt. Diablo Adult Education
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS,OR
CONIMI <'TEES APPLICATION FORAM
Name of Advisory Body applying for
Application Form must be typed or hand printed
Name of Applicant: k
Home Mdress: /0 4,0 h
City: i i c-i`q tate: C4- Zlp:
7� ` - r " �� � 7 �U X �� YHome Phone:
Signature: �y: �. Date fZSIXA26
.Personal Experiences,Shills,and Interests
Education/Background:
Occupation/Employer:
ald��ua. r a dv
Hcf ail. 14-aLu It c ta. ja,�
Community Activities:
Special Interests:
Information:
1. File completed application with Clerk of the Board. 651 Pine Street,Room 106,Martinez,CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day,usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resume.
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"Rebecca Rozen" To: <jlatteri@hsd.cccounty.us>
<rrozen hos italcoun cc:
cil.net> Subject: Nominations for the Emergency Medical Care Committee .
'-.
+ 10/16/2006 04:12 PM �
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Juleine,
The Hospital Council, East Bay Section is pleased to submit our recommendations below for a member
and alternate member to serve on the Contra Costa Emergency Medical Care Committee. I look forward
to hearing back from you regarding the appointments. Thank you!
I
Rebecca
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Member Recommendation
-Renee Juster, RN
Director of Emergency Services
John Muir Medical Center, Concord
2540 East Street
Concord, CA 94520
(925) 674-2337 .
renee.juster@johnmuirhealth.com
Alternate Recommendation
Jeffrey J. Leinen, MD, FACEP
Medical Director, Emergency Department
Sutter Delta Medical Center
3901 Lone Tree Way
Antioch, CA 94509
(925) 779-7273 —office
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(707) 318-5903—cell
leinenmd@comcast.net
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Rebecca Rozen
Regional Vice President
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Oct 17 06 01:31pp.2
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS,OR
COMAUTTEES APPLICATION FORM
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Name of Advisory Body applying for
le � �� 6ommlMee�-
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Application Form mast be typ d or hand printed
/, c
Name of Applicant: i?e4q 1C'L �U J 'vl
Home Address: \ v
City: State: ZIP: O. ! 1
Home Phone: �oZ —��� >� Work Phone: a�� —
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Signature: Date:
Personal Experi aces,Skills,and Interests
Education/Background:
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Occupation/Employer: J\ se
To n
Community Activities: �" 64- Gam' Co C" C� p uS
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Special Interests:
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Information:
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1. File completed application with Clerk of the Board. 65],Pine Street,Room 106,Martinez,CA 94553.
2. Members of some advisory bodies may be required to fide annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day,usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. lfl:you wish you may attach your resum6.
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Oct 16 06 09:15a p.1
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(CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMWITTEES APPLICATION FORM
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Name of Advisory Body applying for
Application Form must be typed or hand printed
Name of Applicant: '1T5
Home Address: 6 �R ��� ✓ C' ��
f d
City: G✓ � State: Ga ZIP:
Home Phone: `7 T- a�� �� 6 Work Phone: 7 d 7 - 3
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Signature: I Date:
Personal;Experienc Ils,and Interests
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1 CALIFORNIA
EMERGENCY
JWPHYSICIANS
MEDICAL GROUP
Occupatiotv'Employe r:
Jeffery J. Wrien, MD, FACEP
ED Medical Director
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Sutter pelta Medical Center
3901 Lone Tree Way ED 925.779.7273
1tleS:
Antioch.CA 94509 Admin.Office 925.779.3522
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S terests.
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Information:
1. File completed application with Clerk of the Board.651 Pine Street, Room 106, Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements,
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day, usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resum6.
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LKovalef@hsd.cccount To: JLatteri@hsd.cccounty.us
y.us cc:
Subject: FW: EMCC
08/28/2006 03:40 PM
Here's another - hope not too informal. This is for the Public Paramedic
position.
