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HomeMy WebLinkAboutMINUTES - 04041995 - 1.15 CLAIM BOARD OF SUPERVISORS DF CON SRA COSTA COUNTY, CALIFORNIA April 4, 1995 Claim Against the County, or District governed by) BOARD ACTION 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 notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $500,000.00 Section 913 and 915.4. Please note all "Warnings" CLAIMANT: Telma C. Barranco & Nelson Navas ATTORNEY: Patricia Gilmore MAR m 7 1995 Date received COUNTYCOUNSEL ADDRESS: 772 Rambleton Dr. BY DELIVERY TO CLERK ON March 7, 19TINEZCALIF. Vacaville, CA 95688 BY MAIL POSTMARKED: March 6. 1995 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: March 7, 1995 gt?L �ep�tyLOR, Clerk .16 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (Lel' 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: J C g BY: eputy 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 (V/) 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:_ 9 PHIL BATCHELOR, Clerk, B , Deputy Clerk WARNING (Gov. code section 913) 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. AFFIDAVIT OF MAILING I declare under penalty of perjury that 1 am now, and at all times herein mentioned, have been a citizen of the United States, over age 16; 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: —S 9.5_ BY: PHIL BATCHELOR by� . rdJ,�k_-Oeputy Clerk CC: County Counsel County Administrator t i gab - P Cl. cn bo o � - t�- e,J � CLAIM AGAINST PUBLIC ENTITY R E C E NE D In the Matter of the Claim of: 1995 TELMA C. BARRANCO & NELSON NAVAS R - 7 VS. CLERK BOARD OF SUPER"I SORS CONTRA COSTA Co. THE COUNTY OF CONTRA COSTA, SHERIFF ) WARREN E. RUPF, SARGEANT JOHN CELESTRE ) and Does 1-25, Inclusive, ) TO: BOARD OF SUPERVISORS, COUNTY OF CONTRA COSTA TELMA C. BARRANCO and NELSON NAVAS, hereby present this claim to THE COUNTY OF CONTRA COSTA, CONTRA COSTA SHERIFF, SARGEANT JOHN CELESTRE, and DOES 1-25 inclusive, pursuant to Section 910 of the California Government Code, for the sum of $500, 000. 00; and makes the following statements in support . of said claim: 1) Claimant's mailing address is: 981 Palmer Avenue, San Pablo, California 94806. 2) Notices concerning this claim should be sent to: Telma Barranco c/o Patricia Gilmore, 772 Rambleton Drive, Vacaville, CA 95688. 3) The date and place of the occurrence giving rise to this claim are: September 8, 1994 at 981 Palmer Avenue, San Pablo, CA. 4) The circumstances giving rise to this claim are as follows: On September 8, 1994 at approximately 9: 30 a.m. , such was the unbelievable commotion that the claimant initially thought it was an actual earthquake, when a team of 20+ armed officers stormed through and breaking the front window of the house handcuffing and pointing guns at 65 year old Mrs. Barranco's , head, searching through the house, waking and doing the same to her 35 year old son Nelson Navas while her 3 year old grandson, Francisco Champion watched in total fear, this incredulous .scene. During the raid, said officers damaged many items within the claimant's home, and caused claimant to lose face in the neighborhood in which she has lived for over 27 years and including infliction of serious emotional injury to claimants. The cause for this raid was an investigation regarding a homicide. . Evidently, the officers in charge were looking for a caucasian suspect by the name of Joe Nelson. According to Sgt. Celestre, they had received erroneous information regarding the suspect from an obviously misinformed informant. Mr. Navas is far from being caucasian and if the department had done just a little homework, this absolutely nefarious scene would have never occurred. Page 2 You cannot, in the name of the law, violate the civil rights of innocent people, just because the name may be similar or because someone of questionable character points a finger. When the officer in charge realized they had made a "MISTAKE", the claimants were released from handcuffs. Mrs. Barranco asked why the raid*what, clued them as to their innocence. Sgt. Celestre replied that "nothing fit, the house was too clean, etc. . . " After this. incident, Patricia Gilmore, claimant's daughter interviewed Sgt. John Celestre, to determine how such a • grievous error could occur. The Sgt. was asked if the house had been under surveillance or if any inquiries had been made as to . the inhabitants cf said home. The answer was "no" . Sgt. Celestre advised that it had been a major mistake and could not apologize enough for it. Claimant has had recurring nightmares of that event and cannot dispel the fear this has brought her. 5) The name of the public employees causing the aforementioned damages are: SGT. JOHN CELESTRE, CONTRA COSTA SHERIFF'S DEPARTMENT, INVESTIGATION DIVISION, and THE COUNTY OF CONTRA COSTA AND ITS AGENTS AND EMPLOYEES. 6) Claimants hereby make their claim as of this date for damages in the sum of $500, 000. Dated: March 6, 1995 �RAM&CaQ 61LMRb> Telma C. rranco & Nelson Navas CLAIM BOARD OF SUPERVIS(RS OF MANTRA COSTA COUNTY, CALIFORNIA April 4, 1995 Claim Against the County, or District governed by) BOARD ACTION 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 notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1,500,000-00 + Section 913 and 915.4. Please note all "Warnings". CLAIMANT: See Exhibit "A" ATTORNEY: Law Offices of Carol L. Gillam & 45 s Associate Date received ���� a �'9 �� ADDRESS: 601 West Fifth Ave. , Ste. 1210 BY DELIVERY TO CLERK ON March 6� 19A5a�TYe���aws`6 Los Angeles, CA 90071 BY MAIL POSTMARKED: March 3, 1995 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: March 7, 1995 B IL DeputyLOR, Clerk ll. FROM: County Counsel TO: Clerk of the Board of Supervisors { his 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). 0--2 +0r ( Other: Dated: BY: Deputy County Counsel A� 177. 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: 4- �- — 9S PHIL BATCHELOR, Clerk, By PDeputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or ieposited in the mail to file a court action on this claim. See Government Code Section 945.6. fou may seek the advice of an attorney of your choice in connection with this matter. If you want to consult in attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that 1 am now, and at all times herein mentioned, have been a citizen of the Jnited States, over age 18; and that today I deposited in the United States Postal Service in Martinez, :alifornia, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to 'he claimant as shown above. )ated: �.�— 9 s BY: PHIL BATCHELOR by eputy Clerk :C: County Counsel County Administrator CLAIM BOARD OF SUPERVISORS OF CONTA COSTA COUNTY, CALIFORNIA April 4 1995 !4-_ . P t the County. or District governed by) A* i BOARD ACTION Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT ction. All Section references are to ) The copy of this document mailed to you is your notice of Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code T' $1,500,000.00 + Section 913 and 915.4. Please note all "Warnings". ANT: See Exhibit "A" ATTORNEY; Law Offices of Carol L. Gillam & Associates Date received CCUNTYCOUKISEL ADDRESS: 601 West Fifth Ave. , Ste. 1210 BY DELIVERY TO CLERK ON March 6, 1q 5 1NEZCALIF. Los Angeles, CA 90071 BY MAIL POSTMARKED: March 3, 1995 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��1L BATCHELOR, Clerk PA 01. DATED: March 7, 1995 : eputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors (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: 0,1&4A. cdaAViars p m"frie-t 9111LO g ans A1! Dated: / ��'� BY: Deputy County Counsel ll. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). lV. 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: 4 - 4- —C) PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) iubject to certain exceptions, you have only six (6) months from the date this notice was personally served or feposited in the mail to file a court action on this claim. See Government Code Section 945.6. 'ou may seek the advice of an attorney of your choice in connection with this matter. If you want to consult n attorney, you should do so immediately. AFFIDAVIT OF MAILING declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the Inited States, over age 18; and that today I deposited in the United States Postal Service in Martinez, :alifornia, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to :he claimant as shown above. sated: 4 —s- — q_'!� BY: PHIL BATCHELOR by eputy Clerk '.C: County Counsel County Administrator LAW OFFICES OF CAROL L. GILLAM SOUTHERN CALIFORNIA OFFICES: NORTHERN CALIFORNIA OFFICES: ONE BUNKER HILL SUITE 1210 499 FOURTEENTH STREET 601 WEST FIFTH STREET SUITE 220A LOS ANGELES, CALIFORNIA 90071 OAKLAND, CALIFORNIA 94612 TELEPHONE: (213) 683-2060 TELEPHONE: (SIO) 839-1200 FACSIMILE: (213) 683-2063 FACSIMILE: (510) 444-6698 March 3, 1995 RECEIVED Clerk of the Board of Supervisors _ 619% Room 106 County Administration Building 651 Pine Street CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. Martinez, CA 94553 Re: Adolfo Flores et al; Peter M. Milcovich et al; Michael Genovesi et al; Jay Gunkelman et al; and Bonnie Jene Pannell Dear Sir or Madam, I am enclosing for filing in your office one original and one copy each of various personal injury claims for the above-referenced individuals and their families. Please note that for your convenience, these claims have been separated into two sets, one for claims against the County Board of Supervisors, and the other for claims against the County Health Services Department. Each of these sets has been divided into originals claims and copies of claims. Please file the original claims and return a conformed copy of each in the self-addressed, stamped envelope provided. Should you have any questions, please do not hesitate to contact me at (213) 683-2060. Thank you for your cooperation. Yours very truly, LAW OFFICES OF CAROL L. GILLAM AND ASSOCIATES Carol L. Gillam CLG:csj enclosure L' 'i. Wdbit "A" (attacbed) Cl ::m :. BGARn o OF �,A 000rrzVWMCTAL A. Claims relating to causes of action for death or far injur}• o person or to per- sonal prepm- y or W%Wing crops and which accrue on or befog Deoamber 32, 19879 must be presented not later that, the 100th day after the aoerual of the cause of action. Claims relating to causes of action ftar death or for Injury to person or U personal property ear ging crops and rhiQh accrue an or after January 1, 19889 must be presented not later than six menthe after the accrual of the cause of action. Claims relating to any other cause of action must be p wanted not later than ane year after tha accrual of the cause of action. (Gaut. Code 1911.2.) B. Claims must be tiled with the Mork of the Board of 24w"iscrs at its office in !loom 1069 County Administration Building, 651 Pins Street. Mtrtin m, 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 ane public entity, separate claims aunt be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this orm. 4 • e s 0 9 e e e e e e e e e ! s e s e e i s e e f e f 0 ! i ! e e 0 e e 0 e e f e e RE: Claim By � Reserved for Clerk's filing stem Jay Gunkelman ) RECEIVE® Against the County aContra Costa ) or ) ;.-.tLCLE _____j=19�District) 1 n name ) q�O The undersigned claimant hereby makes "DI arainst the County of Centra Costa or the above-aimed District in the an of S � �0�, 0 0 0 . /c 1 a iman and � �'t of this claim represents as fallows: I• /an Cid t:.e damage or injury occur? (Give exact date and hour) September 6 , 1994; enact hour unknown 2. where did the daage or inky oeour? (Include city and ogunty) Cit,, of Crockett and surrounding environs , County of Contra Costa , State of Cal:Lfornia 3. lion did the damage or Injury coeur? (Give full details: nee if required) on or about August 22nd through September 6th -of 994 a to: Lc .,ubstance known as catacarb leaked from a tower at ,the Unocal Corporation San Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa CL)unt,', California. 4. what particular act or emission an the part of county ar district offlow servants or employees caused the injury or dump?Various count'? igencies , their Trectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (aver) . W.`.a' a."'e t ne names or Cols':y or C: ::'i:: C r r �." , se:-ez-.:J or n - ,d tM80ty !tides including but not ii:mited to. Jeff Smit:- ; Pam Co a Board of Supervisors 6. What damage or Injuries do you claim resulted? (Give full extent of injuries or d-s--eM e'nai ir"End dtt c i e'Td *stir at S for a to ne s Neuse s or mess o recti, atigue, c est p ins , diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. T. Now was the amount claimed above Dosaputed? (Include the estimated am mt of any prospective injury or damage.) The claimant is still undergoing medicai treatment. There are preliminary indications of possible permanent damage. S. Names and addresses of witnesses, doctors and hospitals. See Contra CU-'LA C.ounk:i Deportment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injw73 D_ M To be supplied. Gov. Code Sec. 910.2 provident "The claim must be signed by the e1a3mant SEAT NC',".-MS T0: (Attorney) or by some 2E3= on his behalf." ame and Address of Attorney Law Offices of Carol L. Gillam & Associates (ClaLMRnt 19 UVOture) 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Tele;hoM No. (213) 683-2060 Telephonne No. 00410444 • • 0041 . 1! • 00 • : OTIC ! Section 72 of the P Aal Code provides: "Erery peracn tlno, with inUmt to defraud, presents for allouarnoe or fbr payment to any state board or officer, or to any county, city cr district board or officer, authorized to LUaw or pay the same if 1pnuirne, army false or ffnaudulent claim, bill, account, voucher, or writing, is punishable either by lxprisossasnt in the county fail for a period of not more than one year, by a tins of not •:Deeding one thousand (=19000), or by both such imprisowmt and fine, or by impTisormwt in the state prison, by a fine of not exceeding tern thousand dollars ($109000, or by botb such imprisonment and fine. Claim 'o u ROM Cr 3UF0V1WRS Cr 03MRA COSTA CWN-.T ORIGINAL Z�I M4_i'IONS' TO'C[ ADrSJINf A. Claims relating to causes of action for death or for inj person or to per- sonal property or growing crops and rt,ich accrue an or before D•owber 31, 19811, must be presented trot later than the 100th day atter the accrual of the cause of action. Claims relating to causes of action for doth or !br ink► to parson W to personal property or groWing crops and IMieh accrue an or atter January 19 1988, must be presented not later than six maths after the accrual of the cause of action. Claims relating to any other cause of action aust be p vented not later than one year after the accrual of the cause of action. (Govt. Code $911.2.) B. Claims ant be filed with the Clerk of the Board of Supervisors at its office in Roam 1069 Cmmty Administration Building, 631 Pine street, Mortices, CA 94333• C. If claim is against a district governed by the Board of Supovisers, rather ttw the County, the game of the District should be filled in. D. If the claim is against mare than one public entity, separate claims ant be filed against each public entity. E. rraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this orm. aa • • • • aa • • was • a • • • • a • • • aa • • • • e • • • • • • • • • • • • • AF: Claim By ; Asserved for Clerk's filing stamp Bonnie Jene Pannell RENED Against theCounty of Mtra eta ) Or ) District) _ i n name CLERK BOARD OF SUPERVISORS CONTP+A COSTA CO. The undersigned claimant hereby makes "ip apinst t of Centra Costa or the above-named District in the ma of & ) , o 0 0 . /c laiman enc in t of this claim represents as foll"I �Aw��I� `_ A..w\ ♦• .i./ x11 W/e f Age or injury vrrrrur (Give exact date � how) September 6 , 1994; exact hour unknown 2. Where did the damage or injury occur? (Include city and county) City of Crockett and :.surrounding environs , County oL Contra Costa, State of Cal:Lfornia 3- Nov did the damage oreocur7 (Give full detailsi we if required) Oil or about- August 22nd through September 6th -off 1994 a toxic .,uastaace known as catacarb leaked from a tower at the Unocal Corporation San Francisco Rej:inery located at 1380 San Pablo Avenue, Rodeo, Contra Costa Countl, California. ---- 4. What What particular act Or omission on the part of oounty or district officers, servants or employees caused the injury or damage? Various count" agencies , their erectors , and their employees were advised and had knowledge of this. leakage and failed to act to stop the leak , alert or protect the public , or mitigate the effects of the leak. (Over) W`�: a."Q .." rAm s of car :y or C'3trlct. c f f"er9, or srG r. .:. '? - � _ Y . i t1t�25 inciudiag but not limited to: JeF- Jmit:i, ?aT: , Contra Costa County Board of Supervisors 6. what damage or injuries do you claim resulted? (Give lull extent of Indies or damages ciaitn At two Teti atis for o to damage. Nausea , s or ness o recti, atiyue, chest pains, diarrhea, damage to multiple internal organs , loss of work, property `damage, other injuries or damages presently being ascertained. Lec 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) The claimant is still undurgaing medical �reutment. There are preliminary indications of possible pernanent damage. 8. Names and addresses of Vit:lesses, doctors and hospitals. See Contra Cu-cu Coun*i Department of Health Services files; additional names to be supplied as treatment progresses. g. List the expenditures you made on account of this accident or injury: DATE IZAMOUNT To be supplied. ! • • 1 • • • • • • • • • • • i ! ! ! ! i • • i 1! • ! ! i ! e Gov. Code Sec. 910.2 provides "The claim must be signed by the claimant SES N==5 T0: (Attorney) or by some., person on his behalf." ase and Address of Attorney Law Offices of Carol L. Gillam & Associates 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. i • ! ! • ! ! i i ! i ! i 0 • i i ! • 0 ? ICs Sectiea 72 of the Peel Code provides: nNery person who, with intent to defraud, presents far allowance or fbr 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 lliudulsnt claim, bill, account, voucher, or waiting, is punishable either by iwiacrment in the county jail for a period of not more than one year, by a fins of not exceeding one thousand (=1,000). or by both such imprisc=mt "and fiat, or by iWrisonment in the state prison, by a fine of not exceeding ten thousand dollars (=1090009 or by Loth such iaprisonment and fins. Claim leor BOARD of -W cow► COSTA COMM ORIGINAL �cti� 7v A. Claims relating to eau2e3 of action for death or for injury --o person or to per- sonal property or praying crops and which accrue an or before Deomber 319 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 injwy to person or to personal property or growing crops and which accrue an or after January I, 19889 must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action mast be presented not later than ane year after the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 pine 3treet, 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 and of this form. RE: Claim By Reserved for Clark's filing stamp Jay Gunkelman for ) Vaughn Gunkelman RECEIVED ) Against the County of Contra Costa . ) or District) CLERK BOARD OF SUPERVISORS 1 n name ) CONTRA COSTA CO. The undersigned claimant hereby makes cUi against the County of Contra Costa or the above-named District in the sum of-$1 ,5 0 , 0 0 0 . /c 1 a man and In support of this claim represents as follaass ♦• tfh n Cid i G. w�.d: Lnv t:}e rAze S of or Cls:^: C::.,:C:'' !e.^vi'.:.9 or 4IC:;:: :a Vie a .C" . � '7" �ndi � in z t��tities ir.cludizq but not limited to: 7ef± Smit::; ?aT, Contra `Cost� C� .•`t'ty Board of Supervisors ` 6. what damage or injuries do you claim resulted? (Giv* lull extent of iWuries or demesne chaired. At c�i two isti atei for the �e. Nouse s or mess o recti, atiyue, chest p ins , diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the aMUnt claimed above computed? (Include the estimated amrmt of any prospective injury or damage.) The claimant is still undergoing medical treatment. There are preliminary indications of possible permanent damage. 8. Hames and addresses of :riUMsses, doctors and hospitals. See Contra Cu-c , C.ouiitl i)epurtment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expWditures you made on account of this accident or injury: DATE To be supplied. ! ! ! • ! • • • 0 •, �a • • • ! • •. • ! • • ! • • • • • • • • • • • • • ! !''• e • • Gov. Code Sec. 910.2 provides: "The claim: must be aipwid by the claimant SES NC: '= T0: (Attorney) or by some OW30n on his behalf.