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Lauren Kovaleff, Assistant Director
Contra Costa County EMS .
1340I!Arnold Dr. , Suite 126
Martinez, CA 94507
(925)1 646-4402 or
(925j 646-4690 ext208
fax: � (925) 313-8381
Please note new email address: lkovalef@hsld.cccounty.us
----- Forwarded by Lauren Kovaleff/Ccchsd on 08/28/2006 03:40 PM -----
"Cox, Bob"
<BCox@mofd.org> To:
<LKovalef@hsd.co.contra-costa.ca.us>
cc:
08/28/2006 03:30 Subject: FW: EMCC
PM
Hi Lauren, ..
I hope this isn't too late?
Bob
Bob Cox
Battalion Chief - Training/EMS
Moraga-Orinda Fire District
office: (925) 258-4511
cell: (925) 260-4098
fax 1: (925) 376-1699
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-----Original Message-----
From: Lee, Darrell
Sent: Monday, August 14, 2006 9:26 PM
To: Cox, Bob
Subject: EMCC
Here's my letter to support my intereist in the Public Provider
Paramedic
Darrell R. Lee
Captain Paramedic /EMS Coordinator
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Moraga-Orinda Fire District
DHS/ FEMA/ DMAT CA-6
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925.258.4599
925.260.5284 Nextel
(See attached file: EMCC Application Letter 06.doc)
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EMCC Application Letter 06.doc
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
Name ofAdviso Bod applying for m C
rY Y
Application
Form must be typed or hand printed
Name of Applicant:
Home Address:
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City: -���+k S�tate: C4 zip: X1 3
Home Phone: O �� Work Phone:
Signature: Date: 1 Q
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Personal Experiences, Skills, and Interests
Education/Background:
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Occupatiin/Employer: ,f:,,y C a
Community Activities:
Gal
Special Interests: C—yv�GC
Information:
1. File completed application with Clerk of the Board. 651 Pine Street,Room 106, Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez o in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day,usually once or twice a month.
6. Some boards assign members to subcommittees or wort groups requiring additional time.
7. If you wish you may attach your resum6.
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�I LKovalef@hsd.cccount To: JLatteri@hsd.cccodnty.us
y.us cc:
w �I 08/09/2006 11:39 AM Subject: RE: EMCC nominations-direction on sending requests
I
So we have a change on the trauma alternate already. Would you please note
this on the email from Bev? Bev might resend; as well--will let you know.
Lauren
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Lauren 'Kovaleff, Assistant Director
Contra.Costa County EMS
1340 Arnold Dr. , Suite 126
Martinez, CA 94507
(925) 646-4402 or
(925) 646-4690 ext208
fax: (925) 313-8381
Please note new email address: lkovalef@hsd;cccounty.us
----- Forwarded by Lauren Kovaleff/Ccchsd on �08/09/2006 11:37 AM -----
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"Kacey Hansen"
<Kacey.Hansen@johnmuirl To:
<LKovalef@hsd.cccounty.us>, "Bev Jones" <Bev.Jones@johnmuirhealth.com>
health.com> cc: "Julie Crouse"
<Julie.Crouse@johnmuirhealth.com>
Subject: RE: EMCC
nominations - direction on sending requests
08/09/2006 10:49 AM
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One change - please make Kristin Santos my alternative.
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Kacey A. Hansen, RN
Trauma Program Director
John[Muir Medical Center - Walnut Creek Campus
16011.Ygnacio Valley Road
Walnut Creek, CA 94598
Ph. 925-947-5224
Fax 925-947-3220
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----�-Original Message-----
From: LKovalef@hsd.cccounty.us [mailto:LKovalef@hsd.cccounty.us]
Sent: Tuesday, August 08, 2006 5:21 PM
To: jBev Jones
Cc: lKacey Hansen; Julie Crouse
Subject: RE: EMCC nominations - direction on sending requests
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Thanks, Bev - I'll go ahead and process them for Board of Sups
applointment.
Lauren
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Lauren Kovaleff, Assistant Director
CoAra Costa County EMS
13410 Arnold Dr. , Suite 126
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Martinez, CA 94507
(925) 646-4402 or
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(925) 646-4690 ext208
fax: (925) 313-8381
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Please' note new email address: lkovalef@hsd.cccounty.us
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"Bev Jones"
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<Bev.Jones@johnmuir To:
<LKovalef@hsd.cccounty.us>
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health.com> cc: "Kacey
Hansen" <Kacey.Hansen@johnmuirhealth.com>, "Julie Crouse"
<Julie.Crouse@johnmuirhealth.com>
08/08/2006 05: 11 PM Subject: RE: EMCC
nominations - direction on sending requests
My recommendations would be the following;
Base Station Rep--Lori Altabet with Julie Crouse being the
alternative. _
Trauma representative-Kacey Hanson with Dee Scott being the
alternative.
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----Original Message-----
From: LKovalef@hsd.cccounty.us [mailto:LKovalef@hsd.cccounty.us)
Sentl`. Tuesday, August 08, 2006 1:50 PM
To: Bev Jones
Subjiect: RE: EMCC nominations - direction on sending requests
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For ,base we currently have Julie Crouse as member and Lori as alternate,
although Lori attends the meetings. ,
Foritrauma we currently have Kacey as member and no one as alternate.
Lauren Kovaleff, Assistant Director
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Contra Costa County EMS
1340 Arnold Dr. , Suite 126
Martinez, CA 94507
(925) 646-4402 or
(925) 646-4690 ext208
fax: (925) 313-8381
Please note new email address: lkovalef@hsd.cccounty.us
f ' .
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Oct 20 06109: 20a P• 1
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
Name of Advisory Body applying for Eire e d�ie��-/
Application Form must be typed or hand printed
Name of Applicant: A—'a
44errte Address: /6 O/
City: State: Cq ZIP: 9'/S99
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HrnriePhone: Work Phone:
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Signature: Date:
Personal Experiences, Skills,and Interests 4Q (/(L 7'� C f e
Education/Background:
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Occupati LEmployer: '
VN rv,v v- m e�•
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Community Activities:
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Post-it°'Fax Note 7871
Dat1
t.
pg0ZaLaes
TqV�/ �/;J
coJoePt. co.
Special IIterests:
/n
Phone# Phone# 951-7-5:2-2-91'
I, Fax# 3/3 —83 4/ Fax#
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Information:
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1. File completed application with Clerk of the Board. 651 Pine Street, Room 106,Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day, usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resume.
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Contra Costa Emergency Medical Care Committee
American Red Cross Representative
(Received from Paula Andrews)
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I am recommending the following individuals for appointment by the Contra
Costa Board of Supervisors as the representative to the Contra Costa
Emeraencv Medica! Care Committee as eitheria member or alternate member.
Member Recommendation
Name: 4 F w
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Address: �� 7 /7/�z �L p2
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Phone #:
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e mail: pC�)uL_ a i a Co.) S be. v�c? n if
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Employer: AperiCan leed (�-os5 JLOZ410 eer
Alternate Recommendation
Name: 6112sa 40�EVYVIr.
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Address:
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Phone
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e-mail: 01
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Employer: DS>
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You may either mail this form to the EMS Agency at 1340 Arnold Drive, Suite
126, Martinez, CA 94553, or you may email;the information to
jlatteri@hsd.cccounty.us. You will be notified once the Board of Supervisors
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makes the American Red Cross appointments.