* Name and AddrM, of Attorney. Law Offices 'of Carol L. . Gillam & Associates: • t aurre 601 West Fifth Avenue Attorney for Claimant 'Suite 1210 Los Angeles , CA 90071 Teleahone No. (213) 683-2060 Telephone No. 10TICZ Section 72 of the legal Mode provides: %Nery 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 bard or officer, authorized to allow or pay the same it 1pouine, any false or ftudulent claim, bill, account, voucher, or writing, is punishable either by imprisoement in the county jail for a period of not sore than ane year, by a tine of not exoseding One thousand (=1,000), or by both such imprisamtont and tins, or by impriscrowt in the state prison, by a fine of not exceeding ten thousand dollars (=10,000, or by both such imprisonment and fins. cuim �to_ DOM Cr JUPEPYLTIQ W COFM =A COM M. ORIGINAL A. Claim relating to causes of action for death or for injury, ­a person or to per- sonal property or growing crops and Vhich accrue an or befwe December 31, 19879 must be pmented not later than the 104th day after the accrual, of the amuse of action. Claims relating to causes of action for death or for Injury to parson or to personal property or genu crops and uhich accrue on or atter 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 asst be presented not later than one year after the accrual of the cause of action. (Govt. Code 1911.2.) B. Claim ant be filed with the Clerk of the Board of Super visars at its office in Room 106, County Administration Building, 651 rine Street. Martinas, C1 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 asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this EF® R.asaaaaaaaaaaasaaeaaaaaaaaaaaesaeeaasaaseaa RE: Claim By ) Reserved for Mark's filing stamp Adolfo Flores for ) ! . RECEIVE® Alicia Flores ) ; , Against the County or Contra Costa District) -CLERK BOARD OF SUPERVISORS Vill in nam!► ) CONTRA COSTA CO. The undersigned claimant hereby makes Vii0apinst the Cola�ty of Carntra Costa or the above-named District in the sum of0 0 0 . /c l a i man and In r4Da t, of this claim represents as follows: :. Wh= Cid ws d:me or injury occur? (Give exact date and how) September . 6 , 1994; exact hour unknown 2. Whom did the damage or injury occur? (Include city and oog�anty' Cite of Crockett and :surrounding environs , Co y l. Contra Costa , State of California 3. iia+ did the damp or Injury coeur? (Give full details= vse if required) On or about August 22nd through September 6th -off 994 a to::ic ,ua�stunce known as catacarb leaked from a tower at .the Unocal Corporation Sus Francisco Refinery located at 1380 , San Pablo Avenue, Rodeo, Contra Costa County, California. �+. Nkat particular act or omission an the pint of county or district offioersp servants or aMloyees paused the injury or damage? Various count-, agencies , thel* rrectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak , alert or protect the public , or mitigate the effects of the leak. (o�rer) C i "—., L" t.x�na-Je$ of cotr::y Cr da:^::. C::ixrs, IW-77 .:a Cr lie:y"5 :a.j eaor I it ItiLn:' g Zvi uals an e�itlt�es lncludin but not limited to: Jeff Smith; �aT. 5: Contra Costa County Board of Supervisors 6. What damage or injuries do you claim resulted? (Give full extent of injuries or Na"3� clain ,ttc� Lein �stit4s fOr ttt0 �!. s or nese o recti, atiyue , c� est p ins, diarrhea, damage to multiple internal organs , loss of work,, property damage, other injuries or damages presently being ascertained. 7. How was the amount claimed above computed? (Include the estimated MMMt of any prospective injury or damage.) The claimant is still undergoing medicni treatment. There are preliminary indications of possible pernanent damage. 8. Names and addresses of +ritUIesses, doctors and hospitals. See Contra Cu--c.,A C.ouii�y Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of' this accident or injury: DATE_ IM AMOM To be supplied. ! 0 0 0 0 0 0 0 .0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0'0 0 1 0 Gov. Code Sec. 910.2 provides: "The claim must be al by the claimant SE%M N01Z:` S T0: (Atto"ne'v�) or some Person on Nam and Address of Attorney _--� Law Offices of Carol L. Gillam & Associates (Claimnt I s ure 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. • 0 0 0 0 0 0 0 0 0 0 0 0 ! ! 0 0 0 10TIC9 Section 72 of the Penal Code providess %N ry person 'who, with intent to defraud, presents for allowance or tor 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 lfauduient claim, bill, account, voucher, or writing, is punishable either by imprisormwt 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 imprisorwnt and fine, or by impriscrimt, in the state prison, by a fine of not exceeding ton thousand dollars (=1090009 or by both such imprisonment and tine. Cla'X ltez:' 310A)M OF J0rLFvL90RS OF CC A MOM I ORIGINAL TI�, TO ZLADQM A. Claim relating to causes of action for death or for inky- ..o person or to per- sonal property or paving crops and rtiich accrue an or befwa Deoomber 319 1987, must be presented vat later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for inlay to person or to personal property or grwing crops and Witch accrue an 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 aunt be XmItsented not later than, one year after the accrual of the cause of action. (Gbrt. Code 1911.2.) D. Claims asst be filed with the Clerk of the board of Supervisom at its office in Roam 106, County administration Suilding, 651 Pine Street, ftrtLaes, C1 94553. C. If claim 13 against a district governed by the board of 9�iso�rs, rather than the County, the rawof the District d be filled In. D. If the claim is against more than one public entity, separate claims asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this orm. • i i i • • i • • • • i i i • • • • • i • • • • i • • • • • • • • • U • • • • • • • i RE: Claim By ; Deserved for Clerk's filing stamp Adolfo Flores for Lucia Flores RECEIVE®� i �t,.�, glint theu�y O Contra Costa ; R 6 99 District) CLERK BOARD OF SUPERVISORS (Fili in name ) CONTRA COSTA CO. The undersigned claimant hereby makes "I a�ainst the County of Contra Costa or the above-named District in the SUM Of $ 0 , 000 . /c laiman and in t Of this claim represents as follows, It khan did t1he damage or inlay occur? (Give exact date and hour) September 6 , 1994; exact hour unknown 2. Where did the damage or Injury Occur? (Include city and county' City of Crockett and surrounding environs , County ol Contra Costa , State of California 3. How did the damage or Injury oocur7 (Give full detailai viseif reQuirsd) On or about August 22nd through September 6th _o£ 994 a to::ic .substance known as catacarb leaked from a tower at the Unocal Corporation San Francisco Reiiaery located at 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. 4. What particular act or omission on the part of county or district offloers, servants or emaloyeas caused the injury or damage? Various count., agencies , their rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (over) c W`.a: a.^e t,-:e rices Cf cow:y or die 1=: c:::::er3, •e:-ra:.:J are •� � a � a 1 #vic:uai�-s a�n�dk-entities including but not limited to: Jef L Smit::; ?3T. 5 �-• -= ; Contra Costa County Board of Supervisors 6. What damage or injuries do you claim resulted? (Give !till extent of insuries 'or damees c. aimed •ttr ,two i, irat S for auto damn. vause s ortness o ream, atiyue , c est p ins , diarrhea, damage to multiple internal orga;is , loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the amount claimed above Computed? (Include the estimated Mn t of any Prospective injury or damage.) The claimant is still undergoing medicai 'Cre4tment. There are preliminary indications of possible pernanent damage. 8. Names and addresses of Vitilesses, doctors and hospitals. See Contra Cu-c,, C.ouii6:y Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or inJurys DATE IZ AMOUNT To be supplied. Gov. Code Sec. 910.2 provides: r: "The claim must be sited by the claimant SE\"� NO".'::'t.S T0: (Attorney) or bY somlD person on his behalf." Nam and Address o Attorney Law Offices of Carol L. Gillam & Associates � 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 ?ele;)hw* No.., (213) 683-2060 Telephone No. • • e • • • • • • • • • 11 • • • • 50TI •C2 Section 72 of the Tenal Code pravidesl 62very person do, with intent to defraud, presents for allemum or for payment to any state board or officer, or to any county, city or district board or Officers authorized to allow or pay the same if 1pnuine, any telae or f tudulent claim, bill, account, voucher, or writing, is punishable either by impriso�t in the county sail for a period of not more than one year, by a fine of not exceeding one thousand (=1,000), or by both such imprisommt and figs, or by imp'iscrAmt in the state prison, by a fine of not exceeding ten thousand dollars ( 10,000, or by both such izprisoramt and fins. CIa.:X li::. DOM OF 7 CONTRA COSTA COUN7T ORIGINAL ns MC117I NS, 70- CLU).= A. Claims relating to causes of action for death or for injwy . ,* person or to per- sonal property or grvving crops and which accrue an or before Deoember 31, 1987, must be presented not later that, the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for inky to parson or to personal property or ging Crops and which accrue on or after January 1, 19889 must be presented not later than six months after the aacral of the cause of action. Claims relating to any other cause of action suet be gestated not later than ane year after the accrual of the cause of action. (00 t. Code 1911.2.) B. Claims sunt be filed with the Clerk of the Board of Supervisors at its office in Roam 106, County administration Building, 651 Pine Street, Mitrtinbz, Q 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 mxe than ane public entity, separate claims ant be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code See. 72 at Wo end of this ors. • e • • ecce • se • e • s • s • • • • • • • • • • • • • s • • • o • • • • • e • e AF: Claim By Reserved for Clerk's filing stamp Adolfo Flores for ) Iyew RECEIVE® Cynthia Flores ! r Against the County OF Mtra Cost& or District) CLERK BOARD OF SUPERVISORS Vill in rime ) COlNTViA COSTA CO. The undersigned claimant hereby makes C arinst the County of C Aft Costa or the above-rimed District in the sum of $ 0 , 0 0 0 . /claimant" in Support of this claim represents as f011aws: .. trn= did trA d=ge ar injury occur? (Give eget data and hour) September 6 , 1994; enact hour unknown 2. Where d 1 d the damage or Injury occur? (Include oft and o9unty) Cite of Crockett and surrounding environs , County oZ Contra Costa , State of California 3. Now did the damp or injury coaur7 (Give !till details= nse it required) On or about August 22nd through September 6t4 of 994 a to.-:4 c .,uastunce known as catacarb leaked from a tower at the Unocal Corporatioil Sua Francisco Refiiierl located at 1380 San Pablo Avenue, Rodeo, Contra Costa Counth , California. 4. What particular act Cr omission on the part of county ar district officers, servants or cvloyees paused the injury or du age? Var:�ous count, igencies, their i rectors , and their employees Were advised and had knowledge of this leakage and failed to act to stop the lea; , alert or protect the public , or mitigate the effects of the leak. (Oso) Wha: V-,- t.`Te rA=eS 0r *Ck :Y Cr C1S: ::. Cr:::e -3, the dasge, ez injury? � I �:ldf1V1C1lld1S °r'in'd--entitles including but not limited t0: JeiL. jml`^i; Contra Costa County Board of Supervisors ' 6. What damage or insuries do you claim resulted? (Give !till estent of lnjwl@S or dames cait�ed. dttci two �sti�at4s for alto damag+G. Nause , s or ness o read, ati.yue, chest pains , diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. ?. How was the amount claimed above computed? (Include the estimated amrmt of any prospective injury or damage.) The claimant is still undergoing medicui treatment. There are preliminary indications of possible permanent damage. S. Names and addresses of V1tU)esse39 doctors and hospitals. See Contra Cu--c,, Count .l i)epurtment .of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE T�1'h?7AMOM To be supplied. � • • e � • • ei • • sea • e • • fes • ssis • • • • • • • • • • • • •' • eee Gov. Code Sec. 910.2 providers "The claim must be signed by the claimant M".) N7,".-:EES TO: (Attorney) or bY some OWSOM on his behalf." Mi and Address of Attorney Law Offices of Carol L. Gillam & Associates I. a t I a sisrAture) 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. • e • • • • • • eee • soe • • e X 0 T I C 3 Section 72 of the Penal Code providess "Ebary person who, with Intent to defraud, presents far allowarm or tier payment to any state board or officer, or to any ootianty, city or district board or Officer, authorized to allow or pay the same if 1gernuine, any false or fftudulent claim, bill, account, voucher, or writing, is purnishable either by i*risarm ant in the county Sail for a period of not more than ane year, by a time of not exaWing one thousand (=1,000), or by both such imprisonment an0 fins, or by impriscrowt in the state prison, by a fine of not exceeding tern thousand dollars ($10,000, or by both such imprisonment and fins. - C1A:m ;%.c. DOM CF SOVERVLSORS DLTMLZ'IONS .� 000rr:z ORIGINAL A. Claims relating to causes Of action for death or for inlun- ..o person or to per. sonal property or growing crops and `+filch accrue an or before Deobmser 31, 19871, ant be presented mot later than the 100th day atter the accrual of the cause of action. Claims relating to causes of action for death Cr fbr injury to parson or to personal property ar growing crops and iWah accrue an ar after January 1, 19889 must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action rust be presented not later than ane year atter the accrual of the cause of action. (Govt. Code $911.2.) B. Claims must be Bled with the Clerk of the Board of '+ at its office in Room 106, County Administration Building, 651 tine street, Wrtines, CA 94553• C. If claim .Is against a district governed by the Board of 3uparvisers, rather than the County, the name of the District should be tilled In. D. If the claim is against more than ane public entity, separate claims ant be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Coda Sec. 72 at the and of this orb. • • • • • • i • • • • i • i i • i i i • i i i i i iii i i i i i i U i i i i e e • i RE: Claim By ; Reserved for Clerk's filing stamp Adolfo Flores for ) Esteban Flores RffEIVED Against the County OF tra Meta ) or District) (Filln name CLERK BOARD OF SUPERVISORS CONTI'�A COSTA CO. -' The undersigned claimant hereby makes iij apinst the County of Cahtra Costa or the above-named District in the sum of $ 0 0', 0 0 0 . /c 1 a man la •t of this claim represents as f011owsi Cid Me damage or tiny occur? (Give exact date and hour) September 6 , 1994; enact hour unknown 2. Where did the charge or injury occur? (Include city and olA ty) City of Crockett and surrounding environs , County ot Contra Costa, State of California 3. Now did the damage or Injury occur? (Give full detailai roe � p� it required) Oil or about August 22nd through September 6th-'o� 994 a toric .,ub�;tunce known as catacarb leaked from a tower at the Unocal Corporatioa Sea Francisco Refinery located ,it 1380 San Pablo Avenue, Rodeo, Contra Custa County, California. 4. What particular act or omission an the part of county or district otfiosrs, servants or employeas caused the injury or damase7 Varlous count, agencies , their ciarectors , an their employees were advised and had knowledge of this leakage and failed to act to stop the leak , alert or protect the public , or mitigate the effects of the leak. . N'.'.•: •." t.`ie nSas of COI.." y or d:3: 1:t c f%xr s, •e_^vm:.:s Or the d2.70ge cr ir.it tr. - yndivicivais and: entities including but not limited to: Jeffsmi�:-.; Pam Contra Costa Coiulity Board of Supervisors 6. What damage or injuries do you claim resulted? (Give lull extent of injuries or dames caS,�ed. Attci Loco �sti�atps for auto damp. Neuse s or mess o recti, atiyue, chest p ins, diarrhea, damage to multiple internal orga;is , loss of work, property damage, other injuries or damages presently being ascertained. 7. Flow was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) The claimant is still undergoing medicai treatment. There are preliminary indications of possible permanent damage. 8. Dames and addresses of vitinsses, doctors and hospitals. See Contra Cu-c,, C.ouin-j Jepurtment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made an account of this accident or injury: DATE Im AMOUNT To be supplied. Gov. Code Sec. 910.2 provides: "The claim must be Ogned by the claimant SE%T N017TI ,'t.,S T0: (Attu-ney) or by some OW3= an his behalf." Mi and Address of Attorney p Law Offices of Carol L. Z� �L Gillam & Associates . "� a urr 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. 5 0 T I C I Section 72 of the teAal Code peroxides: n',vw-y parson who, with intent to defraud, presents for allowance or f r 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 Igenuins, any take or fftudulent claim, bill, account, voucher, or writing, is punishable either by lWiscrawt 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 1"riscrAnnt in the state prison, by a tine of not exceeding ten thousand dollars ( 10,000, or by both such imprisonmest and tine. DOM Or 31FUMM OF COFM C=A COUR7Y I)MMMON.'"S 710 CLADWM ORIGINAL A. Claims relating to causes of action for death or for inlur}- "o person or to per- sonal p""rty ar h'a'ng emps and rtiich accrue an or before December' 31, 1987t must be presented not later than the 100th day after the accrual of the cause of action. Claim+ relating to causes of action for doth or for injury to parson or to personal property or Vvwing crops and iieh accrue an or after January 19 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 asst be presented not later than one year after the accrual of the cause of action. (Govt. Code $911.2.) B. Claims asst be tiled with the Mark of the Board of Bvpa"Imrs at its office in A= 1069 County Administration Building, 651 tine Street, Martinez, CA 94553• C. It claim is against a district govw n d by the Board of 3upervisors, rather than, the County, the name of the District should be filled in. D. If the claim is against more than ane public entity, separate claims ant be filed against each public entity. E. Fraud. See penalty for fraudulent claims, penal Code Sec. 72 at the end of this orm. RE: Claim By Reserved for Clerk's filing stamp Adolfo Flores for ) _ Adolfo Flores, Jr. RECEIVED Against the Co=ty o tri Costa ) District) CLERK SMD OF SUPERVISORS ill. n niIDe ) CONTRA COSTA Co. The undenied claimant hereby makes cl�i� last the County of Chntra Costa or the above-named District in the sum of ; , 02'0 0 0 . /c l a i ma n and In import, of this claim represents as follows W` .'n d:C w.e ftWe or itjw7 occur? (Give exact Sate and how) September 6 , 1994; enact hour unknown 2. Where did the damage or injury odour? (Include city and egunty) City cf Crockett and :surrounding environs , County o� Contra Costa , State of Cal:�fornia 3. Now did the damage or Injury occur? (Give full detailas we '??9W4 pW if required) On or about August 22nd through September 6t 994 a to::�c ,ul)stu,zce known as catacarb leaked from a tower at .the Unocal Corporation Sail Francisco Re.Ziaery located at 1380 San Pablo Avenue, Rodeo, Contra Costa Counth, California. 4. What particular act or omission an the part of oounty or district offioera, servants or employees caused the injury or dump? Various Gaunt;' LLgencles , heir erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the 'leak, alert or protect the public , or mitigate the effects of the leak. (over) . H`.a: a.^e L-�e !limes of Com':y or Ca:^::_ efflxr3, se.^ra:.s or a—,_Zy"s ca = tithe, die or inj;:."Y' uai�; �,,Lnd ,e;,itities including but not limited to: Jeff Smit:; :3 Contra Costa County Board of Supervisors 6. What damage or injuries do you claim resulted? (Give !till extent of injwies or dama�es c aimed. itttc i two �sti�ates for atitothe t pcTi• Nause , s or ness o read, atiyue , chest p ins, diarrhea, damage to multiple internal orgaas , loss of work, property damage, other injuries or damages presently being ascertained. 7. Now was the amount claimed above oomputed? (Include the estimated mount of any prospective injury or damage.) The claimant is still undergoing medical treatment. There are preliminary indications of possible permanent damage. S. Names and addresses of vitamsses, doctors and! hospitals. See Contra Cu-c" Count., Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE T�TBr9 AMOK. To be supplied. Gov. Code Sec. 910.2 provides: "fie claim: must be sided by the claimant MOD NC:.= T0: '(Attorney) or by some person on his behalf." Tawe and Address. o . Attorney Law Offices, of' Carol L. 42 Gillam & Associatesa t Qla ure 601 West Fifth Avenue Attorney for Claimant .Suite 1210 Los Angeles ; CA . 90071 �v Telephone No. (213) 683-2060 Telephone No. • • • • • • • • • • • • • • • • • • NOTICE Section 72 of the Penal Code praridest OVery person do, with intent to defraud, presents for allaanoe or for Payment o ent to any state board or officer, or to any county, city or district bard or officer, authorized to allow or pay the same if genuine, any Mae or fraudulent claim, bill, account, voucher, or waiting, is punishable either by impriscc t in the county jail for a period of not more than ane year, by a tine of cot exceeding one thousand (=1,000), or by both such imprisoneent and fins, or by imprisorAwt in .the state prison, by a fine of not exceeding ten thousand dollars (=10,000, or by both such imprisonment and tine. �e: DOM CWRSCF «�:A � -7z 710ORIGINAL A. Claims relating to anuses of action for death or for injure ..o person or to per- sonal property or growing crops and which accrue an or before 31, 1987. must be presented not later than the 100th day after the accrual of the amuse of action. Claims relating to amuses of action fbr death or for Injury to person or to personal property or growing crops and which accrue an or after January 2, 19889 moist be presented not later than six months after the accrual of the amuse of action. Claims relating to any other cause Of action asst be prtamnted not later than one year after the accrual of the cause of action. (Coat. Code §912.2.) B. Claims must be filed with the Clerk of the board of Supervisors at its office in Roam 1069 County Administration building, 651 Pine Street, lrrtioms, Q 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 ane public entity, separate claims asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this e • • • • • • • • • • • • e • • see • e • eee • • • • eee • eoes • • • ese RE: Claim By Deserved for Clerk's filing stamp Adolfo Flores RECEIVE® Saint the Comty OF tra Costa or CLERK BOARD OF SUPERVISORS District) CONTRA COSTA CO. (Filln name ) The undersigned claimant hereby makesa ainst the County of Contra Costa or the above-named District in the suet or"ail o , 0 0 0 . /c 1 a i man tWA in support of this claim represents as follows T:= did the d=ge or injury occur? (Give tact date and hour) September 6 , 1994; enact hour unknown 2. Where did the damage or injury occur? (Include city and o9unty) City of Crockett and surrounding environs , County oL Contra Costa , State of California 3. bow did the damage ear I,njur/ occur? (Give full detailai we � pW u required) On or about August 22nd through September 6th of T994 a to::ic .,uastunce known as catacarb leaked from a tower at the Unocal Corporation San Francisco Re.Zinery located at 1380 San Pablo Avenue, Rodeo, Contra Co:.�ta Counth , California. 4. What particular act or omission on the part of county or district offiai, servants or employees caused the injury or damage? Various count" LIgencies , their erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. w.6a: L--e *,.ie r1ames of Cott :y or C:s::':C_ C:::=ers, •e:-ri_'.:3 Or a=:Cye_s ra.;21 ne daz ge or y:Zdivkid,uadsi, Find.:eiztityes including but not limited to: Jef` Smit:- ; ?am S .v, -= Contra Costa County Board of Supervisors 6. what damage or Injurios do you claim resulted? (Give !till extent of injuries or a u s e3� �• At�� tYC 1stit4s f0!' au�LOo• s or ness o read, atiyue , chest pains, diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. ?. How was the amount claimed above computed? (Include the estimated UMMt of any prospective injury or damage.) The claimant is still undergoing medical �reatraent. There are preliminary indications of possible permanent damage. S. Names and addresses of Nucleases, doctors and hospitals. See Contra Count._, ilepurtment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE AMOEM To be supplied. • • • • • • • •, 9-0' f Vis:• .• 6. • • • • • • • • • is • • • • s • • • • • • • • '• • • • Gov. Code Sec. 910.2 provides: "fie clam must be signed by the claimant SE%= N011 MS T0: ' (Attornev) or by SOMe person on his behalf." Nam and Address ,o ,Attorney -�� Law Offices , of . Caro,!' L. ' Gillam &' As'socates t t s ut'e 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 w Telephone No. ( 213) 683-2060 Telephone No. • • • • • • • • • • • • • • • • • • 2 0 T I C 2 Sectiaa 72 of the Tenal Code providest nNery person who, with inUmt to defraud, presents for allowance or few 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 imprisar=nt 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 imprisoamoent and fine, or by impTiscrmwt in the state prison, by a fine of not exceeding ton thousand dollars (=10,000, or by both such imprisonment and fins. C1s� to:. DOM OF 30FERVIMRS OF CONTRA COSTA =N..z ORIGINAL DWMCTIOKS- TO CL ADOM A. Claims relating to causes of action for death or for injw-)- - o person or to per- sonal property or growing crops and Mich accrue an or War* Deoember 319 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 an 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 not be presented not later than one year after the accrual of the cause of action. (Govt. mode 1911.2.) B. Claims asst be filed with the Clerk of the Board of 'uper►iacm at its office in Atom 106, County administration Building, 651 Tine Street, Hirtinez, CA 94553• C. If claim is against a district govwrred by the Board of 3uperviscrs, rather than the County, the rsame of the District should be filled in. D. If the claim is against more than one public entity, separate claims asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this Orm. i • ! ! • ! i ! • • i i i • iii • • • • iii ! i i • i i i i i • O i e • i e • ! i RE: Claim By Aeserved for Clerk's filing stomp Margarita Duran Flores > RECEIVE® Against the Co=ty oF Contra Costa ) or ) I-01 - CLERK BOARD OF SUPERVISORS District)(Fill name CONTRA COSTA CO. ) The mdersigred claimant hereby makes "il aasinst the Covet ► of Contra Costa or the above-named District in the slam of $ , 0 , 0 0 0 . /c 1 a i man and in Support of this claim represents as follows: :. V.11-11 did thle damage or Injury occur? (Give exact date and hour) Se-ntember 6 , 1994; exact hour unknown 2. Where did the damage or injury occur? (Include city and oogq) City of Crockett and :.surrounding environs , County o� Contra Costa , State of Cal:Lfornia 3. bow did the damage or Injury occur? (Give full detailai ruseartm it ZyOui�) On or about August 22nd through September 6th of T994 a toxic .,uastance known as catacarb leaked from a tower at the Unocal Corporation San Francisco Relinery located dt 1380 San Pablo Avenue, Rodeo, Contra Costa Counti, California. 4. What particular act or omission on the part of county or district offioarep servants or employees caused the inJ y or dot p? Varlous count: agencies , their � rectors , and their P..mployees were advised and had knowledge of this leakage and failed to act to stop the leak , alert or protect the public , or mitigate the effects of the leak. (over) C W`.a: a;rt t:-e names of car :y or d1s:r1:: c::ixrs, •enra:.a or 41C;:tyee3 Lhe damage or, ir.�u.'y" 'viduais and. entities inciuding but not limited to: Jeff Smit:; -am Contra Costa County Board of Supervisors 6. what damage or injuries do you claim resulted? (Give full extent of injuries or dames c aiaed. dttel� two lstiates for ar,�to �e. Nause , s or Hess o recti, atigue, c: est p ins , diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. Flow was the amount claimed above computed? (Include the estimated sommt of any prospective injury or damage.) The claimant is still undergoing medica.i ::reatraent. There are preliminary indications of possible permanent damage. 8. Names and addresses of ViUMsses, doctors and hospitals. See Contra Cu.-,.;,, C.ouu6.j oepurtment of Health Services files; additional names to be supplied as treatment progresses. 9. List the o ponditu�you made on account of this accccidnt or injury: DATE To be supplied. ! • • • ! • • • • f' 1 `• • 64 -6004 ! • • • • • 1 • • • • • • • • • • • • '• • • • Gov. Code Sec. 910.2 providase = "The claim must be signed by the claimant SE NM.0-MS TO (Atto"nev) or bv some versos on his behalf." nae andAddress of Attorney Law offices of. Carol-. Gillam & Associates a V's 3 tum) 601 West Fifth Avenue Attorney for C aimant Suite 1210 Los Angeles , CA 90071 Tele;hw* No. (213) 683-2060 Telephone No. ! • e • • • • ! • • • • • • • TIM • • • 10TICt Section 72 of the Penal Code praridai nNery parson who, with intent to datmud, presents for allcmanoe or for payment to any state board or officer, or to any ocunty, city or district board or offioer, authorized to allow or pay the same if ;genuine, any balsa or Iftudulent claim, bill, account, voucher, or writing, is punishable tither by imprisonment in the county Sail for a period of not more than ane year, by a fine Of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by impriscrAwt in the state prism, by a five of not exceeding ton thousand dollars ($1090009 or by both such imprisonment and fire. Glaim p:. 30M OF 30POVOORS OF COMU CCVA C= .'7 INSrR (MONS, M CZADWIr OR" IGINAL A. Claims relating to causes of action for death or for injww ...* person or to per- senal property or growing crops and which accrue an or before Deoudw 31, 19879 must be presented not later than the 100th day after the &*cruet of the cause of action. Claims relating to causes of action fcr death or for Injury to person or to personal property or growing crops and which accrue an ar after January 19 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 ant be presented not later than one year after the accrual of the asuse of action. (Govt. Code 5911.2.) B. Claims sat be filed with the Clerk of the Board of 2mmovisare at its office in Roam 106, County Administration Building, 651 Pine Street, lirtibu, CA 94553• C. If claim is against a district governed by the Board of �visamt rather than the County, the name of the District should be filled in. D. If the claim is against more than ane public entity, moarate claim& ant be filed aasinst each public entity. E. FMud. See penalty far fraudulent claims, Penal Code Sec. 72 at the and of this orm: RE: Claim By Reserved for Clerk's filing staW Djhossan S. Milcovich ) RECEIVED Against the Munty oF Mtra costa ) MAR 6 or ) N CLERK BOARD OF SUPERVISORS District) CONTF;A CQSTA CO. (Filln name ) The undersigned claimant hereby makes inst the Count of Contra Costa or the above-named District in the SLID of I 0T0 0 0 . /c 1 a i man and in support of this claim represents as follows: Wh= diC W.e C:we ar injury occur? (Give exact date and hour) Se�tember 6 , . 1994; enact hour unknown 2. inure did the damage or injury occur? (Include city and ogunty) Cit, of Crockett and surrounding environs , County of Contra Costa , State of California 3. boy+ did the damage or Injury oocur? (Give full details= ase it required) On or about August 22nd through September 6th- of 994 a to::ic ,uastunce known as catacarb leaked from a tower at the Unocal Corpuratioa San Francisco Re�inery located at 1380 San Pablo Avenue, Rodeo, Contra Costa Counti, California. 4. Mut particular act or amisslon an the part of oounty or district oniarst servants or emloyeas caused the IAJWY or damage7 Various count., agencies , their erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. M~j: iLri tne Pick S :: .^t..L:..j S �. G: :, . ��rZ.:� Cr - �v.Iduals and e:zt�t�zs -nclud ng but not limited to: �e_`- Sm�== Contra Costa Co'uiity Board of Supervisors 6. What damage or inJ%ries do you claim resulted? (Cin full extent of injtiries or as claimed. a 0 two "Atiftat 3 for a ne d mrs pri Neuse s or Hess o reat�i, atigue, c est p ins , diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. T, mow was the amount claimed above ceMuted? (Include the estimated amamt of any prospective injury or damage.) The claimant is still undergoing medicai Treatment. There are preliminary indications of possible permanent damage. 8. Names and addresses of Vitnesses, doctors and hospitals. See Contra Cu�c" C.oun-Lj Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or iny: DATE IM AMOM To be supplied. g • oe6f ! i..00f. ! eUe ! f ! ! eeeeeeeeeeeeeeeee2"eeee Gov. Code Sec. 910.2 providese . "The claim must be signed by the claimant SES NO'":C't..S TO:,", (Attorno") or bysosDO OWSMOn his behalf." Name and Address of AttorneyC a> Law Offices of Carol L ." Gillam & Associates � 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 �v Telephone No. ( 213) 683-2060 Tele tNo. eeeeeee eeeee�eee eee 2 0 T I C Z Section 72 of the Tonal Code p wIdes, '!Very person wbo, with intent to deftsud, presents for allowinos 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 pmishable either by Saftsa cent in the county Sail for a period of not more than ane year, by a fina of not exceeding one thousand (41,000). or by both such imprisonment and fire. or by iapriscrimt, in the state prison, by a fine of not exceeding ten thousand dollars (410,000, or by both such IVriscrawt and fine. akim-to3 DOM Cr QRS OF � �A � ORIGINAL Cron TO A. Claim, relating to causes of action for death or for in3ur} --o person or to per- sonal property or groiaing crops and %Bich accrue an or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Clam relating to causes of action for death or for Injury to person or to persoral property or ging crops and Mich accrue an or artier January 29 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 aunt be presented not later than ane year after the accrual of the cause of action. (Govt. Code 6912.2.) B. Claims mast be tiled with the Mark of the Board of Svper►isors at its office in ]loom 1069 County administration Building, 631 Pine Street, Wrtineas C1 94553• C. If claim is against a district governed by the Board of 3 pervisors, rather than the County, the name of the District should be tilled in. - D. If the claim is against mon than ane public entity, separate elgims mut be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this orm. • i i e • i f i i i i i i i i i i i i i i i i i • e i e e s 0 s i s i e i i i RE: Claim By Reserved for Clerk's filing step Peter M. Milcovich for ) John Milcovich ) REDEIVED Against the Linty o MMMs ) �. ) MAR: 6k District) CLERK BOARD OF SUPERVISORS (Fillnt name CONTRA COSTA CO. The undersigned claimant hereby makes c1i ' inst the Count of Contra Costa or the above-awed District in the ssumof =�'�0 000 . /claimantand In support of this claim represents as follows 1. W.:� =6 w,e damage or injury occur? (Give exact date and hour) September 6 , 1994; exact hour unknown 2. Where did the damage or injury occur? (Include city and aW ty) City of Crockett and surrounding environs , County ot Contra Costa , State of California 3. Nov did the damage or Injury occur? (Give full details= use �� p� it �Quirod) On or about August 22nd through September 6th -om 994 a toxic ,ubstunce known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Refinery located dt 1380 San Pablo Avenue, Rodeo, Contra Costa Counts, Caiifornia. 4. What particular act or omission on the part of oamty or district ottSW*$ servants or employees caused the injury or damage? Various count'? agencies , their rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public, or mitigate the effects of the leak. S 11~1: aT C .:.e S G: :.Gat.:..j `_3: ._- G.., .:!."9 ♦!:X3:.:3 Cr - ^�viduas lnd ent�t�es inciuci.:g but not limited to: Jef= Sm�_�; - - . Contra Costa County Board of Supervisors 6. what damage or injurles do you claim resultAid? (Give !till est=t Of injuries or damages clamed. AttIchbi two qksti;atos for aWA dam. �. vause , s or ness o reatu, atlgue, c est p ins, diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. Now was the amount claimed above oomput•d? (Include the estimated 8MMt of any prospective injury or damage.) The claimant is still undurgaiiig medical Treatment. There are preliminary indications of possible permanent damage. 8. Dames and addresses of witZesses, doctors and hospitals. See Contra Cu-cu Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made an account of this accident or injury: D_ rM AMOUNT To be supplied. Gov. Code Sec. 910.2 provides "The claim must be siPd by the claimant SE's NO"::ErS T0: "'.(Attorney) or by sox Verson on hily behalf.* Nam and Address of Attorney Law Offices of Carol L. Gillam &. associates (Claimant's Q* UM 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Teleahone No. (213) 683-2060 Telephone No. 2 0 T I C 3 Section 72 of the Peal Cede provides: uVery person d of with intent to defraud, proamts for alloy+ im or for payment to any state board or officer, or to any acunty. city Or district board or officer, authorized to allow or pay the same if genuine, any false Cr tlaudulent claim, bill, account, voucher, or writing, is ;Rmishable either by imprisonment in the county 3a11 for a period of not mors than ane year, by a fine Of not exceeding one thousand (=1,000). or by both such imprisonment and time or by iaprisonm t in the stat• prism, by a fine of not exceeding teen thousand dollen (=10.0009 ar by both sem, imprisonment and tine. - cla.'.m •.o�, Bou � � �► �:� a�orr:-r 70 ORIGINAL ��I�. A. Claims relating to causes of action for death or for injur}- - o person or to per- sonal property ar ming crops and vhIch ac*MA an or before D000mber 31, 19870, 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 ink► to person or to personal property or growing crops and rt,ich accrue an or after January 19 19889 must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action not be pwanted not later than one year after the accrual of the cause of action. (00vt. Code 5911.2.) B. Claims asst be filed with the Clerk of the Board of aurpervisors at its office in I*= 1069 County Administration Building, 651 Pine Street, Hartinss, CA 94553• C. If claim is against a district governed by the Board of Bupervisarst rather than the County, the name of the District should be filled in. D. If the claim is against more than an public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this ora. • • • • • • • • • • • • i • • • i • • • • • • • • • • • • • • • e • 0 • • • • • • • • RE: Claim By Reserved for Clerk's filing stamp Peter M. Milcovich for ) Andrew Milcovich ' Against the M=ty oContra Costa ) Or District) (Fill. n name ) CLERK BOARD OF S�}PERVISORS CONTRA COSTA CO. The mdersigned claimant hereby makes cl#i inst the County of Cwtra Costa or the above-named District in the sum of = - 0'x'0 0 0 . /c 1 aiman and in support of this claim represents as follows: :. `. Cid w.s C:mage or injury occur? (Give exact late and has) September 6 , 1994; exact hour unknown 2. Where did the damage or injury occur? (Include city and o9unty) Cite of Crockett and surrounding environs , County o� Contra Costa , State of California 3. How did the damage or Injury coeur? (Give Rill details: wif roquirsd) On or about August 22nd ,through Septembereth--o�6 T994 a t=ic .,ua2t4nce known as catacarb leaked from a tower at .the Unocal- Corporation San Francisco Relinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa Counth , California. 4. What particular act or omission an the part of county or distriot officers, servants or employees caused the inJry or dam v? Various count: agencies , the:�r erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (O W) C. w%-.8: a.^e the ra 1e s of =R :y orC 1 s:^: o::::er', t;+e.'-vz:.:.� or =;:�:yee the damzg or in jLxyl �.:zdividuais and entities including but not limited to: Jeff Smit:; Contrd Costa' County Board of Supervisors 6. What damage or injuries do you claim resulted? (Give !till extent of inJuries or damp ekaitn dttl*h tomo Rstirat4s for a to damagC. Nause � s or Hess o reatii, atigue, chest pains , diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. NOW was the amount claimed above oomputed? (Include the estimated mcmt of any prospective injury or damage.) The claimant is still undergoing mediCdi Treatment. There are preliminary indications of possible permanent damage. 8. Names and addroesses of wiUMssts, doctors and hospitals. See Contra Cu--,;,, CountL..j ilepurtnent of Health Services files; additional names to be supplied as treatment progresses. g. List the expenditures you made on account of this accident or injury: DATE T_TET�! AMOM To be supplied. • • • • 1 • • ! i • .o *.'t} • f • • • o • • • i 0 ! • ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! Gov. Code Ste. 910.2 providest "The claim must be signed bar the claimant SE\� NO,TIMS TO: (Attornev) or some son on his behalf." Raw and Address of Attorney , Law Cffices,;of.:Carol L. Gillam & Associates ' ; (Claimant Is !