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
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Name of Advisory Body applying for 6/Y!f gCFW C I-� rn f D i C A I- Od re
Application Form must be typed or hand printed
Name of Applicant: 7a u c. a -J -AA-1 D 2 0 w
Home Address: d,4 Z,E
City: P L EA S A N r 4 :1,1, State: CA ZIP:
Home Phone:C�1' 5) G v Y 3 3 Work Phone: N//I
II
Signature: ', Date:
Personal Experiences, Skills, and Interests
Education/Background: re r-
i n v s'r ti
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Occupatiori/Employer: e.T i rz r v 1J
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Community Activities:
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Special Interests:
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Information:
1. File completed application with Clerk of the Board. 651 Pine Street, Room 106,Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
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4. Meetings of advisory bodies may be held in Martinez or,in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day,usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resum6.
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COWR-A COSTA COUNTY ADVISORY BOARDS,
co-:mf.Ni rr-rEES A.-PPI.-KATION F Of
N.anie ofA.dvlsory Rody applying I')r
Application Form must he typed or hand I)HF
�A
Nanj�e oi- /-�ppj ICIIIIII: 'U
Home Address., T-
S lite:
C I t
Hoi ie Phone- Pht e:
oi
SW,katLIN:
Personal Experiences, Skills, and Intuests
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06C u Pa t 1,C-)n/1---m P 10' e I"
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Ce'immunity Activities:
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Contra Costa Emergency Medical Care Committee
California Highway Patrol Representative
From Captain Jim Cahoon
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I am recommending the following individuals for appointment by the Contra
Costa Board of Supervisors as the representative to the Contra Costa
Emergency Medical Care Committee as either a member or alternate member.
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Member Recommendation
Name: �AUL6&Z-,_j
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Address: .Soo k Q LSM +2-D
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Phone #: 9225- C.q(,- q 18.0
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e-mail: M aty L-G2.F-00 e,*f. C4. 6oV
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Employer: CALjr-arLJ ,A J1r.14-WAY el*-MOL-
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Alternate Recommendation
Name: L--r. C LAWa wP�u..Ac I
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Address: _Sc�o 6 LURA
AAAf1-T,rj Z? G4 '-f q5�5_3
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Phone #: y�-�- 6Y6_ rf99
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e-mail: c wAL.L_,4c::& {P.C A. !tea v
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Employer: r ,q.`,FrL#jt,4 th6.A .,*Y P.+�26�
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You may either mail this form to the EMS Agency at 1340 Arnold Drive, Suite
126, Martinez, CA 94553, or you may email;the information to
jlatteri@hsd.cccounty.us. You will be notified once the Board of Supervisors
;makes the California Highway Patrol appointments.
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OCT-06-2006 11:27 CHP MARTINEZ 9256464990 P.02
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(CONTRA COS'T'A COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
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Name of Advisory Body applying forCs Kga-Ga,s c.•t KtO&c:4L c6" c t-4&k i-r ee
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Application Form must be typed or hand printed
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Name of Applicant: _t-AIAN11, P4ULt6&Z1.J -
Home Address; seat S i or-A P.&A0
City: Staite: _CA ZIP: 94(S53
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Home Phone: Work Phone; 4 Z S 6q&- u 9ro
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Signature. i Date: j o lG/o
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Personal Experiences,Skills, and Interests
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Education/Background:
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Occupation Employer: L �,--r,�,.�,a.,�r� CA. R i cs K0hy ?&-r2*L
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Community Activities:
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Special Interests:
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Information:
1. File completed application with Clerk of the Board. 651 Pine Street, Room 106, Martinez, CA 94553.
2. Members of some advisory bodies may be required to file iannual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the iday,usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resum6.
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TOTAL P.02
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II "Tim Hennessy" To: <latteri hsd.cccount •us>
<THenn@so.co.contra- cc: <bfins@cccfpd.org>, "Lisa Hoffmann"
costa.ca.us> <LHoff@so.co.contra-costa.ca.us>, <Csuter@srvfire.gov>
08/18/2006 01:03 PM
Subject: CCMA Appointees for EMCC
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I will: be the CCMA member.;
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Tim Hennessy
Contra' Costa County Office of the Sheriff
40 Glacier Drive
Martinez, CA 94553
thenn@.i,so.cccounty.us
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Voice:) 925.313.2461
Cell: ;925.595.3859
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My alternate will be Brent Finster. His contact info remains the same. -
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Please contact me should you have any questions.