�i 1a't 601 West Fifth Avenue Attorney for C aimant Suite 1210 Los Angeles , CA . 90071 �v Telephone No. ( 213) 683-2060 Telephom No. • • • • ! • • 2 a • ! • • ! 0 n} • • • • 20 ? ICs SectioA 72 of the teal Code pmidest 'Ebert' person ibo, with intent to dafmud, presents tar allowance or fres payment to any state board or officer, or to any county, city or district board or officer, authorized to allow ar pay the same if genuine, any Mae 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 lire of not exoeeding orae 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 iz;risorawt and fins. BOARa or � OF COMU eri�au .• � ORIGINAL A. Claims relating to causes of action for death or for injlury- - o person or to per- sonal property or growing crops and Mich accrue an or before Deoember 31, 19879 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 infi;ry to person or to personal property ear Vvwing crops and which accrue an or after January 1, 19889 must be presented not later than six months after the aecrunl of the cause of action. Claims relating to any other cause of action asst be presented not later than ane year after the accrual of the cause of action. (Govt. Cods 1911.2.) B. Claims asst be filed with the Clerk of the Board of 3upereisors at its office in Roam 1069 County Administration Building, 651 tine 3treet, MLttines, C1 94553. C. If claim is against a district governed by the Board of 3upervisors, rather than the County, the rams of the District should be filled in. D. If the claim is against more than one public entity, separate claim asst be filed against each public entity. E. Fraud. 3se penalty far fraudulent claim=, Penal Code 3ec. 72 at the end of this orm. S i i i f i i i i i i i i i i f • f s i i i s i i i • i i e • e i e s s e e e e e i e RF: Claim By Reserved for Clerk's filing stamp Peter M. Milcovich for ) William Milcovich ) REE1VE gainst the Linty 0 Lra sta ) or District) CLERK BOARD OF SUPERVISORS (Filln name � CONTA COSTA CO. The undersigned claimant hereby makes k:l�li* sainst the County of Car�trs Costa or the above-named District in the sm of = � �0 U, 0 0 0 . /c 1 a i man WA In SL"ar•t Of this claim represents as follows: :. *,-.n did UA damage or injury occur? (Give exact date and hour) September 6 , 1994; enact hour unknown 2. Where did the damage or injury occur? (Include city and county) City of Crockett and surrounding environs , County of Contra Costa , State of California 3. bow did the damage or LnjLv7 coeur? (Give full detailalnee �g� it required) On or about August 22nd through September 6th -of W 94 a to-ic .,uast,,nce known as catacarb leaked from a tower at the Unocal Corporation Sun Francisco Reiiaery located dt 1380 San Pablo Avenue, Rodeo, Contra Co:ita Counti, California. 4. What particular act kir emission an the part of county or district offiears, servants or employees caused the Injury or damage? Varioust count.,? LIgencies , hi er erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak , alert or protect the public , or mitigate the effects of the leak. (Over) C. w%-.at iLrt t.." ru Lme s of co►r .y or o:s.-:: c f f., yrs, •e~rw L3 or the dame or it Sur' - ndividuals ' and entlties including but not limited to: Jeff Smit:i; Pa-, Contra Costa County Board of Supervisors ' 6. What damage or injuries do you claim resulted? (Give !till nrtant of inJuries or dames c1aim�ed. Attleli two lsti�atos for auto ds se Nausea, s or ness o read, atiyue, chest p ins , diarrhea, damage to multiple internal orga;is , loss of work, property damage, other injuries or damages presently being ascertained. noun. 7. Now was the amount claimed above oomputed? (Include the estimated amount of any prospective injury or damage.) The claimant is still undergoing medical Treatment. There are preliminary indications of possible permanent damage. 8. Names and addresses of w+IUMSses, doctors and hospitals. See Contra Cu�c,, Count ! ilepurtnent of Health Services files; additional names to be supplied as treatment progresses. g. List the expenditures you made on account of this accident or injury: DATEI II9 AMOM To be supplied. Gov. Cods Sec. 910.2 provides: "The claim must be signed by the claimant SES NO':,7ES TO: (Atto-neO er by some Person on his, behalf." age and Address of Attorney Law Offices of.','Carol L. Gillam & Associates a t s ure 601 west Fifth Avenue Attorney for Claimant Suite-1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. • • ! • • • • • • • • • • /! • • • • • OTIC ! Section 72 of the legal Cede pravidesa "Every prraon who, with intent to defraud, presents far allowance or fbr 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 Ilenuine, any false or fraudulent claim, bill, account, voucher, or waiting, is punishable either by imprisoemant in the county jail far a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonmmt and fine, or by imprisormt in the state prison, by a fine of not exceeding ton thousand dollars ($109000, or by both such imprisonment and fins. CIA 1:m to: BOAn OF MFER70M OF CONTRA COSTA C=r.T 2=97,12HUS 70 CLOWn ORIGINAL A. Claims relating to causes of action for death or fo onr injur}- � person or to per- sal property ar growing crops and which accrue an ar before Deoemlw 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 ink► to person or to personal property or growing crops and which accrue an or after January 19 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 suet be presented not later than one year after the accrual of the cause of action. (Govt. Code 1912.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at Its office in !loam 1069 County ldministraticn Building, 651 pine Street, Martinez, G 94553• C. If claim is against a district governed by the Board of 3LVwvi*ors, rather than the County, the name of the District should be filled in. D. If the claim is against more than ane public entity, separate claims not be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this Form. RE: Claim By ; Reserved for Clerk's filing stamp Peter M. Milcovich ) ) RECEIVED Against the County of Contra sta ) or District) CLERK BOARD OF SUPERVISORS 7111 t1 name CONTPA COSTA CO. The undersigned claimant hereby makes alfi inst the Comty of Contra Costa or the abov-named District in the sm of 0 000 . /cla�man � In •t Of this claim represents as follows: 1. t`.= did the damage or injury occur? (Give exact date and hour) September 6 , 1994; enact hour unknown 2. Where did the damage or injury occur? (Include city and ogunty) City of Crockett and surrounding environs , County of Contra Costa , State of California 3. How did the damp or injury coeur? (Give fug details] use if required) On or about August 22nd through September 6th o� T994 a to-ic ,ubstunce known as catacarb leaked from a tower at ,the Unocal Corporation San Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. 4. What particular act or omission an the part of oounty or district officers, servants or employees caused the injury ar dump? Various count., agencies , their erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak , alert or protect the public , or mitigate the effects of the leak. (O'Yer) 5. V�.a: a,-4e the names of county or district c:;ivers, cervwis or ate-'ogees ca,a, - the danae or injury? 16 Individuals and entities including but not .Limited to: Jeff Smith; Pam Siw 'e r ; Contra Costa County Board of Supervisors . 6. What damage or injuries do you claim resulted? (Give !till extent of injuries or damages imd. gtt c o two tlstrtos for ao p. Nause , shortness red iatigue, c�est pains , diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. NOW WR3 the amount claimed above computed? (Include the estimated swum of any prospective injury or damage.) The claimant is still und`rgoing medicui -treatment. There are preliminary indications of possible permanent damage. 8. Names and addresses of Vit,:Msses, doctors and hospitals. See Contra Cu--c,, Couiity Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DAM Him D To be supplied. aaaaaa • a.s � f `a s ,�u 's--i a a a a a s a a f f f f f f f f • f f f f f''f • f • Gov. Code .Sec. 910.2 provides: "The claim must be signed by the claimant MM NMr'ES T0: (At.tornev) or by some flerson on his behalf." awe and Address of Attorney ., Law Offices of Carol. L. OA - Gillam & Associatesqua IMM s31 ture) 601 West Fifth Avenue Attorney for Claimant Suite 12`10:• Los Angeles , CA 90071 ss Telephone No. (213) 683-2060 Telephone No. aaaaaa e f i f f f f f f o o NOTICE Section 72 of the Penal Code provides: n%very person who, with intent to defraud, presents for allowanoe or fbr payment to any state board or officer, or to any county, city or district board ar officer, authorized to allow ar pay the same if genuine, any false or fraudulent .claim, bill, account, voucher, or writing, is punishable either by U priscrmet:t in the county fail for a period of not mere than one year, by a fine of not exceeding one thousand (=1,000). or by both such impriswimt and fine, or by IMriscrAwnt in the state prison, by a fine of not exceeding tarn thousand dollars (=10,000, or by both such imprisonment and fine. c1 is:: DOM CF 30FERV OORS of 00MU 00M � DO 1W TOORIGINAL A. Claims relating to Causes of action for death or for inky person or to per- canal property ar growing crops and which acarol an or befor , 31, 19879 must be presented not later than the 100th day after the aocr%al of the cause of action. Claims relating to Causes of action for death or fbr Injury to person or to personal property ar growing crops and wh1ch accrue an or after January 1, 19889 must be presented not later than six months after the accrual of the Cause of action. Claims relating to any other cause of action asst be presented not later than ane year after the accrual of the cause of action. (Govt. Cods 1912.2.) B. Claims ant be filed with the Clark of the Board of Supersisan at its office in !loam 106, County Administration Building, 651 line Street, Martina, CA 94553• C. If claim is against a district governed by the Board of 3upervisorep rather than the County, the name of the District should be filled in. D. If the claim is against more than ane public entity, separate claims asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this orz. i a a • a a a a i a i a i i i i i i i i i i i i i iii i i i i i e e i i i i i i i i RE: Claim By Reserved for Clerk's tiling stamp Renee Genovesi ) DECEIVE® Against the County 0 tra Cost& ) ` District) CLERK BOARD OF SUPERVISORS n rime ) CONTAA COSTA.CO. The undersigned claimant hereby makes Ia�ainst the Count of Contra Mata or the above-named d District in the aof $ I OT 0 0 0 . /c 1 aiman W-A In Support of this claim represents as follows: 1. Wh= did w.e damage or injury occur? (Give exact date and hour) September 6 , 1994; enact hour unknown 2. Where did the damage or injury occur? (Include city and a A� y) Cite of Crockett and :.surrounding environs , County ot Contra Costa , State of California 36 bow did the damage or Injury occur? (Give full details nae 02� p� if required) On or about August 22nd through September 6th o� 994 a tonic -,ubLit4nce known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa Counti, California. 4. What particular act or amissian on the part of county or distract oftficars, airvants or employees paused the injury or dump? V,trl.ous count-7 agencies , their i rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. Y-'.8: iL-t !,:e !' S of Cckr-:y or c::41.-M-3, &W-e t-3 Or G=;.cy".s :2:_` the jdiu;z e,er t .Lnavidu3is 'end entities includ-ng but not limited to: Jeff Smit:; :3 SN .n Contra Costa County Board of Supervisors 6. What damage or injuries do you claim resulted? (Give full extent of injuries or aamees claimed. At t c�i two fsti�ateEs for o to damage. Nouse shortness ness o recti, atigue, chest pains, diarrhea, damage to multiple internal orgaiis , loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the amount claimed above ocMuted? (Include the estimated ammmt of any prospective injury or damage.) The claimant is still undurguing medicai Treatment. There are preliminary indications of possible pernanent damage. 8. Names and addresses of VltIOSMs, doctors and hospitals. See Contra Cu. -c , Gounti ilepurtnent of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident ar injw7t DATE To be supplied. Gov. Code Ste. 910.2 Providese "The claim must be siped by the claimant MM NOT:''.'rS T0: (Attorney) or sourer Parson on his behalf." VOW and Address of Attorney- Law Offices of Carol L. Gillam & Associates (Claimant's 31 tum) 601 West Fifth Avenue Attorney for C aimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. • • ! ! • • • 9 a 6. 0 a a a a a VIF • • • • • • eF ! a a a a a a a a a a • • • 2 0 T I C 2 Seetiaa 72 of the renal Code provides: 6Evw y person tho, with intent to defraud, presents far allowance or for Payment to any state board or officer, or to any county, city ar district board or offioer, authorized to alloy or pay the same if IMnuine, any hlse or fr,udulent claim, bill, account, voucher, or writing, is punishable either by imprisorawt in the county Jail for a period of not more than one year, by a finw of not exceeding =0 thousand (41,000), or by both such imprisonzent and MA, -or by imprisonmwnt in the state prison, by a tine of not exoetding ten thousand dollars (41090009 or by bolts such imprisonment and fine. DOM Or ZUPWVIXRS OF CONTRA COST. =?r.Y ORIGINAL DLTMCT1'*0 ToCLUMANT A. Claims relating to causes of action for death or for inky o person or to per- aonal property or Vwing crops and which accrue an or before Deoumber 31, 19870 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action !br death or far injury to parson or to personal property or graving crops and Mich accrue an or atter January 1, 19880 mut be presented not later than, six monthsafter the accrual of the cause of action. Claims: relating to any other cause of action must be p %sented not later than one year after the accrual of the cause of action. (Dort. Code 1911.2.) B. Claims oust be filed -with the Clark of the Board of Supe"L ars at its office in Room 106, County administration Building, 651 Pine street, Hart,inaz, Ci 94553• C. If claim is against a district governed by the Board of 9upwviscrs, rather than, the County, the name of the District should be filled in. D. If the claim is against more than arse public entity, separate claims ant be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code sec. 72 at the and of this form. 0 0 0 0 0 e e .e s e 0 e e 0 e e e e e 0 0 e 0 e e e e e e e e e e e 0 e e e e e e 0 0 AE: Claim By Reserved for Clark's filing stamp Michael Genovesi ) FREC-EIVED r ga.nst the County oF Contra Costa ) 6 or ) District) CLERK BOARD OF SUPERVISORS (Filln nam! ) CONTRA COSTA CO. The undersigned claimant hereby makes i ' inst the County of CWtra Casta or the above-named District in the sum of 6 0x'000 . /c l�aiman and in support of this claim represents as follows .. *—an 4240 r~A damage or injury) occur? (Give enact date and hour) Seatember 6 , 1.994; enact hour unknown 2. Where did the damage or injury occur? (Include city and og% tty) Cit.,, of Crockett and :surrounding environs , County of Contra Costa , State of Cal:Lfornia 3. Roy+ did the damage or injury coeur? (Give full deta !"6 ilaf �a� if to::ic r lQuired) On or about ugust 22nd through Septembet o ,ubst, ;ace known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Refinery located ,it 1380 San Pablo Avenue, Rodeo, Contra Coz. ta Count1, California. 4. What particular act or emission an the part of county or district officers, servants or eMloyees caused the in�y am or dump? a Vrious count.' Llgenciees , their erectors , an their employees were advised and had knowledge of this leakage and failed to act to stop the leak , alert or protect the public , or mitigate the effects of the leak. (over) w .a: L" the rAmeS of =Y or d:3t i=" cf:1:ers, at-rants or QC;:C;rte•_S Lie a cr. in;u: - zcv, cluais' ind,;"ent�ties �.nciucing but not limited to: Jeff Smit:.; ?aT Contra Costa County Board of Supervisors " ' ` A`"` b. what damage or injuries do you claim resulted? (Give !till extent of Injuries or dames eaimeed. ►ttci two �sti�ate4s for atitoAm e• Nouse s ortness o reatr, atigue, c est p ins , diarrhea, damage to multiple internal organs , loss of work, property damage, other -injuries or damages presently being ascertained. T. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) The claimant is still undergoing medical Treatment. There are preliminary indications of possible permanent damage. 8. Dames and addresses of erit*sses, doctors and hospitals. See Contra Cu_"c" C.ounti i)epurtnent of Health Services files; additional names to be supplied as treatment progresse3i 9. List the expenditures you made on account of this accident or lnjurys D— To be supplied. • • • • • • : e • • •. • • f • • • • • • • • • • • • • • • • e • e • e • • •­• • • • Gov. Cods Sec. 910.2 providese "The claim must "be signed by the claimant MM N74".MS T0: ' (Attorney) or by some! person on his, behalf." Tag and Address o Attorney Law offices of Carol L.: -� Gillam & Associates (Claimant gni ure 601 West Fifth Avenue Attorney for Claimant. Suite 1210 Los Angeles , CA 90071 Telephone No. ( 213) 683-2060 Telephone NO. • • • e • • • • • • • • • • • • • • X 0 T I C 2 Section 72 of the MAI Code praeides: gVeery 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 W pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by I prisornment in the county fail for a period of not more than one year, by a tine of not exceeding one thousand ($1000)9 or by both such imprisonmeent and tires, or by ImprisorAnnt in the state prison, by a tine of not exceeding ten thousand dollars ($1090009 cr by both such iarprisoniment and tine. t - t t , oa { K N z O 0 N 0 0 n c D i l>0 Ul .. t c cn Q " cn € K v n w rt m Z 'm O m o , Lr z Lr, � N � }� /�• �I T j I �e SIR- lift— .;` O MRi ` rI vT .9r 4 Echibit "A' (attached) CLAIM I ,j BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA April 4, 1995 Claim Against_ the County, or District governed by) BOARD ACTION 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 notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $5,300.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT:Robert N. Griffin ATTORNEY: MAR 13 1995 Date received ADDRESS: 120 Parkview Lane COUNTY COUN£B:yLDELIVERY TO CLERK ON March 13, 1995 Napa, CA 94558 MARTINEZ CALIF. BY MAIL POSTMARKED: Hand Delivered (no attachments) I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL BATCHELOR, ClerkJJ, J-4 r � DATED: March 13,1995 ��: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors (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: Dated: 3'i3— BY: Ai� 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: PHIL BATCHELOR, Clerk, 8 A, DO• �. Deputy Clerk WARNING (Gov. code section 913) 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. 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: S — �'f�' BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator Cla-;- to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Clams 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 accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 146, 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 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 RE: Claim By ) Reserved for Clerk's filing stamp Cr� � � ) � ) / 0 d CSX T /V. (Tf'i �l� ) ® L Co Ln Lo RECEIV � . M o° Against the County of Contra Costa ) _ �, or ) M 95 V a District) m Fill in name ) CLERK BQARD OF SUPERVISORS CONTRA COSTA CO. The undersigned claimant hereby makes claim against the County of Contra Costa � the above-named District in the sum of $ 5,3c�o_00- 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 lthe damage or injury occur? (Inclu/de city and county) w�'re,r ('t d n T N64i ne z- C6,4 re, (:�p Y4r,- C,0 nTv 3. How did the damage or injury occur? (Give full details, use extra paper if required)A5 dt i Ji� (� f-LOK►.al on L4A4pr -} V.) S Cr,� �;;-46 t;: /g ,-r, ►i�wX" �^' -Q✓1} r ../�S S S�Ob.�/ Gh055z(la Ul.2r i Cs Gt r eAf / (Ar 1en`��' d k,4. -#,5 oa5 die wr,-&r-0&43 i"! As a res�.��;n,�,e,,�n ►S �;►.�d 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? /U11► e,�� b 41.e. coy v\4V -Fir r� �s- ; s PYAS 4D I)a�4;% rc cld c1o�d (.> - . (acs " i 5 per' k 51 h 5 circ. -4e,� -rmv,41e Iii J,, X31 6J 4 , k,v-e,Leer,M4ve,,1 -/r) - . swle a,,Pl 14�, -�,-ce- e �CVCn) �. wnat are the names of county or district officers, servants or employees causing the 'am—ge or injury? /V - 5. What damage or injuriesdo you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. Q�oun e ,5jr,, on MgYlVissan 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) $. Names and addresses of witnesses,- doctors and Hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO:" -(Atto_rne ) a or byspqX,, erson on,h' Name and Address of Attorney (Claimant I' laimant''s Signature Address Telephone No. Telephone No. 70'7- %6~ 3403 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 ($10,000, or by both such imprisonr.�ent and fine. CIA!.m los SGGARD Or WPE?7LWXS CF C'A�TT'R,A MSt1 C=M'7 2MD211«� T ORIGINAL A. Claims relating to causes of action for death or for injury "o person or to per- sonal property or growing crops and which accrue an or before: Deo•mb•r 310 1987, must be presented not later than the 100th diiy 'Aft4r the tacrsal of the Dawe of action. Claims relating to amuses of action fbr doth or for Injury to parson or to personal Vvp•rtY or growing crops and which accrue an ar attar January I, 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 aunt be p vsented not later than ane year after the accrual of the cause of action. (Govt. Code 1911.2.) B. Claims asst be filed with the Clerk of the Board of duperrlwm at its office in ]loom 106, County Administratian Building, 651 Pine 3trvet, H rtin•z, CA 94553. C. If claim is against a district governed by the Board of 3upo viaors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, *operate claims asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Pmol Code Sec. 72 at the and of this OF RE: Claim By Reserved for Clark's filing stamp Michael Genovesi ... { RECEIVED Against the County of GmUramMsta ) or District) CLERK BOARD OF ORS n rime ) CONTRA COSTA CO. The wdersigned claimant hereby makes �im inst the Count of Contra Costa or the above-named District in the atm Of it 5 0,0 0 0 . /c 1 a imant� in �pCrt Of this claim represents as followss C:d the damage or injury occur? (Give eget date and hour) September 6 , 1994; exact hour unknown 2. Where did the damage Cr Injury Occur? (Include city and ocunty) Cit1V of Crockett and surrounding environs , County of C ntra Costa , State of California M 3. hm did the Muga or injury occur? (Give full detallaf nae �� 1f requite) On or about August 22nd through September 6th--o� T994� a toxic .,ubLt�:zce known as catacarb leaked from a tower at .the Unocal Corporation S.in Francisco ReLinery located dt 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. 4. What particular act or amissien on the part of oaasty or district oftfloers, aw-nots or employees caused the injury or damp? Various count.- agencies , their rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects .of the leak. (Over) 5. b�.a_ a^e the _nasaes of co�::y or Cls:ries off. .Ps sez'va.^t3 or GC:;'.oyees can_r� the d$.-age or ir.J'.iry? Ind iv -duals and En+__tie s includ'-Ing but Mark Finucdn'e'• Elinor Blake; We dell .Brunner , M. D. ; Randall L. Saw er; William B. Waiker , M. D. '; Lewis '. Pascall ,, Jr. , Esq. ; James GallagKer; Contra Costa County Health Services Department " `- 6. What damage or injuries do you claim r*sulted? (Give full extent of injuries or dadesgtt e " ato depaaC oh ti5ue, chest ns, diarrhea, damn e -toNousm �"I s*&oir Hs re!t*i, tao , multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. T. flow was the amount claimed above computed? (Include the estimated amort of any prospective injury or damage.) The claimant is still undergoing medical. treatment. There are preliminary indications of possible permanent damage. B. Names and addresses of VltJ9l35e39 doctors and hospitals. See Contra Co-c .L Count i Department of Health Services files; additional names tobe supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE IZ_ To be supplied. Gov. Code ,Sec. 910.2 provides: "The claim must be sig ed by the elaimnt SEN.) NM= TO: (Attorney) or some flerson on h s behalf." Name and Address of Attorney Law Offices of Carol L. e Gillam & associates � i 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. NOTICE 3ectioa 72 of the Penal Code provides: *Dory person who, with Intent to defraud, presents for allowLnoe or far 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 renuine, any falae or fftudulent claim, Dill, account, voucher, or waiting, is punishable either by impriscr=ent in the county jail for a period of not more than cele year, by a fine of not exceeding one thousand (=1,000), or by both such iapriso=int and fine, or by iWrisonmant in the state prison,, by a fine of not exceeding ten thousand dollars ($10,000, ar by both such imprisonment and fine. Clam tc: BOARD CF Cr CaMA RA C1M.7MONS M - ORIGINAL A. Claims relating to causes of actin for death or for injury ..* person or to per. somal property ar V wing crops and which..ac cons an ar before December 319 19879 must be presented not later than the 100th day after the aoerial of the cause of acti'an. Claims relating to causes of action lbr death or iter injury to parson: or to personal property or growing crops and which accrue on Cr atter January 1, 1988, must be, presented not later than six amths after the accrual of the cause of action. Claims relating to any other cause of action not be presented not later than ane year after the accrual of the asuse of action. (Govt. Code 1911.2.) B. Claims asst be filed with the Clerk of the Board of Supervisors at its office in Roam 106, County tdministrstion Building, 651 Pine stroet, Martinez, CA 94553• C. If claim is against a district pvw-n•d by the Board of Su•rvLacra, rather than the County, the name of the District should be filled in. D. If the claim is against more than ane public entity, separate claims asst be tiled against each public entity. E. Fraud. See pwalty for fraudulent claims, Penal Code Sec. 72 at the and of this AE: Claim By ; Wesw-nd for Clerk's filing stamp Renee Genovesi pp ��vo pp ) ga nst theunty ® Lra sta o ) r, District) CLERK BOARD OF oPERVISORS n name � CONTRA COSTA CO. The wdersigned claimant hereby makes -claim-I inst the Cotasty of Contra Costa or the above-named District in the suse of 0�0 6 0 . /c l a i man and t of this claim represents as f011Ons 1. Whzen did wA damage or injury occur? (Give exact date and hour) September 6 , 1994; enact hour unknown 2. Whom did the damage ar injury ecour? (Include city and oquaty) Cite of Crockett and surrounding environs , County o� Contra Costa , State of California 3. flow did the damap or Injury coeur? (Give lull detailas nee it requiW) On or aboutAugust 22nd through September 6th o� '994 a toxic .,ubstunce known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Relinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa CL)unt.,, California. 4. WMt particular act ar omission an the part of county ar district offiWe, servants or eMloyees caused the injury or damp? a Vrious counter agencies , their i rectors , and their eni ployees were advised and had knowledge of thi2 leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. Via: a.^e the .nLmmes of =r.:y or Cls:ri offi.era, GPV' It3 or QC:;-Cyt--3 :a9_"- the Aa-M or ir.Jury'.' Individuals and ent_ties including buyt :Mark Finucane- Elinor Blake; Weadell .Brunner , M. D. ; Randall L. Sawyer; William B. Wafker , M. D. ; Lewis . Pascall , Jr. , Esq. ; James Gallaghe ;. e , Contra Costa County Health Services Deportment 6. What damage or inj%Vies do you Claim resulted? (Give ball estdnt of injuries or es &imed. At two *S�t t4s for V#0 damagt. Nause , sFi0rtness of breath, atiyue, chest pains , diarrhea, damage `to multiple internal organs, loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the amount Claimed above computed? Unclude' the estimated ucmt of any prospective injury or damage.) The claimant is still unci`rgoing medical Creatment. There are preliminary indications of possible permanent damage. B. Names and addrosses of V14a*33e3, doctors and hospitals. See Contra Cu--cu Couii%..j Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE TrM AMOUNT To be supplied. Gov. Code Sec. 910.2 provides: "The claims must be signed by the claimant SEND NO'I'Ir..'F.S TO: (Attorney) or bY some person on his W%alf." Nam and A=,,aess of Attorney Law offices of Carol L. Gillam & Associates � 601 West Fifth Avenue Attorney for Craimant Suite 1210 Los Angeles, CA 90071 SS Telephone No. (213) 683-2060 Telephone No. • • e • • • ia 0 9 a a a a a a 9V e • • i ! NOTICZ Section 72 of the Paul Code provides: OVery person who, with intent to defraud, presents for allowance or fbr payment to any state board or officer, or to any county, city ar district board or officer, authorized to allow or pay the same if 1pnuinae, any false or finaudulent claim, bill, account, voucher, or writing, is punishable either by imprisormant in the county fail for a period of not more than one yrar, by a fine of not exceeding one thousand (=1,000), or by both such imprisonment ane fleas, or by 1Wriscrx=t in the state prison, by a fine of not exceeding ten thousand dollars (=1090009 or by Loth such imprisonment and fine. Claim U.- DOM CF SDPEF_VLSM CF" ;CONTRA C=A CWNPY WTRDCrI0KS 'MZLQA NT ORIGINAL A. Claim, relating to causes of action for death or for injur} --o person or to per- sonal property or growing crops and which vzcrAe on or before Deomber 31, 19879 must be presented not later than the 100th day after the aocrual 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 uhieh accrue an 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 not be presented not later than one year after the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Sgmniscm at its office in Room 1069 County Administration Building, 651 Pine Street, Hartinsz, 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 and of this form. e f s 6 • 2 i ! i e e e e e e e e e a e • * e • a a 0 e 0 i e e e e e • e I! • e e e e RE: Claim By ; Reserved for Clerk's filing stamp Peter M. Milcovich ) RECEIVED Against the County of Contra Costa or District) (Filln name ) CLERK BOARD OF SUPERVISORS CONTRA COSTA CO- The undersigned claimant hereby makes cA# j0�o of /�a�ny of Contra Costa or the above-named District in the mn of : and in support of this claim represents as follows: 1. .`. Cid w.e damage or injury occur? (Give exact date and how) September 6 , 1994; enact hour unknown 2. Where did the damage or injury occur? (Include city and ocunty) Cit,' of Crockett and surrounding environs , County of Contra Costa, State of California 3. Now did the damage ar injury coeur? (Give full detailas we h plea if toxic required) Oil or about ugust 22nd through September 6t o .�ubsta,zce known as catacarb leaked from a tower at ,the Unocal Corporation San Francisco Refinery located -At 1380 San Pablo Avenue, Rodeo, Contra Costa COUnt-Y, California. 4. What particular act or omission an the part of oounty or district officers, servants or employees caused the inJury ear damage? Various county agencies , their rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. 5. w!,a: a.^e the names of county or digsict officers, serva.^to or ec,-:oyres •the loam a or� injury? Individuals acid entities including but not limited to : Mark Finucane• Elinor Blake; We dell Brunner, M. D. ; Randall L. Sawgr; William B. Walker , M. D. ; Lewis - . Pascall , Jr. , Esq. ; James Gallag er; Contra Costa County Health Services Department 6. What damage or injuries do you claim reiuited? (Give full extent of injuries or damages claimed. Attichb two d3ti Xt03 for:alto damage. Nause s ortness . o read, atigue,• c est pains , diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. How Was the amount claimed above oomputed? (Include the estimated amount of any prospective injury or damage.) The claimant is still undergoing medical -treatment. There are preliminary indications of possible permanent damage. 8. Names and addresses of VIW433e31 doctors and hospitals. See Contra Cu--cu Couu�i Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE im To be supplied. • • • • f f • • e f • • • O • • • • • • i • • • • • • • • • • • • • • • • • '• • • • Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEED NO'I'ZCES T0: (Attorney) or by somepGr3on on his behalf." Nam and Address of Attorney Law Offices-lof Carol L. Gillam & Associates 601 West Fifth, Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. • • • • • • • • • • • • • • • • • • 20TICE Section 72 of the Penal Code provides: %%very person who, with intent to defraud, presents for allowance or fbr payment to any state board or officer, or to any county, city or district board or offioer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or waiting, is punishable either by imprisorxment 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 tine, 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. Clz::M 't0": DOM OF 310POVIMRS CIF MrU COSTA COMM. ORIGINAL DOOMOCi'IORS W`-CZJl2!lJlNf A. Claims relating to causes of action for death or for injurj -o person or to per- s=l property or Vai►ing cps .and tfiich..acrr an or befoare Deoember 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 persorAl property or graying crops and which accrue an ar after January It 19889 must be presented not later than six months after the acam al of the cause of action. Claims ralatiM to any other cause of action not be presented not later than am year after the accrual of the cause of action. (Gort. Mode 1911.2.) B. Claim asst be filed with the Clark of the board of Buperrisors at its office in !loom 106, County Administration Building, 651 Pins Street, Mart nut CA 94553. C. If claim is against a district `everned by the Board of 't a visors, rather than the County, the ramof 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 and of this �- i i i i i i i i i i i i i i i i i • i f i i i 1 i i • i i i e i � • � f e i f e i i i AE: Claim By Aeserved for Clark's filing stamp Peter M. Milcovich for ) William Milcovich ) RECEIVE® .nst the County of Conm'Mita ) hR 44 or ) 19964 District) CLERK BOARD OF S PERVISORS (Filln nam! ) CONTRA COSTA CO. She undersigned claimant hereby makes a:la�i inst the Count► of Cancra Costa or the above-named District in the atm of S Or 000 . /claiman and in SaPport of this claim represents as follows CII the damage or :ajtay coeur? (Give enact date and hour) September 6 , 1994; exact hour unknown 2. Where did the damage or injury oeaur? (Include oily and aunty) City of Crockett and surrounding environs , County ol Contra Costa , State of California 3. Iia+ did the amp or Injury occur? (Give full 6etails1 nee �� if requirld) On or about August 22nd through September 6th of W 94 a toxic oubiitunce known as catacarb leaked from a tower at the Unocal Corporation San Francisco Refinery located dt 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. 4. What particular act or emission an the part of county or district cffia sn v aervants or emlayses caused the in jury or damp? Various count., agencies , their erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public, or mitigate the effects of the leak. �. W!.a: a--e tthe ,names of =tr.:y or district oftiaepe, serve;:tS or ec:;soyees 'the damjg!-or ir.;.uy' Individuals and entities including buy t Mark' Finucane— Elinor Blake; Weedeli Brunner , M.D. ; Randall L . Sawyer; William B. Waiker , M. D. ; Lewis • Pascall , Jr. , Esq. ; James GallagKer; Contra Costa County Health Services Department 6. What damage or injuries do you claim resulted? (Give lull extent of injuries or dames c1�aiIDed. gtt chb ttiwo ?stifat4s for alto damage• Nouse , s ortness, o read, atigue, chest pains , diarrhea, damage -to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the amount claimed above computed? (Include-the estimated amount of any pr03pective injury or damage.) The claimant is still und`rgoing medicua creaaraent. There are preliminary indications of possible permanent damage. S. Names and addresses of Vi4a7433e3, doctors and, hospitals. See Contra CU ,+: a Count .j Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made an account of this accident or injury: DATE I�T1:?9 MOM To be supplied. ! ! • ! ! • ! ! ! ! ! • ! ! • ! ! ! ! ! ! • • • it • • • • ! • • • • • • ! • '• • • • Gov. Code Sec. 910.2 provides: "The claim must be seed by the claimant SENA NO2 e.ss 'i'0: (Attorney ) or swe+_oerson on is behalf." ame and Address of Attorney Law Offices of Carol L.- Gillam .Gillam & Associates 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. X0TICE Sectiaa 72 of the Penal Code provides: *Every person who, with intent to defraud, loresents far allowance or for payment to any state board or offloar, or to any county, city or district board or offioer, authorized to allow ar pay the same if 1pnuins, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by lmprisosmant 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 imprisoment and fine, or by imprisosmeat in the state prison, by a fuse of not exceeding ten thousand dollars (5109000, or by both such imprisonment and fine. cla�m SUM CW SOPMUORS OF Cis � ORIGINAL �CTI� ��' A. Claims relating to causes of action for death or for injury -o person or to per- sonal property or gming crops and Witch •a `cam an or before Deoaimber 319 1987, ,coact be presented not later than the 100th day after the aoen al of the cause of ' action,, Claims relating to causes of action fbr death or for injury to person or to personal property or growing crops and Sieh accrue on or after January 1, 1988, must be presented net later than six months after the accrual of the cause of action. Claims relating to any other cause of actlen >ust be presented not later than ane year after the accrual of the cause of action. (Go+rt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at Its offioe in Room 106, County administration Building, 651 PSAs street, Martinez, Q 94553. C. If claim is against a district governed by the Board of supwvisera, rather thorn the County, the name of the District should be filled in. D. If the claim is Against more than one public entity, separate eW-ms not be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code sec. 72 at sae end of this Roan. • aa • a • aa • • • aaaeeeeesa • • as • eeee • a • eeeee • eeea RE: Claim By Reserved for Clerk's filing stamp Peter M. Milcovich for ) , s RECEIVE[ w Andrew Milcovich gainstthe unty 0 tri sta rt or ) - 1,6„ District) CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. n name The undersigned claimant herby makes Cl I araInst the Count of Contra Costa or the above-rimed District in the sus of $ 0 0",0 0 0 . /c laiman � In Support of this claim represents as follms: 1. t,. dad :.s` Ldamage or injury xeur? (Clue exact sate and hour) September 6 ,1994; enact hour unknown 2. where did the dao.ge gr injury coeur? (Include city and ogua>tty) City of Crockett an surrounding environs , County of Contra Costa , State of California 3. How did the samage or �y occur? (Give full detailsl ace u reQulred) Oil or about- August 22nd through September 6th -of 994 a toxic .,ubst4nce known as catacarb leaked from a tower at .the Unocal Corporation Sail Francisco Refitted located .-it 1380 San Pablo Avenue, Rodeo, Contra Costa Count,,, California. w 4. what particular act or omission an the part of eonnty or district officers, asrvants or coployees caused the injury or damage? Various count,7 agencies , their erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (over) W`a' L.-e the names of co=ty or clstr1 off1ee.