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Tim Hennessy, ENP
Communications Training Supervisor
Contra Costa County Office of the Sheriff
40 Glacier Drive
Martinez, CA 94553
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Voice': 925.313.2461
Fax: ;925.313.2479
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Email: thenn@so.co.contra-costa.ca.us
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
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�Name of Advisory Body applying for M C--� _
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Application Form must be typed or hand printed
Name of Applicant: '11A4 Off! /-/-U/Vit/t53
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Home Address: POL-I C gag c Gi
City: _&Ael-ZA EL State: 0y ZIP: G!c/C'">Z
Home Phone: Work Phone: Lj Z S44
Signatur . '-4 Date: ( 3-.
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Personal Experiences, S "' , anderests
Education/Background:
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C44uLumi6-4-T/avS Jnr )
Occupation/Employer:
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Community Activities:
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Special Interests:
,Vt LA;n C&SciAU tJ l N(ii� �3
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Information:
1. File completed application with Clerk of the Board. 651 Pine Street, Room 106, Martinez, CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day, usually once or twice a month.
6. Some boards assign members to subcommittees or workgroups requiring additional time.
7. If you wish you may attach your resume.
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I. "Aaron Baker" To: <jlatteri@hsd.cccounty.us>
,`:• <abaker@ci.pittsburg.c cc: "C Gibson"<CGibson@dvc.edu>
a.us> Subject: Contra Costa County Police Chiefs'Assoc.
A-Z 09/29/2006 09:40 AM
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Good morning Ms. Latteri. The Contra Costa County Police Chiefs'Association would like to recommend
Chief Charles Gibson as our representative for appointment to the Contra Costa Emergency Medical
Care Committee (EMCC). Chief Gibson is.the Police Chief for the Contra Costa Community College
District, is highly recommended by our Association, and would be an excellent committee member. I
strongly recommend Chief Gibson for this appointment by the Board of Supervisors. Feel free to contact
me should you have any questions at(925)252-4987, or reply to this email. Chief Gibson's can be
reached at:
Chief Charles Gibson
CCC Community College District
500 Court St.
Martinez, CA 94553-1278
Business telephone: 686-5547
Email: cgibson@dvc.edu
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Sincerely,
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Aaron L. Baker, Pittsburg Police Chief
Chairman, CCC Chiefs' Assoc
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OCT-2-2006 02:23P FROM:DISTRICT POLICE DVC 9256850812 TO:19253138391 P.1
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
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Name of Advisory Body applying for
SNI c C
Application Form must be tybed or hand printed
�y L I
Name of Applicant: 0—�A.V I CS f� t b�SD,J
Home Address:
Pt').Zo x OR 111.3
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City: ICL .SBARAA L State: ZIP: 9�
Home Phone: 1® d� — �'aD� Work Phone: 02.:�i Q
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Signature: i Date: .
Personal Experiences,Skills,and Interests
Education/Background:
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Occupation/Employer: P6 NO—;:' ate
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r' Community Activities:
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Special Interests:
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Information:
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I. File completed application with Clerk of the Board. 651, Pine Street, Room 106, Martinez,CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on thisl application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day, usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If,you wish you may attach your resum6.
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"Scott Daly" To: <Jlatteri@hsd.eccounty.us>
<SDaly@so.co.contra- cc: "Dale Morrison'<DMorr@so.co.contra-costa.ca.us>,"Kevin Ryan"
costa.ca.us> <KRyan@so.co.contra-costa.ca.us>,"Lisa Hoffmann"
<LHoff@so.col.contra-costa.ca.us>
08/17/2006 03:49 PM Subject: Representatives Contra Costa Emergency Medical Care Committee
(EMCC)
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At your request, the Office of the Sheriff,) Contra Costa County, has
designated a representative and an alternate for the next term of the
Emergency Medical Care Committee. Communications Director Lisa Hoffmann will
remain as our primary representative, Captain Kevin Ryan will now be our
alternate. lI
If you have any questions, I can be reached at (925) 313-2740.