^a, aer'v::to or s • or- in Individuals and Inti the .da�ag-� J�"Yi ties incivairg but Mark. F nucane�• . Elinor Blake; Wendell Brunner, M. D. ; Randall L. Saw- er; William B. Walker , M. D. ; Lewis Pascall , Jr. , Esq. ; James Gallag er, Cozitra Costa County Health Services Department " 6. What damage or injuries do you claim resulted? (Give full extant of injaies or dama�es c alined. tLt C�i two estitates for alto damage. Nause s ortness o recti, ati.gue, chest pains , diarrhea, damage,-to multiple internal organs, loss of work, property damage, other injuries or damages presently being ascertained. T. How was the amount claimed above computed? (Include the estimated am mt of any prospective injury or damage.) The claimant is still undergoing medical -treatment. There are preliminary indications of possible permanent damage. S. Names and addresses of Vitt1e33es, doctors and hospitals. See Contra County Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT To be supplied. • • • • • � • i � • • • i • • • • • • • i • • • 11 i i i i i i i i • iii i 'i i i • Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES T0: (Atto^ney) or by some person on his behalf." Nam and Address of Attorney Law Offices of Carol L. Gillam & Associates Claimant s ure 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 SS �o Telephone No. (213) 683-2060 Telephone No. • • • i • • • • i • • i • i • ii • XOTICZ Section 72 of the !anal Code peovIdes: nPvery person *,*s with intent to defraud, presents tar allowance or !br payment to any state board or officer, or to any county, city or district board or Officers authorized to allow ar pay the same if genuine, any Was or fraudulent claim, Dill, account, voucher, or writing, is punishable either by lWisormant in the =znty jail for a period of not mare than one year, by a tine of sot exceeding one thousand ($1,000), or by both such imprisonment and line, or by impriso amt in the state prison, by a fine of not exceeding ter, thousand dollars (51090009 cr by both such imprisonment and fine. DOM OF SUPOYLIVRS CTI� 70� ORIGINAL A. Claim relating to causes of action for death or for injury, "o person or to per. sonal property or growing crops and whIch,accrue an or befam Deoember 319 19879 must be presented not later than the 100th day atter the Moral of the cause of action. . Claims relating to cruses of action for death or for injury to person or to personal property or growing crops and which accrue an or after January It 19889must be presented net later than six santhe atter the accrual of the cause of action. Claims relating to any other cause of action not be p wanted not lath than ane year atter the accrual of the cause of action. (Cort. Code 5911.2.) B. Claims must be filed with the Mark of the Board of visors at its office in Rom 106, County ♦dministratian Building, 651 Pirs Street, Msrtines, G 94553• C. If claim is against a district governed by the Board of 3 pervisars, rather than the County, the game of the District should be filled in. D. If the claim is against more than ane public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sac. 72 at the and of this OM RF: Claim By Reserved for Clark's filing stamp Peter M. Milcovich for John Milcovich RECEIVED Against the County of Contra Costa ) District) CLERK BOARD OF SUPERVISORS (Fill in �� CONTRA COSTA CO. The undersigned claimant hereby sakescl#L inst the County of Camra Costa or the above-hammed District in the sum of oar0 0 0. /c 1 a iman and in 049a`t Of this claim represents as t011OW1 :. M.`.= CSC t`.s damage car injury occur? (Give exact slate and has) September 6 , 1994; enact hour unknown 2. Whom did the damage or injury os:our? (Include city and oquat City' of Crockett and surrounding environs , County oL Contra Costa , State of California 3. How did the damage or ULJyry occur? (Give full detailal Nee 1t reQuired) Oil or about- August 22nd through September 6th-off T994 a toxic .,ubstc;;zce known as. catacarb leaked from a tower at ,the Unocal Corporation San Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa Cuunt1, Caiiforiijia. 4. What particular act or andssion an the part of county er district officerst servants or c*loyees caused the injury ar dump? the.Irirectors , and countagencies, their P..AipiUyC'P_5 were ddVlsE?d and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , -or mitigate the effects .of the leak. (aver) . wd .a: a.^e t." names et cel.:::y or district office.-e, serv'ar,.-3 or e�aovt�e9 the damage or injury'? Individuals and entities including buy ::ot .'dark Finucane• 'E'linor Blake; We dell Brunner , M. D. ; Randall L. Saw-�er- William B. Walker , M. D. ; Lewis ,. Pascall , Jr. , Esq. ; James Gallag�er; Contra Costa County Health Services Department ' d. what damage or injuries do you claim resulted? (Give full extent of injuries or d es her ted. AtChtwo �stilato for alto damagt. Nause shortness,ness o recti, atigue, chest pains , diarrhea, damage -to multiple internal organs, loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the amount claimed above computed? (Include the estimated a=unt of any prospective injury or damage.) The claimant is still undergoing medical treatment. There are preliminary indications of possible permanent damage. S. Names and addresses of vit;nesses, doctors and hospitals. See Contra Cu.-c." Couiiti oepartment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: D`AZ'E, IT�'M MOM- To be supplied. • • • • • • • • • • • • • • a '• • • • • • • ! ! 11 ! ! ! ! ! ! ! 's ! ! ! ! !*'! ! ! ! Gov. Code Sec. 910.2 provides: "The claim mit be signed by the claimant SEND NOTICES T0: (Atto^nev) or by same! Person on his behalf." Nam and Address of Attorney Law Offices of Carol L. Gillam & Associates 601 West Fifth AvenueAttorney for Claimant Suite 1210 Los Angeles , CA 90071 ?lSephone No. (213) 683-2060 Telephone No. NOTICE Sectim 72 of the penal Code prwides: nN*ry person who, With intent to defraud, presents far allowance Or for Payment to any state bard or officer, or to any county, city or district board or officer, authorized to anew or pay the same if 1pnuine, any false ar fraudulent claim, bill, account, voucher, or writing, is punishable either by impr•isor�mwlt in the county jail for a period of not more than one year, by a fine of mot exceeding one thousand (=1,000), or by both such imprisonment and figs, or by iaprisommt in the state prisons by a fine of not exceeding ten thousand dollars ($1010009 er by both such iEprisonment and fine. clai.2 U: 30M Of SOPEFY of �:A W �CTI� TOORIGINAL A. Claims relating to causes of action for death or far injurj -•o person or to per- sonal property or growing crops and which accrun an or befam Deoember 329 1987, must .be presented net later than the 100th day after the aoerual of the cause of action. Claims relating to causes of action for death or for inky to person or to Personal property or growing crops and which accrue an or after January 29 19889 must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action not be presented not later than one year after the accrual of the cause of action. (bort. Code $911.2.) B. Claims ant be tiled with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 631 Pine Street. !lamina, G 94553. C. If claim is against a district governed by the Board of 3upervlsors, rather than the County, the name of the District should be tilled in. D. If the claim is against more than ane public entity, separate claims asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this orm. aaaaaaaaaaaaaaaaaeaaaaaaaaaaiaeaeaie • ae • aaa RE: Claim By Neserved for Clerk's filing stamp Djhossan S. Milcovich ) � � ) Against unty O trs La ) or Q:1 District)n name ) The undersigned claimant hereby makes Ilii �ainst the Count of Centre Costa or -the above-named District in the sus of _���0�' 0 0 0. /c 1 a iman�and in support Of this claim represents as follows: Cid Ube damage or injury occur? (Give srraet date and hour) September 6 , 1994; exact hour unknown 2. Where did the damage or injury occur? (Include city and o9aety) City' of Crockett and surrounding environs , County ot Contra Costa, State of California 3. How did the damage or Indy coeur? (Give full details; use �,� it requiW) Oil or about August 22nd through September 6th--of 994 a toric :,,ubst�;zce known as catacarb leaked from a tower at .the Unocal Corporation Safi Francisco Re inert' located at 1380 San Pablo Avenue, Rodeo, Contra Costa County, Californill. 4. what particular act or emission an the part of county or district oftioarse servants or employees caused the injury ear damage? Various count* agencies , their erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (Over) c. wi�.a: a^e the names o� cimr.y or Cis r:�: arrlee.�s, �rva.^.is or ee."3 ca===., the damage or ir.ury? Individuals and e:7-,ties including but Mark . Finucane.• Elinor Biake; Wendell Brunner , M. D. ; Randall L. Sawler; Willl.am B. Walker , M. D. ; Lewis . Pascall , Jr. , Esq. ; James GailagKer;„ Contra Costa County health Services Department 6. what damage or injuries do you claim resultad? (Give full e:t4nt of LnJw103 or dames claimed. Attla�i two ?stiiatbs for atto damage. Nouse , s or ness o read, at-igue,, chest pains, diarrhea, damage -to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. Hoer was the amount claimed above ocaputed? (Include the estimated Unmt of any prospective in,)ury or damage.) The claimant is still undergoing medical -treatment. There are preliminary indications of possible permanent damage. S. Hames and addresses of Kitaassses, doctors and hospitals. See Contra Coca COUIIty oe-partnent of Health Services files; additional names to be supplied as treatment progresseG. 9. List the expenditures you made on account of this accident or injury: DATE T�I'E'�! Ate, To be supplied. Gov. Code Sec. 910.2 provides: "The claim must be 59eed by the claimant SEND NOTICES T0: (Atto-neer) Cr bY some Per= on his behalf." ame and Address or Attorney Law Offices of Carol L. Gillam & Associates � 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles, CA 90071 ss Telephone No. (213) 683-2060 Telephone No. • 0TICZ Section 72 of the Penal Code provides: %Nery person wbo, with intent to defraud, presents far al wume or fbr Payment to any state board or officer, or to any county, city or district board or officer, authorized to allow ar pay the same if genuine, say false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprlscrmnt in the county jail for a period of :sot mare than one year, by a fine of scot exceeding =* thousand (=1,000), or by Doth such imprisonment and fire, or by imprisonment in the state prison, by .a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fins. Cla:sD U: X= OF 30PEF71MRS Or =A =tr l ORIGINALOCTI� 70 A. Claims relatirg to causes of action for death or far injur�- ...* person or to per- sonal property or p wing crops and which•aecrue an 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 fbr inter to person or to personal prvparty or Qowint crops and which accrue en or atter January 1, 1988, must be presented not later than six months after the WOMS2 of the cause of action. Claims relating to any other cause of action asst be presented oat later than ore year after the accrual of the cause of action. (Govt. Code 1911.2.) B. Claims asst be filed with the Clerk of the board of visors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, G 94553• C. If claim is against a district governed by the Board of Superviswsg rather than the County, the name of the District should be filled in. D. If the claim is against more than we public entity, separate claims asst be filed aiainst each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this • a • • coca • • aaa • a • • • • • • • • • • • • • • • • • • ee • • • • • a • a RF: Claim By j Reserved for Clark's filing stamp Margarita Duran Flores ) ECEIVEC .nst t County o era sta ) or F R1 - District) J n name CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. The undsrsigned claimant hereby makes �i a a�nst the Count► of Contra Costa or the above-named District in the am of =1 ,�0 00. /claiman ar1d in Npport of this claim represents as follam s 1. .`.� did -, d:mede or la3w7 occur? (Give exact date and 2our) September 6 , 1994; exact hour unknown 2. Where did the damage or injury oaour7 (Include city cad og�snsty) Cite of Crockett and surrounding environs , County of Contra Costa , State of California 3. now did the damp or inNry coeur? (Give full details, weit required) On or about August 22nd through September 6th of 1994 a toxic ,ubst�;zce known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Re inert located at 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. 4. What particjlar act ar omission an the part of eowAy or district oftfieers, Servants or employees caused the Injury or damsse7 Various count;l agencies , their i rectors , and their emplayees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (over) c mat a.^e the res o' cotir:y Or district officers, •erva.nts or U—, ee :oy- s the e on Indlvlduals and cntlties incl Mark . Finucane • Elinor Blake; We(tdell Brunner , M. D. ; Randall L. Saw-•er; William B. Walker , M. D. ; Lewis Pascall , Jr. , Esq. ; James Galiag�Z:r; Contra Costa County Health Services Department 6. What damage or injuries do you claim resulted? (Give full •stent of injuries or damages celaed. ttl' two !sti pats for the daIDa i• Neuse shortness o recti, atigue, chest pains, diarrhea, damage .,to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. Now was the amount claimed above oomputed? (Include the estimated am=t of any prospective injury or damage.) The claimant is still undergoing medicui 'Creatraent. There are preliminary indications of possible permanent damage. a. Names and addrenses of VlWesses, doctors and bospitals. See Contra Cc--ca C.ouiit., Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: D_ IIm AMOUNT To be supplied. Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SE'E'D NM r'E.S T0: (Attcrriev.) or by some person on his(behalf." Name and Address of Attorney �O Law Offices of Carol L. h Gillam & associates I or 601. West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. 10TICE Section 72 of the Penal Code provides: gVery person who, with intent to defraud, presents for allowanoo or fer payment to any state board or officer, or to any county, city or district board or offioer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by iWisormwt 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 impriswgmt and fine, or by imprisonment in the state prison, by a fine of not exceeding ton thousand dollars (410,0009 or by both such imprisonment and fine. cla:z 1c: BOM OF 30PERYLSM OF CORTRA 00rA ORIGINAL D�LSMCTIONS To CLAD r A. Claims relating to causes of action for death or for injury --o person or to per- sonal property or VwLM crops and rfiich .accrue on or beton Deoember 31, 1987, must be presented not later than the 100th day atter tAe aoenal of the cause of • action. Claims relating to causes of action lion death or fnr Injury to parson or to,personal property or graving crops and uhich accrue an ar after January 1, 19M must be presented not later than six months atter the accrual of the cruse of action. Claims relating to any other cause of action not be presented not later than ane year after the accrual of the cause of action. (Gant. Code $911.2.) B. Claims oust be tiled with the Clerk of the Board of 94marisors at its *?floe in Room 1069 County Administration Building, 631 tine Street, Mamie$$:, C1 94553• C. If claim is against a district governed by the Board of 3upervisars, rather than the County, the name of the District should be filled in. D. If the claim is against acre than ane public entity, separate claims out be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this orm. e ! s • • e • ! • ii* e e 9 1 e 0 e a e 0 e • • e ! e e • e e e e e e e e 9 e e a e ! RE: Claim By Reserved for Clerk's filing stamp Adolpho Flores RECEIVED .nst the County oContra Costa ) or ) _ . District) CLERK BOARD OF SUPERVISORS !: name ) CONTRA COSTA CO. The undersigned claimant hereby makes cl#i> OOoot /�ai�ny of Contra Costs or the above-rimed District in the sum of $ � and in support of this claim represents as follOWI 1. Wan C:d %A damage cr injury occur? (Give exact date and haw) . September 6 , 1994; exact hour unknown 2. where did the damage ar injury occur? (Include city and oquaty) Cit, of Crockett and surrounding environs , County of Contra Costa , State of California M 3. boy+ did the damage or Injury occur? (Give full details= use it required) On or aboutAugust 22nd .through September 6t0" � 94 a toric substGnce known as catacarb leaked from a tower at the Unocal Corporation Sa;t Francisco Refilled located at 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. 4. what particular act or emission on the pert of county or district offiowel servants or emloyees caused the inJury ar damage? i Varous count-? agencies , their -irectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (aver) it..d JVI Lilt r �5 Q. G. ' .re YZ.tz or 4c:;_cf"3 ca.;s.:.0 the damage .or injury? Indlviduals and e.-It_" ties inc_ buy. .-.c,,- bu .-:o Mark F •nucaneElinor Blake; We dell Brunner , M. D. ; IRandall L. Saw- er; William B. . Wa�ker , M. D. ; Lewis �. Pascal]. , Jr. , Esq. ; James Ga11ag er; Contra Costa County Health Services Department 6. what damage or injuries do you claim resited? (Give full extent of injuries or dama� ittehb tw �atiatss for a, to damag¢• Nouse s or Hess o read, atigue, c: est pains , diarrhea, damage. to multiple internal orgaiis , .loss of work, property damage, other injuries br damages presently being ascertained. 7. Now was the amount claimed above oomputed? (Include the estimated awmt of any prospective injury or damage.) The claimant is still undurgoing medical 'Creatment. There are preliminary indications of possible permanent damage. S. Names and addresses Of VIU1023e3, doctors and hospitals. See Contra Cu_-LC" Count-_, Department of Health Services files; additional names to be supplied as treatment progresseG. 9. List the expenditures you made on account of this accident or injury: D_ TTS To be supplied. Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SE`I) Ntn'ICE.S TO':`` (Aa©rrrnev) or bv some person on his.behalf." ame and Address of Attorney Qti �o Law Offices of Carol L.. C.. Gillam & Associates �y 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 !! Telephone No. (213) 683-2060 Telephone No. 5 0 T I C 2 Section 72 of the Penal Code provides: %Nary persm who, with intent to defraud, presents for allvwanoe or fior payment to any state board or officer, or to any county, city or district board or officer, authorised to allow ar pay the same if genuine, any false or fftudulent claim, Dill, account, voucher, or writing, is punishable either by impriscrowt in the county Jail for a period of not more than ane year, by a fine of not exceeding one thousand (=19000)9 or by both such imprisonment and figs, or by tWisoosmnt in the state prison, rby a fine of not exceeding ten thousand dollars ($209000, or by both such iWisonment and fine. CIA:m to: BOAX� Or MFiFY13ORS Of CONTRA COSTA COUNTY ORIGINAL IN. "CTIONS TO CZ.J DUN!' A. Claims r•latim to anuses of action for death or for smug• ..,2 person or to per- sonal property cr Vvvint crops and Witch accrue, an or befog Deomber 31, 1987, must _be presented not later than the 100th day atter, the aomal of the cause of action. Claims relating to causes of action for death or for inky to person or to=Perso:�al property or growing crops and which accrue an or after January 1, 1988;4 must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action gust be pessented not later than one year after the accrual of the cause of action. (Gott. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 tine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Stipervisors, rather than the County, the name of the District shoUd be filled in. D. If the claim is against mm than one public entity, separate claims asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Petal Code Sec. 72 at Us end of this orm. • • • • • • � • • a • a • • • • • • • • • • • aaaa • a • aa • • • • aaa • • a • RE: Claim By ) Reserved for Clerk's filing st4W Adolfo Flores for ) Adolfo Flores, Jr. RECEIVED Against the County of Contra Costa ; or � 1 District) Fill Tf name ) CLERK BOARD Of-%JP61{VISORS r,ONTi COSTA CO. The undersigned claimant hereby makes c1ai inst the Comet of Contra Costa or the above-named District in the son of-$ � 0 ' 000 . /claimantand In support of this claim represents as follows :.. tPh= did t.A damage or injury occur? (Give exact date and hour) September 6 , 1994; exact hour unknown S. mere did the dqap or injury occur? (Include oily and ogunty) City of Crockett and surrounding environs , County ot Contra Costa, State of California ...rte 3. HOW did the damap or occur? (Give full details' nae it „Quiff) On or about- August 22nd through September 6th o� g94 a toxic :,uastance known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Refinerylocated at 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. s+. *at particular act or omission an the part of oounty or district offiws, servants or emloyees caused the inJury or damage? Variousl count., agencies , thee , rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (oar) r c• ��� a' Fa.^e the names of or Cis.r:o: offioe.�s •e_Pvz.^.t3 or o the'da,'�3�3e, or_ ir.jury? Individuals and entities incruding buy Mark Finucane• Elinor Blake; Weladell Brunner , M. D. ; Randall L. Saw er; � William B. Walker, M. D. ; Lewis Pascall , Jr. , Esq. ; James GallagKer;, Contra Costa County Health Servides Department b. What damage or• injuries do you claim resulted? (Give !till Ghent of injuries or damages claimed.ed. dttfc , Lwo �st Xt03 for onto damag4. Nouse s or mess o recti, atigue, crest pains, diarrhea, damage :o multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. Now was the amount claimed above computed? (Include the estimated amomt of any prospective injury or damage.) The claimant is still undQrgoing medical -Lreatment. There are preliminary indications of possible permanent damage. 