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OCT. 23. 2006 9:51AM EMERGENCY SERVICES I N0. 0319 P. 2
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CONTRA COSTA COUNTY ADVISORY iOARDS,CONaUSSIiONS,OR
COMMMES APPLICATION FORM
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Name of Advisory Y applying
Bodfor
Application Form must be typed or hand printed
Name of Applicant:_KEVIN PYAV
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Home Address: &Q G LAX-1 F. DR,
City: NAT &)F-Z' State:-CA-_,Zw: g�{5
Home Phone: - Work Phone: }_ �{vre'- �{ G r
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Signature: — I Date: /a- 17-Ore _
Personal Eape ences,Shills ind Interests 1
Education/Background:-
BA
ducation/Backgrou nd:$A STATE uui V, OF A;EW YOU, FR O010A - LAIA/ i TcJ5T 1 cE
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Occupation/Employa.
cAPTA1ti - oFF1cz DF TRS SHFkiFF cuRAwTz,Y 5EAvWce AS
TT45 FMF-AGFWC'Y vAcF-6 DIV15110Al CoMMAA)D P2 AA1, 1AEt--rO�
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Community Activities:
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Information:
1_ File completed application with Clerk-of the Board. 651 Pine Street,Room 106,Martinez,CA 94553.
2. Members of soxne advisory bodies may be required to file anmial Conflict of Xuterest Statements.
3. Address and other contact information provided on this 6pplication will be accessible to the general public.
4_ Meetings of advisory bodies may be held in Martinez of in areas not accessible by public transportation.
5. Meetings may be held either in the evenWgs or during The day,usually once or twice a mowk
6. "§ome boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resum6.
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r 'Rebecca Rozen" To: <jlatteri@hsd.cccounty.us>
<rrozen hos italcoun cc:
' cil.net> Subject: Nominations for the Emergency Medical Care Committee
10/16/2006 04:12 PM
Juleine,
The Hospital Council, East Bay Section is pleased to submit our recommendations below for a member
and alternate member to serve on the Contra Costa Emergency Medical Care Committee. I look forward
to hearing back from you regarding the appointments. Thank you!
Rebecca
Member Recommendation
Renee Juster, RN
Director of Emergency Services
John Muir Medical Center, Concord
2540 East Street
Concord, CA 94520
(925) 674-2337
renee.juster@johnmuirhealth.com
Alternate Recommendation
Jeffrey J. Leinen, MD, FACEP
Medical Director, Emergency Department
Sutter Delta Medical Center
3901 Lone Tree Way
Antioch, CA 94509
(925)779-7273 —office
(707) 318-5903 —cell
leinenmd@comcast.net
Rebecca Rozen
Regional Vice President
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COIVINUTTEES APPLICATION FORM
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amc of Advisory Body applying for
Application Form must be typ d or hand printed
Name of Applicant: I?e4n+
Home Address: \ v-�—
City: 1�i�4State: C- _ZIP:
Home Phone: Clot Work Phone: q a�` 6 —7 9 a
Signature: R W o Date: l r
Personal Experi nces,Skills,and Interests
Education/Background:
Occupation/Employer: Jae
�G-'4 (
Gommuni ry Activities:
6zl '/ cc)J/C, us
Special Interests:
Information:
1. File completed application with Clerk of the Board. 651 Pine Street,Room 106,Martinez,CA 94553.
2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day,usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If.you wish you may attach your resum6.
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(CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
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Name of Advisory Body applying for
� G c--
Application
Application Form must be typed dr hand printed
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Name of Applicant: '1'�5 "�I-" y --Ir L 119--.;"-"
Home Address: e CP �< ��� Y C. e- 'e—
city:
e-Ciry: State G 4- ZIP:
Home Phone: ' r -7 2 a/_ �� 6 Work Phone: 7 0 7 - 3 /g- .9-"r D ,7
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Signature: Date: �� / G
Personal Erperienc • lis,and Interests
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,CALIFORNIA
EMERGENCY(
BPHYSICIANS 1
MEDICAL GROUP
Occupatioty Employer:
Jeffery J. Leinen, MD, FACEP
ED Medical Director
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Sutter Delta Medical Center
3901 Lone Tree Way I ED 925.779.7273
C1?t ItieS: Antioch,CA 94509 1 Admin.Office 925.779.3522
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S nterests:
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1. File completed application with Clerk of the Board. 651 Pine Street, Room 106; Martinez, CA 94553,
2. Members of some advisory bodies may be required to file annual Conflict of interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the day, usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you wish you may attach your resumd.
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"Scott Hanin" To: <jlatteri@hsd.cccounty.us>
<shanin@ci.el-cerHto.c cc:
a.us> Subject: EMCC
09/19/2006 03:04 PM
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The PMA Appointments are:
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Belinda Espinosa, CM—Pinole- Bespinosa(aDci.ginole.ca.us
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And myself as Alternate
Scott Hanin'
City Manager
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City of EI Cerrito
shanin(a)_ci.el-cerrito.ca.us
10890 San Pablo Avenue
EI Cerrito, CA 94530
510-215-4301
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www.el-cerrito.org
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CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
COMMITTEES APPLICATION FORM
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Name of Advisory Body applying for: Emergency Medical Care Committee
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Application Form must be typed or hand printed
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Name of Applicant: Ilome Address: 1 Fletcher Court
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City: State: LII': Alameda, CA 94501 1
Home Phone: 510- - 308 Work Phone: 510-215-4:01
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Signature: _
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Date: OCtuber 5,2006
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Personal Experiences,Skills,and Interests
Ed ucation/Back ground,
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Occupation/Employer: City of El Cerrito, City Manager
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Special Interests:
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Information:
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1 File completed application with Clerk of the Board. 6S 1 Pine Street,Room 106, Martinez,CA 04553.
file 2 Members of some advisory bodies may be required tole annual Conflict.of Interest Statements.
3 Address and other contact information provided on this application will be accessible to the general public.
4 Meetings of advisory bodies may be held in Martinezlor in areas not accessible by public transportation.
5 Meetings may be held either in the evenings or during the day, usubtlly once or twice a month.
is Some hoards assign members to subcommittees or work groups requiring additional time.
7 If you wish you may attach your resume.
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:woad OT:TT 9002-22-130
T,T'd OSHS03:01
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LKovalef@hsd.cccount To: JLatteri@hsd.cccounty.us
y.us cc: I
08/09/2006 11:39 AM Subject: RE: EMCC nominations-direction on sending requests
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So we have a change on the trauma alternate already. Would you please note
this on the email from Bev? Bev might resena as well--will let you know.
Lauren
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Lauren Kovaleff, Assistant Director
Contra Costa County EMS
1340 Arnold Dr. , Suite 126
Martinez, CA 94507
(925) 646-4402 or
(925) 646-4690 ext208
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fax: (925) 313-8381
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Please note new email address: lkovalef@hsd.cccounty.us
-�--- Forwarded by Lauren Kovaleff/Ccchsd on 08/09/2006 11:37 AM -----
"Kacey Hansen"
<Kacey.Hansen@johnmuir To:
<LKovalef@hsd.cccounty.us>, "Bev Jones" <Bev.Jones@johnmuirhealth.com>
health.com> I cc: "Julie Crouse"
<Julie.Crouse@johnmuirhealth.com>
Subject: RE: EMCC
nominations - direction on sending requests
08/09/2006 10: 49 AM
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One change - please make .Kristin Santos my ;alternative.