8. Names and addresses of Vittlssses, doctors and hospitals. See Contra Cu--cu Couiitt J( partment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injurys DATE TOTEM J_ NT To -be supplied. ! • • f • ! ! ! ! ! i ! ! We ! ! ! ! ! ! 0 ! ! e ! • f e e e s 0 0 e G'e ! ! ! Gov. Code Sec. 910.2 provides: "fie claim must be signed by the claimant SZ%,") NOTICES Tcf (Attorney) or by some Person on his behalf." Nam and Address of Attorney Law Offices of Carol L. 2ad4� / - Gillam & Associates a ,mant sQ1i ure 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. � le,.� • ! ! V IF ! ! ! ! • ! ! f ! ! ! x0TIC2 Section 72 of the Penal Code provides: %Nery parson who, with intent to defraud, presents for allcw zm or floe' Payment to any state board or officer, or to any county, city or district board or offioer, authorized to allow or pay the same If genuine, any false or fraudulent claim, pill, account, voucher, cr writing, is punishable either by lWisorment in the county fail for a period of not more than one year, by a fine of not exceeding We thousand ($1,000), or by both such imprisonment and fine, or by imprisarmnt in the state prison, by a fine of not exceeding ten thousand dollars (=1090009 or by botb such imprisonment and fine. - Cup to= 304MCF �'�� . ' COM M. ORIGINAL 1. Claims relating to causes of action for death or for injm, "o person or to per. sonal property or growing crops and %&1oh 'a=,%* an or before Deoember 31, 19879 must; be presented not later than the 100th day after the accrual Of the cause of ' actian.h. Claims relating to causes of action for death or for inlay to person or to PW30rZl propertY or ging crops and wbioh aec:w an or attar JW=ry 1, 1988, must be prtsenttd not later than six months aftsr the accrual of the cause of action. Claims relating to any other cause of aetian not be presented not lath than ane year atter the acori l of the cause of action. (Govt. Code 1911.2.) B. Claims ant be filed arith the Clark of the Dowd of 2gwvisors at its offioe in Roam 106, City Administration Building, 651 Pine Street, Martlfmv Ci 94553• C. If claim is against a district governed by the Board of B<penrisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than ane public entity, separate claims asst be filed against each public entity. E. Fraud. See penalty for fraudulent claim=, Penal Code 3to. 72 at the and of this orm. i i i f � f i � i i i i i • • i i i i i i i i i i i i i i i i i i t i • i i i i i i i RE: Claim By Aeserved for Clerk's filing stamp Adolfo Flores for Esteban Flores ) ' FF ) �� ��RECE�VED Against t unty o tra sta ) 4 or ? MAR $4 61. District) 1T dime ) CIERKCNT A COSTAOF ECO RVISOBS The undersigned claimant hereby sakescl ii atainst the Count? of Contra Costa or the above-named District in the sm of = 0 Q, 0 0 0. /c 1 a ma n In support Of this claim represents as follows 'fit. Cid w.e damage ar Injury occur? (Give exact date and hour) September 6 , 1994; exact hour unknown 2. Where did the damage or injury oeaur? (Iaelude city and Cgxatty) City of Crockett and surrounding environs , County of Contra Costa , State of California 3. boy+ did the damp or Injury occur? (Give hill details= we p�a�r if �QUi�) On or about ugust 22nd through September 6t o 4 a toxic :.,ubstuInce known as catacarb leaked from a tower at .the Unocal Corporati01i Sus Francisco Re inery located dt 1380 San Pablo Avenue, Rodeo, Contra Costa COUntl, California. 4. What particular act or omission an the part Of County or district offlosrs, servants or employers caused the inJury ear &=07Various count-,, agencies , their rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, , alert or prUtect the public , or mitigate the effects of the leak. W!-.a- art the names of cam:y or distrlc= officers, se.* Jams or •C;°o1re3 cam' 1- the damage or in x—y? Individua_s and en __ties inc�uding bu_ -c _...__ Nlark Finuc'ane• Elinor Blake; We dell Brunner , M. D. ; Randall L. Sawyer; William B. Walker , M. D. ; Lewis �. Pascall , Jr. , Esq. ; James GLlagKer; Contra Costa County Health Services Department 6. What damage or inJ%ries do you claim resulted? (Give fu ft:tent of injuries or damages cait�ed. dttci two �atilat4s for oto daIDagp• Nause s or ness o read, atiyue, chest pains, diarrhea, damage to , multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. T. Now was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) The claimant is still undergoing medical treatment. There are preliminary indications of possible permanent damage. B. Names and addresses of t?►ivWsses, doctors and hospitals. See Contra Cu. *Lc" County Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE_ I_''S A O T To be supplied. • • • • • • • • es • s • • • • • • • i • • • • • • a • • e • • • e • • •' • • s • Gov. Codo Sec. 910.2 provides: "fie claim must be signed by the claimant Mn N=I= Z'0: (Attornev) or bv some RE30n on his behalf.* Nam and Addr433- of Address-ofAttorney Law Offices of Carol L. Gillam & Associates 601 West Fifth Avenue Attorney for for Suite 1210 Los Angeles , CA 90071 33 Telephone No. (213) 683-2060 Telephone No. 20TICE Secttoo 72 of the Penal Code pm1des: *Very person who, with intent to defraud, presents for allowance or fbr Payment to any state board or officer, or to any county, city or district board or offioer, authorized to allow or pay the same if genuine, any false or fraudulent Clain, bill, account, voucher, or writing, is punishable either by imprisonment in the County jail for a period of not more ttan one year, by a fine of not exceeding MO thousand (=1,000), or by both such imprisonment and firms, or by imprisonment In the state prisons by a fine of not exceeding ten thousand dollars (=10,0009 or by both such imprisonment and fine. Claim UBa►Ra CF SVFEsaPs � arrz , �ocTi«� ToORIGINAL A. Claims relating to causes of action for death or for injury ..-* person or to per- sonal pmperty or growing crops and which ,accrue an or before December 31, 19879 must be presented act later than the 100th day after the acamal of the cause of action. , Main relating to onuses of action for death Cr for injw7 to person or W'personal property ar growing amps and *ich accrue an or attar January I, 1988,, must be presented net later than six months after the accrual of the cause of action. Claims relating to any other cause of action not be p %rented not later than one year atter the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in go= 1069 County Administration Building, 651 Pine Street, Martinas, CA 94553. C. If claim is against a district governed by the Board of Stpervisora, rather than the County, the name of the District should be filled in. D. If the claim is against more than ane public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this RE: Claim By Reserved for Clerk's filing stamp Adolfo Flores for ) I.Fr.'RECEIVED-F Cynthia Flores ) Against the County of ConGaMs"ta ; appor 6 District) CLERK BOARD OF SUPERVISORS. n nam! ) CONTRA COSTA C . The undersigned claimant hereby ekes "il ap n�s�t �theaCounny of CwtM Costa or the above-named District in the am of S � and in support of this claim represents as follows i. f:an did t:,e damage or injury occur? (Give cannot Sate and Dour) September 6 , 1994; enact hour unknown 2. Vhere did the damage or injury occur? (Include city and ogunty) City of Crockett and surrounding environs , County of Contra Costa , State of California 3. How did the damage or Injury occur? (Give still details: weit �Qui�) 01i or about August 22nd through September 6th o� T994 a toric .,ubstG;nce known as catacarb leaked from a tower at .the Unocal Corporation Sari Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. 4. What particular ant or emission an the part Of county or district offioemp aervants or erployees caused the injury ar damage? a Vrious count,- LIgencies , their erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. C. Wi .at a.^e the Names Of ca%ra y ar dl s tr i c t of f i gess, &e--Va^is or e1=;.oye s :a the daragi dr l.;yL�r7n individuals and enitles inc-'- UaingOUZ L lark Finucane • Elinor Blake; Wendell Brunner, M. D. ; Randall L. Sw-•er; William B. Walker , M. D. ; Lewis . Pascall , Jr. , Esq. ; James Galiaag�er; Contra Costa County Health Services Department 6. What damage or injuries do you claim resulted? (Give toll estent of injuries or dama�es calmed. gttehb two ?stiat4s for nto damage• Neuse shortness o recti, atigue, chest pains, diarrhea, damage to multiple internal organs,, loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the amount claimed above Computed? (InClude the Utimated am mt of any prospective inJury'or damage.) The claimant is still undergoing medical t-reatment. There are preliminary indications of possible permanent damage. 8. Hames and addresses of VIU1e33e2, doctors and bospitals. See Contra Cu--L:,k C:ouu4-j oepurtment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injury: DATE I s AMOEM To be supplied. ! ! ! • ! � ! �! ! ! ! ! ! ! • ! f • ! !. ! • • i • ! i ! i i i i i i i • i i 'i i i • Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SE'E'D NMr-TS TO (Attorney) or by some OW30n on his behalf." Nam and Address of Attorney Law Offices of Carol L. Gillam & Associates (Claimant I i ure 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. • • ! • • ! ! • • • • • ! • • i ! 2 0 T I C Z Section 72 of the Penal Cede provides: *Very person who, with intent to defraud, presents for #LUcm we or for payment to any state board or officer, or to any County, city or district board or offioer, authorised to allow or pay the same it genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county Sail for a period of rot more than one year, by a fine of trot exceeding One thousand (=1,000), or by both such impriawgMt and fins, or by i*riscrmemt in the state prison, by a fine of not exceeding tan thousand dollars ($10,000, or by both such imprisorm=t and tins. DOM CF JUPER V ru::m U: CTI .� C�:-Y ORIGINAL A. Claims relating to anuses of action for death or for injury ".3 person or to per- sonal property or graving crops and rtiich'accru* an or before Deoember 31, 19870 must be presented not later than the 100th day atter the aoarual of the cause of action. Claims relating to causes of action for death or for injury to person or to`-personal prom y or growing crops and *ich accrue on or after January 19 19889 must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action not be presented not later than, ane year after the accrual of the cause of action. (Dort. Code 1911.2.) B. Claims suet be filed with the Clerk of the Board of ftmoviscra st its office in Norm 1060 County. Administration Building, 651 Pint Street, lbrtiasz, 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 asst be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Cods Sec. 72 at the and of this ATOM • ! ! ! ! • i ! • • • i i • i r i • i • • • ! i i i i i i i i i • • e ! • i i e • • i AE: Claim By Reserved for Clerk's filing stamp Adolfo Flores for ) Lucia Flores ) RECEIVED Against the County o Era sta ) or Jw District) n rAme ) CLERK BOARD OF SUPEWSORS COCA COSTA CO The undersigned claimant hereby makes "ii oaf a 0 0 /c 1 a i ma n y of Carntr a Costa or the above-named District in the em of = and in support of this claim represents as follows .. Wh= did t1he damage or injury occur? (Give enact date and Dour) . September 6 , 1994; exact hour unknown 2. where did the damage or injury ocour? (Include city and o9u ty) City of Crockett and surrounding environs , County ot Contra Costa, State of California 3. bow did the damage or injury occur? (Give !till details= use �g� �+ it rrQuir d) Oil or about August 22nd through September 6th o� 994 a toric ,u!)st4nce known as catacarb leaked from a tower at .the Unocal Corporatio;i San Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa Count.1, California. 4. what particular act or emission an the part of county or district officers, servants or eMloyees caused the injury or damage? Various co unto agencies , their rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert cr protect the public , or mitigate the effects of the leak. (Over) C. W,- : a."e the neme s o f carr:y or Cis:r 1 c: of f i cue.-s, se-V is or �e oyee s ca;,:: t!Ie: darage or:injury? Individuals and entlties inciuding but. ::0t Mark Finucane• "Elinor Blake; Wetpdell Brunner , M. D. ; Randall L. Sawyer; William B. Walker , M. D. ; Lewis . Pascall , Jr. , Esq. ; James Gallagrier;. Contra Costa County Health Services Department 6. What damage or injuries do you claim resultod? (Give full estent of in Wies or damages *&&Med. Attfoh two tsti t4 y for U1 t0 daIDajO• damage ''co Nau—sea, shortness of t�reatli, ati ue, chest pains, diarrhea, multiple internal organs , loss of work, property damage, other injuries or damages presently beincL ascertained. 7. Now was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) The claimant is still und`rgoing medical �reutr:tent. There are preliminary indications of possible permanent damage. 8. Names and addresses of Vitt!.ssses, doctors and hospitals. See Contra Couiitl Department of Health Services files; additional names to be supplied as treatment progresseG. 9. List the expenditures you made on account of this accident or injury: DATE I— AMD= To be supplied. e e e s • e • i n e s •. a s • ifs- a e e s e • e e s f nee ee s s e e e' • e e e Gov. Cods Sec. 910.2 provides: n ;,, "The claim must be sued by the Claimant SENO NM CES TO.: (Attieu) or by some Person on hig behalf." Nam andAddress. of. Attorney Law Offices' of Carol L. . Gillam & Associates (Claimant I s urn 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 Telephone No. (213) 683-2060 Telephone No. • • • e f a 6 a 9 9 9 a 9 a a a • • • 41 e • • 20TICE Section 72 of the Penal Code provides nNery person who, with intent to defraud, presents far allowance or fear payment to any state beard or officer, or to any county, city or district board or offioer, authorized to allow or pay the same if genuine, any flake or ff■audulent claim, bill, account, voucher, or waiting, is punishable either by iWiaormiant in the county Sail for a period of not more than one year, by a fine of not esoseding one thousand (=1,000)9 or by both such imprisormant and fins, or by 1WIsonmeat in the state prison, by a fine of not exceeding ten thousand dollars ($109000, or by both such imprisonment and fine. Clam to: BOARD OF OE CCKU Cti6'rA WMM. p4wrRDCTIONS TO CZ.ADOM ORIGINAL A. Claims relating to causes of action for death or, for in3urj "o person or to per- sonal property or paving crops and which accrue on or before Dsoomber 319 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 paring crops and % Mich accrue an or atter 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 not be presented not later than one year after the accrual of the cause of action. (Govt. Code 1911.2.) B. Claims Bust be filed with the Clerk of the Dcard of 9upervisoes at Its office in ]doom 1069 County Administration Building, 651 lire street, lltrtiz»s, CA 94553. C. If claim is against a district governed by the Board of 3upirviscrs, rather than the County, the mace of the District should be filled in. D. If the claim is against more than ane public entity, separate claims suet be tiled against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this arm. e ! • ! ! ! ! ! i ! ! i i ! ! i i i i i i i • i i ! ! i i i � i i i i i i i i i e e e RE: Claim By j Reserved for Clerk's tiling stamp Adolfo Flores for ) Alicia Flores -RECEIVED Against the County of ConUTaita District) CLERK BOARD OF SUPERVISORS - Vill in name ) A-C sW. The undersigned claimant hereby sakes "l ,o�0 0 Ot / he p malty of Contra Costa or the above-named District in the an of = and in support of this claim represents as follows ♦• Q.C w.e d..mage or la jury occur? (Give exact date and how) September 6 , 1994; enact hour unknown 2. mere did the damage or injury coeur? (Include oily and ogunty) City of Crockett and surrounding environs , County of Contra Costa , State of California 3. flow did the damage or injury occur? (Give full details= use 1 it requite) Oil or about ugust 22nd through September 6t o 4 a toric -,u!.)stunce known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Re-Zinery located ,-it 1380 San Pablo Avenue, Rodeo, Contra Costa Count., California. J+. what particular act or omission an the part of county or district officers, servants or employees caused the inNry or damage? Various count: agencies , their directors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (over) .a. a.re the rsame s o` cour.y dls tr:c: of f i oers, oervz:�`a or �• tr'ie d B�=:Oj' ��,�,'1�}� IndivIduals and ent=hies including, bur Mark Finucane- Elinor Blake; We�dell Brunner, M. D. ; Randall L. Sow er; William B. Walker , M. D. ; Lewis . Pascall , Jr. , Esq. ; James Galiag er;- Contra Costa County Health Services Department 6. What damage or injuries do you claim resulted? (Give fUn eatent of inJu'ies or dames caaimed. Attachb two ostizatos for 84W damage. Nause , s ortness o recti, tatigue, chest pains, diarrhea, damage to multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. Now was the amount claimed above computed? (Include the estimated nowt of any pr03pe0t1ve injury or damage.) The . claimant is still undergoing medical treatment. There are preliminary indications of possible permanent damage. 8. Names and addrsases of VW743se39 doctors and hospitals. See Contra Cu.,-c." Couiit-j Department of Health Services files; additional names to be supplied as treatment progresseG. 9. List the exx-nditures you made on account of this accident Cr injury: DATE I_m ... = To be supplied. •-ca;..aR xs. etse * teeetaiea . • 4- • aeseaa • aaa • sec • sse00 "s • ei Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SM.) NMI.M.S TOf " (Attorney) or by some Verson on-his behalf." Nam and Address of Attorney Law Offices of ',Carol-.L. � Gillam &associates (Claimant-2Signature) 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles, CA 90071 h Telephone No. (213) 683-2060 Telephone No. • e ! e • f • a a I a a It a IF f • • a • • • • a • s • X 0 T I C Z Section 72 of the Penal Code provides: nlvw-y person who, with intent to defraud, presents for allawanee or far Payment to any state board or officer, or to any county, city or district board or offioer, authorized to allow or pay the same if genuine, any false or ffaudulent 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 exoeeding one thousand (=19000), or by both such impris= ent and fine, or by impriscrA=t in the state prison, by a fine of not exceeding tan thousand dollars (51090009 or by both such imprisonment and fine. - CIA im 1-6: DOM OF ��I«� " =?r.Y ORIGINAL A. Claims relating to muses of action for death or for injury "-o person or to per- sonal property or growing crops and which accrue an or before Doosmber 319 1987, "t be presented not later than the 100th day after the accrual of the asuse of setion. Claims relating to asusts of action for death or for Injury to person or to,personal property or ging crops and which accrue on or after January 19 1988; moist be presented not later than six months after the acamal of the cause of'#action. Claims rotting to any other cause of action not be p 4tsiented not latter than one year after the.aecrual of the asuse of action. (Cort. Code $911.2.) B. Claims asst be filed with the Clerk of the Board of fter►isors at its office in Roam 1060 County administration Building, 651 live Street, HRrtilAez, C1 94553• C. If claim is against a district governed by the Board of 3upirvisars, rather than the County, the name of the District should be filled in. . D. If the claim is against axe than ane public entity, separate claims asst be filed against each public entity. E. Fraud., See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this form. RE: Claim By Reserved far Clerk's filing stamp Jay Gunkelman for ) I ::.RECEIVED Vaughn Gunkelman "� gaimt, the County of Contra Costaor ) 1 F`- MAR - b District) CLERK BOARD OF SUPERVISORS n name' ) CONTRA COSTA CO. The undersigned claimant hereby ekes el#il0alain0lsOt the County of Contra Costa or the above-named District in the sum of S U and in support of this claim represents as follows: .. tf.