Kacey A. Hansen, RN
Trauma Program Director
John Muir Medical Center - Walnut Creek Campus
1601 Ygnacio Valley Road
Walnut Creek, CA 94598
Ph. 925-947-5224
Fax 925-947-3220
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-----Original Message-----
From: LKovalef@hsd.cccounty.us [mailto:LKovalef@hsd.cccounty.us]
Sent: Tuesday, August 08, 2006 5:21 PM
To: Bev Jones
Cc: Kacey Hansen; Julie Crouse
Subject: RE: EMCC nominations - direction on sending requests
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Thanks, Bev - I'll go ahead and process them for Board of Sups
appointment.
Lauren
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Lauren Kovaleff, Assistant Director I
Contra Costa County EMS
1346 Arnold Dr. , Suite 126
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Martinez, CA 94507
(925)1646-4402 or
(925)1646-4690 ext208
fax: (925) 313-8381
Please note new email address: lkovalef@hsd.cccounty.us
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"Bev Jones"
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<Bev.Jones@johnmuir To:
<LKovalef@hsd.cccounty.us>
health.com> . cc: "Kacey
Hansen" <Kacey.Hansen@johnmuirhealth.com>, I"Julie Crouse"
<Julie.Crouse@johnmuirhealth.com>
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08/08/2006 05: 11 PM Subject: RE: EMCC
nominations - direction on sending requestsl
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My recommendations would be the following; )
Base Station Rep--Lori Altabet with Julie Crouse being the
alternative.
Trauma representative-Kacey Hanson with Dee Scott being the
alternative. I
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-----Original Message----- I
From: LKovalef@hsd.cccounty.us [mailto:LKovalef@hsd.cccounty.us]
Sent: Tuesday, August 08, 2006 1:50 PM
To: Bev Jones
Subject: RE: EMCC nominations - direction on sending requests
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For base we currently have Julie Crouse aslmember and Lori as alternate,
although Lori attends the meetings. I
For trauma we currently have Kacey as member and no one as alternate.
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Lauren Kovaleff, Assistant Director
Contra Costa County EMS
1340 Arnold Dr. , Suite 126
Martinez, CA 94507
(925) 646-4402 or
(925) 646-4690 ext208
fax (925) 313-8381
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Please note new email address: lkovalef@Hsd.cccounty.us
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Oct 06 06 02: 41p P• 2
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;CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR
! COMMITTEES APPLICATION FORM
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Name of Advisory Body applying for W]fl,{•o��n� Meo(, .C4.( C.Alf e- C4wrwrl tfe,e'
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Application Form must be typed or hand printed
Name of Applicant: k-V Sti'y S&*%_to-r
Home Address: (60t l g y A 6 o
City: W 0 j K Ur C*'Ie K State: CA ZIP: 9Lt s 7 g
Home Phone: 925- 'T47- Work Phone: 12-9- `[`f 7` S22L-
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Signature: r'<AAj_k�,�^M }- I Date: to- 6--o6
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Personal Experiences, Skills, and Interests
Education/Background:
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Occupation/Employer:
Trau wt a Gl i►��ca,( ti u►�se S�'c.{a.t'�s�
Jo ItiK M t c,c r M eb Ca,{ CClk te,*-- Wal n uT cam P us
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Community,Activities:
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Special Interests:
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Information:
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1. File coinpleted application with Clerk of the Board. 651 Pine Street, Room 106, Martinez, CA 94553.
2. Members rof some advisory bodies may be required to file'annual Conflict of Interest Statements.
3. Address and other contact information provided on this application will be accessible to the general public.
r
4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation.
5. Meetings may be held either in the evenings or during the'day,usually once or twice a month.
6. Some boards assign members to subcommittees or work groups requiring additional time.
7. If you ;wish you may attach your resume.
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