-= Cid ;:,s d:mase or injury occur? (Give exact date and hour) September 6 , 1994; enact hour unknown 2. Where did the damage or injury occur? (Include city and ogw"Y) City of Crockett and surrounding environs , County OZ Contra Costa , State of California 3. How did the damap orooeur? (Give hill details: use �M �er it „Quimd) On or about- Aug" b August 22nd through Septemer 6th-oT � 94 a toric ,ubst4nce known as catacarb leaked from a tower at .the Unocal Corporation Sari Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Co:ita Countl, California. �+. What particular act or omission an the part of county or district olfioers, servants or,employees asused the injury or damage? Various count.7 agencies , their erectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (Over) C. Via:, a.t, the,r mes of couay or district officers, serva:.t.s or �.c�s Lhe jur - Individuals and :t_t_as inc ` ud_n - bur� Mark `Finucanei-"Eiino -r Blake; We dell Brunner , M. D. Randall L . Sawyer; William B. Walker , M. D. ; Lewis . Pascall , Jr. , Esq. ; James GallagKer; _ Contra Costa County Health Services Department 5. What damage or injuries do you claim resulted'? (Give full extent of injisries or damages claimed. dttfchh two �Sti P as for a4to d MO- Nause:, s ortness' o rent i, atigue , chest pains , diarrhea, damage -o , multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the amount claimed above oceputed? (,Include the estimated amount of any prospective injury or damage.) The claimant is still undergoing medical treatment. There are preliminary indications of possible permanent damage. 8. Dames and addresses of Vitl*sses, doctors and hospitals. See Contra Cu�-tL:1 Couin-y Department of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injw7: DATE AMMVT To be supplied. j :f Gov. Code Sec. 910.2 provides: "The claim must be seed by the claimant NO",'Ir'f.S T0: (At"t� nev) or by some! er Dson On his behalf.* Raw and Address of Attorney. Law Offices of Carol L. Gillam & Associatesu!'e 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles , CA 90071 is Telephone No. (213) 683-2060 Telephone No. e ! ! e ! a a a a a VT ! ! ! ! 0 0 ! • e s ! NOTICE Section 72 of the renal Code provides: %Very person who, With intent to defraud, presents for allamrm or for payment to any state board or officer, or to any, county, city or district board ar officer, authorised to allow or pay the same if gamine, any !'also or fraudulent claim, Dill, account, voucher, or writing, is punishable either by imprisorvient in the county Jail for a period of not more than one year, by a fins of not exoW ing me thousand (=1,000), or by both such imprismumt, and fins, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars (=1090009 or by both such imprisonment and fine. DOM CF ZU?UVL*CRS OF MRM =TA MONTY D "FOCTIONS TO CLADWIT 0 ORIGINAL A. Claim relating to causes of action for death cr for injur- ...* person or to per. soml property or groving crops and which'acarm on or beton December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of actiam. Claims relating to causes of action for death or for injury to parson or to personal property or paving crops and Mich accrue on or after January 1, 19889 must be presented not later than six months after the acerutl of the cause of action. Claims relating to any other cause of action not be pnsanted not later than one year after the accrual of the cause of action. (Govt. Code 1911.2.) B. Claims wt be filed with the Clerk of the Board of dupereisam at its office in Roan 106, County Administration Building, 651 Pine Street, HL-Unna ,CA 94553. C. If claim is against a district governed by the Board of 3upvvisors, rather than, the County, the name of the District should be filled in. D. If the claim is against more than ane public entity, separate elalms ant be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this ! ! • i i i i ! • i ! i ! ! i i • • i ! ! • i i e • i • • • • • • e 0 • • ! • ! ! i • RE: Claim By Reserved for Clerk's filing stamp Bonnie Jene Pannell ) RECEIVED Lo Against the County or Mi—traMsta ) or District) CLERK BOARD OF StiPERVISORS Vill n name ) CONTRA COSTA CO. The undersigned claimant hereby skis cl#i>c�Os�a�Rt /the County of Cantra Costa or the above-named District in the sem of $ and in sup�por't of this claim represents as follows :. `. CSC he damage or injury occur? (Give exact date and hour) .September 6 , 1994; exact hour unknown 2. Where did the damage or injury occur? (Include city and ogunty) Cit, of Crockett and surrounding environs , County of Contra Costa , State of California 3. How did the damp or Injury occur? (Give !till details=n wet o pl� it toxic required) Oor about August 22nd through September 6 :,,ubstc.;ace known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa County, California. 4, What particular act or emission an the part of oamty or district offioars, servants or mployeas caused the injury or damage? Varlous count,,* agencies , tt? hir ' rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (age r k.`.a: a.^e the names of =zty or datr.,ct off1:eel-3, servw.tz or �:oy s res Lhe Qa, t or injurY'07 Individuals and entities inciudin bu: 7.c.-_ i Ma-K F-Lnucane•- Elinor Blake; We�dell Brunner, M.D. ; Randall L. Saw- er; William B. Walker, M. D. ; Lewis . Pascall , Jr. , Esq. ; James Gallag�ier; Contra Costa County Health Services Department x. b. wmt damage or injuries do you claim resulted? (Give lull *stent of Injuries or dama� 'tt b two is rtes for agft damage. Nause !s shortness o read, atigue, chest pains, diarrhea, damage to multiple internal organs, loss of work, property damage, other injuries or damages presently being ascertained. 7. How was the amount claimed above computed? (Include the estimated am mt of any prospective injury or damage.) The claimant is still undergoing medical -treatment. There are preliminary indications of possible permanent damage. S. Names and addresses of V1t1ae23e39 doctors and hospitals. See Contra Cu_ca Count l i)epurtment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expenditures you made on account of this accident or injurys DATE IAMOUNT To be supplied. ! i 1 • i i i ?i-:'i f, i-i i. i • -• ! i i ! ! ! • i ! ! ! • ! ! ! ! ! r ! • • 'e • ! ! �. Gov. Code Sec. 910.2 :. .. � providest "The clam must be signed by the claimant SEND NOTICES T0: (Attorney) or by some W30n on his behalf." Naw and Address of Attorney Law offices of Carol L. Gillam & Associates 601 West Fifth Avenue Attorney Claimant, or Claimant Suite 1210 Los Angeles, CA 90071 Telephone No. (213) 683-2060 Telephone No. ! • ! • ! ! ! ! • ! • ! ! TM • • • NOTICE Section 72 of the Penal Code provides: %Very person who, with intent to defraud, presents far allowum or fcr 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 imprisormwt, in the county Jail for a period of not more thin one ywr, by a fine of not exceeding one thousand (=1,000), or by both such imprisormwnt and fine, or by impriscrumt in the state prisons by a fine of not exceeding ten thousand dollars (4109000, or by both such imprisonment and fine. Cla!z to: BOA cr or co TlRA 0.L's:a N:'7 DMMUCrIOHS TO C—L&D ANT ORIGINAL A. Claim relating to amuses of action for death or, for injury "o person or to per- sonal property or growing crops and which accrue an or befog Deomber 31, 19870 must;be presented not later than the 100th day after the accrual of the amuse of action. Claims relating to causes of action for death or far injury to person Or to per=ml property ar ging crops and which accrue an or after January 1, 19689 must be presented not later than six months after the accrual of the cause of action. Claims relating to any other amuse of action not be presented not later than one year after the accrual of the cause of action. (Gort. Code $911.2.) S. Claims must be filed with the Clerk of the Board of 3uperrlac" at its office in !loom 106, County Administration Building, 651 line street, Martians, CA 94553. C. If claim is against a districtedby the Board of 3gwv1s , rather ttw the County, the name of the District ors should be filled in. D. If the claim is against more thin ane public entity, separate claims not be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code See. 72 at the and of this i ! • • i ! i ! i i • ! i ! ! ! i e ! ! ! ! ! i S_ l i ! ! ! ! ! e i ! e ! ! • i ! • ! RE: Claim By ; Reserved far Clerk's filing stamp Jay Gunkelman RECEIVED Against the Munty of Contra Costa ) or District) }_MAR -,;61995 n name ) CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. ' The undersigned claimant hereby makes c1#ixinst the County of Contra Costa or the above-aimed District in the sum Of = 0000 . /claiman and lA supPa't Of this Claim represents as follows: 1. trh= did t„`,e 6=ge or in juiy occur? (Give exact data and hour) September 6 , 19914; enact '.hour unknown 2. Whom did the damage qr inlay occur? (Include city and agunty) i ' Ct: of Crockett -an surrounding environs , County of Contra Costa , State of California 3. 11W did the -or occur? (Give full details ase 1! reQuired) On r aboutAu4ust 22nd throug'a Septembfer 6t�-_o� 1"94 a toxic :,ubstc.�ace known as catacarb leaked from a tower at .the Unocal Corporation San Francisco Refinery located at 1380 San Pablo Avenue, Rodeo, Contra Costa Counti, Caiifornia,. 4. what particular act or omission on the part of county ar district offioers, servants or employeas caused the Injury or damage? Various count-,, agencies , their rectors , and their employees were advised and had knowledge of this leakage and failed to act to stop the leak, alert or protect the public , or mitigate the effects of the leak. (over) V`a- wrt the rsame's'.o�" cow:.y or dis:-1= of f i oer3, .e.:-var is or QC:;—0 ee s :a ;tie dame cr' �n"X.Y ? individuals and Ciltities i:7Cilldlnc' jUL M1I k. F nucane.• Elinor Blake; Wendell Brunner, M. D. ; Randall L. Sawgr; Will.i.am B. Walker , M. D. ; Lewis . Pascall , Jr. , Esq. ; James Gallag ear; r Contra Costa County I3ealth Services Department 6. khat damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. tttftc�i two lstitate�s for auto damago. Nause , s or ness o read, atigue , chest pains , diarrhea, damage �to , multiple internal organs , loss of work, property damage, other injuries or damages presently being ascertained. 7. Nov was the amount claimed above computed? (Include the estimated =%xmt of any prospective injury or damage.) The claimant is still undergoing medical -Creatment. There are preliminary indications of possible permanent damage. S. Names and addresses of VW1032e3, doctors and hospitals. See Contra Cu Hca COui1La llepartment of Health Services files; additional names to be supplied as treatment progresses. 9. List the expe:nditures you made on account of this accident or injury: DATE I To be supplied. i o i i i i # e • f a !t !t i .i i- i i ! in i e i a i e e in i e i is i e i e e i 'i i i i Gov. Code Sec. 910.2 provides: "The claim must be sighed by the claimant SEN7 NOTICES TO: Quo-n' ev) or by some REson on his behalf." ams and Address of Attorney Law Offices of Carol L. Gillam & Associa_tes 601 West Fifth Avenue Attorney for Claimant Suite 1210 Los Angeles, CA 90071 �o Telephone No. (213) 683-2060 Telephone! No. i e f i i i i i i i i i i i i9 a a a a 9 V a a a • 0TICE Section 72 of the Penal Code provides: *Every person who, with intent to defraud, presents for allawanoe or fbr 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, arty 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 fires of aft exceeding one thousand 41,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding tern thousand dollars ($10,000, or by both such imprisonment and fins. LAW OFFICES OF � - t CAROL L. GILLAM SOUTHERN CALIFORNIA OFFICES: NORTHERN CALIFORNIA OFFICES: ( )ONE BUNKER HILL SUITE 1210 499 FOURTEENTH STREET 601 WEST FIFTH STREET SUITE 220A LOS ANGELES, CALIFORNIA 90071 OAKLAND, CALIFORNIA 94612 TELEPHONE: (213) 683-2060 TELEPHONE: (SIO) 839-1200 FACSIMILE: (2 13) 683-2063 FACSIMILE: (510) 444-6698 March 3, 1995 RECEIVED Clerk of the Board of Supervisors MM Room 106 — 6 County Administration Building 651 Pine Street CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. Martinez, CA 94553 Re: Adolfo Flores et al; Peter M. Milcovich et al; Michael Genovesi et al; Jay Gunkelman et al; and Bonnie Jene Pannell Dear Sir or Madam, I am enclosing for filing in your office one original and one copy each of various personal injury claims for the above-referenced individuals and their families. Please note that for your convenience, these claims have been separated into two sets, one for claims against the County Board of Supervisors, and the other for claims against the County Health Services Department. Each of these sets has been divided into originals claims and copies of claims. Please file the original claims and return a conformed copy of each in the self-addressed, stamped envelope provided. Should you have any questions, please do not hesitate to contact me at (213) 683-2060. Thank you for your cooperation. Yours very truly, LAW OFFICES OF CAROL L. GILLAM AND ASSOCIATES C Carol L. Gillam CLG:csj enclosure r CLAIM ✓ �� BOARD OF SUPERVISORS OF ;;ONTRA COSTA COUNTY, CALIFORNIA April 4, 1995 r.' Claim Against the County, or District governed by) BOARD ACTION 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 notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $7 , 681 .43 Section 913 and 915.4. Please note all „ �. Iarningsmy.3 CLAIMANT: Paul Hara MAR h 1995 COUNTY COUNSEL. ATTORNEY: MARTINEZ CALIF. Date received ADDRESS: 1145 Palm Ave . BY DELIVERY TO CLERK ON March 9 ,, 1995 Martinez, CA 94553 BY MAIL POSTMARKED: Hand Delivered r via* Risk Mgmt . 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppH IL BATCHELOR, Clerk DATED: March 9 , 1 9A 5 Bl : eputyLa 11. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. V-rThis 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: 3 �1-07 5 BY: Deputy County Counsel I11. 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. BOARDS 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: - 9.� PHIL BATCHELOR, Clerk, By, �+ Deputy Clerk WARNING (Gov. code section 913) 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. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times hereinmentioned, have been a citizen of the United States, overage 16; 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: .c�- =�`r BY: PHIL BATCHELOR by a��puty Clerk CC: County Counsel County Administrator OFFICE OF COUNTY COUNSEL DEPUTIES: CONTRA COSTA COUNTY PHILLIP S. ALTHOFF G' SHARON L. ANDERSON BRANDON D. BAUM w COUNTY ADMINISTRATION BUILDING ANDREA W. CASSIDY VICKIE L. DAWES P.O. BOX 69 MARKE S. ESTIS VICTOR J.WESTMAN MARTINEZ, CALIFORNIA MICHAEL D. FARR COUNTY COUNSEL 94553-0116 LILLIAN T. FUJII DENNIS C. GRAVES SILVANO B.MARCHESI TELEPHONE (510) 646-2041 GREGORY C. HARVEY ARTHUR W.WALENTA,JR. FAX (510) 646-1078 KEVIN T. KERR ASSISTANTS EDWARD V. LANE, JR. MARY ANN M. MASON PAUL R. MUNIZ March 9 , 1995 VALERIE J. RANCHE DAVID F. SCHMIDT DIANA J. SILVER VICTORIA T. WILLIAMS NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Paul Hara 1145 Palm Avenue Martinez, CA RE: CLAIM OF: Paul Hara Please Take Notice as Follows : The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements, of California Government Code Section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: [] 1 . The claim fails to state the name and post office address of the claimant. [] 2 . The claim—fails to state the post office address to which the person presenting the claim desires notices to be sent. [X] 3 . The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [l 4 . The claim fails to state the name (s) of the public employee (s) causing the injury, damage, or loss, if known. [] 5 . The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10, 000) . If the claim totals less than ten thousand dollars ($10, 000) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10, 000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. [] 6 . The claim is . not signed by the claimant or by some person on is behalf. [X] 7 . Other: Your letter to Teri Rie demanding compensation for damages must, by law, be treated as a claim against the County treasury under the Government Tort Claims Act. As such, it must comply with certain technical requirements before the Board of Supervisors may consider payment of the claim. One of those -requirements is that you must specify, to the extent possible, the exact date upon which the injury occurred. Your letter is somewhat vague on the dates and actually does not refer to any specific year. Although one might infer that the year was 1994 , the Tort Claims Act specifies that the date must be included in the claim. Please take a moment to correct this deficiency and resubmit the claim. VICTOR J. WESTMAN, County Counsel By: Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013a, 2015.5; Evidence Code §§ 641, 664) I declare that my business address is the County Counsel's office of Contra Costa County, 651 Pine Street, Martinez, California 94553; I 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 Insufficiency and/or Non-acceptance of 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: March1t, 1995 at Martinez, California. cc: Clerk of the Board of Supervisors (original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOVT. CODE §§ 910, 910.2, 920'.9, 910.6) TCLERK CEIVED January 25, 1995 �' - 9 1995 Teri Rie Engineering Staff D OF SUR VISORSPublic Works Dept „�cosrn.co. 255 Glacier Drive Martinez, CA.' 94553 RE: Flooding at 1145 Palm Ave. Martinez Dear Teri: Enclosed is a bill listing damages incurred due to flooding of our property on Palm Ave. The flooding took place over a period of time from early November through mid January. We feel the flooding was a direct result of the construction of a new storm drain system that the County was installing in front of our home. I was concerned in September,right after construction had been completed in front of our home,that there may have been damage to our drain pipe. So I ran a snake through the pipe and found it had indeed been plugged. I informed you in September of the problem and you said that the contractor, V & M Construction,would attach our drain to the new storm drain system.At that time you informed me that the crew was working feverishly to complete the storm drain project so that they might not get to us for a week or so. I told you I was concerned that the work be completed before the rainy season began. The rains began in early November which was almost 2 months after the damage to the drain pipe had been incurred. Most of our property damage occurred during these rains when 1 foot of water accumulated in our garage because of the damaged drain. During this time we obtained a sump pump to continue draining the garage. On November 7th we spoke to you on the telephone and also notified you of this problem via FAX. You assured us that the problem would be remedied.. The unusually heavy rains continued over the next 2 & 1/2 months and despite our continued communication with you and the construction company,no effort was made to repair our drain pipe. When the work was finally done in early January,you told us that you had found that our garage flooded because our drain pipe that had either been broken or disconnected from a sewer line during September construction. The broken or disconnected drain pipe was covered up and we were never informed. Because the flooding was a direct result of your construction activity,we feel we are entitled to financial renumeration for damages incurred. Copies of all past correspondence can be forwarded to you upon request. Sincerely yours, VA4t-le�h Paul Hara cc: Supervisor Jeff Smith • FLOOD DAMAGE AT 1145 PALM AVENUE 3 oak 8x10 frames $42.00 1 Conair hot roller set 37.00 1 Black&Decker 1/2 inch drill Model#7254 120volt 50.00 1 Craftsman circular saw#315.10902 58.00 1 Black&Decker 2 speed jigsaw 47514 40.00 1 Black& Decker electric planer#76963 60.00 1 Vidal Sassoon Curling Iron VS 101 17.00 1 "Super Bright" timing light 35.00 1 set video distribution catalogs&notes for video projects;replacement value 700.00 various keepsake Christmas ornaments 70.00 2 11x14 oak framed photos 100.00 4 Historical xerox reproductions "Welcome to Topaz" 50 pages 10.00 2 FB W Halogen Lamps 71.44 5 Books titled "What to expect when you're expecting", "Bad Place", "The Client" & 54.99 "Jurrassic Park"(2). 4 Linen Napkins 12.00 1 Kodak slide stack loader 80.00 1 50meter Climbing Rope 180.00 8 pairs of summer shoes 160.00 1 used pair of climbing shoes 80.00 1 Wind Trainer&misc. bicycling items 200.00 various desk&office supplies 50.00 various theatrical make up supplies 100.00 garden hose 22.00 sump pump rental 40.00 portable air conditioner unit 120.00 144 files of photography business negatives: 109 Individual Portraits Sessions: 218 rolls of film,processing&proofs x $14.00 3,052.00 10 Family Portraits Sessions: 60 rolls of film,processing&proofs x $14.00 840.00 25 Senior Portrait Sessions: 100 rolls of film,processing&proofs x$14.00 1,400.00 GRAND TOTAL, OF DAMAGES FROM FLOODING. . . . . . . . . . . . . . . 1 $7,681.43