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HomeMy WebLinkAboutMINUTES - 05132008 - C.10 o 110 co \ N o �. Qmr' cc)00 at o=c� N � dQ N % (73000 N V� �p so r © acr- APPLICATION TO FILE LATE CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA 1 L BOARD ACTION Application to File Late Claim � A pp ) NOTICE TO APPLICANT Against the County, Routing ) The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application by (All Section References are to ) the Board of Supervisors (Paragraph III, below), California Government Code.) ) given pursuant to Government Code Sections 911.8 and 915.4. Please note the "WARNING"below. Claimant: jerivictme- Odom Q �L5t1 Attorney: yea, APR 0 9 2008. Address: 8cuon ISlt'U1LC �� COUNTY COUNSEL Ljjp6 ' ,,5CLCfLMef4-'6j C1+ � �l J. MARTINEZ CALIF, // q Amount: By delivery to Clerk on: �1�1. , //�� I Date Received: !-tp c ,�zg By mail,postmarked on:' Q, 1. FROM: Clerk of the Board of Supervisors TO: . County Counsel Attached is a copy of the above noted Application to File Late Claim. ' DATED: IL(Qi�. JOI-i-N (:'uLI:EN, Clerk, By:W�11/ ,(1i-KLkL1 G A, DEPUTY II. FR 117: County Counsel TO': Clerk of theiBoard of Supervisors ( ) The Board should grant this Application to File Late Claim .,(Section 911.6). ( �The Board should deny this Application to File Late Claim (Section 911.6). DATED: % SILVANO B. MARCHESI, County Counsel, By: DEPUTY III. BOARD ORDER By unanimous vote of Supervisors present (Check one only) ( )) This Application is granted (Section 911.6). �() This Application to File Late Claim is denied (Section 911.6). I certify that this a true and correct copy of the Board's Order en ed in its minutes for this date. DATE: �10-6--JOHN CULL.EN, Clerk, By: DEPUTY WARNING (Gov. Code §9 .8) If you wish to file a court action on this matter,you must first petition the appropriate court for an order relieving,you from the provisions of Government Code Section 945.4 (claims presentation requirement). See Government Code Section 946.6. Such petition must be filed with the court within six (6) months from the date your app j;cation for leave to.present a late claim was denied. 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. IV. FROM: Clerk of the Board TO: (1) County Counsel (2) County Administrator Attached are copies of the above Application. We notified the applicant of the Board's action on this . Application by mailing a copy of this.document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. DATED: JOHN CULLEN', Clerk, y: PUTY V. FROM: (1) County ounsel (2).County Administrator T Clerk of the Board of Supervisors Received copies of this Application and Board Order. DATED: County Counsel, By: County Administrator, By: APPLICATION TO FILE LATE CLAIM CLAi1\4 BOAi2D OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: aMf Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to California Government Codes. ) you is your notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given Pursuant to Government Code AMOUNT: Section 913 and 915.4. Please note all 1.1 �- X7 "Warnings". CLAIMANT: ATTORNEY: -D=ar ;cA e. DATE RECEIVED: ADDRESS: ) �jc>( h�c��1. Toaciw2�( BY DELIVERY TO CLERK ON: "'t C K 6114 BY MAIL POSTMARKED: FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of t, above-noted claim. .� G JOHN CULLEN, C� Dated: %.Cve" ,� _ By: Deputy II. FROM.: .County Counsel TO: Clerk of the Board of S er isors ( j This claim complies substantially with Sections 910 and 9 ( ) 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). O Claim is not timely filed. The Clerk should retui7n 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). O Other: Dated: By: Deputy County Counsel Ill.. FROM.: Clerk of the Board TO: County Counsel (1) . .County Administrator(2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V.. BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. O Other: I certify that this is a true and cor7•ect copy of the Board's Order entered in its minutes for this date. Dated: /5-9— JOHN CULLEN, CLERK, DepLrty Clerk WARNING (Gov. code section 913) Subject to certain exceptions,you have only six(6) months from the Ite.this notice was personally served or deposited in the nail to file a court action ou this claim.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection Nvidn this matter. If you want to consult an attorney,you should do so immediately. *For Additional Warning See Reverse Side of This Notice, AFFIDAVIT OF MAILING I declare under penalty of perjury that 1 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 Martinei, California, postage fully prepaid a certified copy of this Board Order and Notice to Clainiant, addressed to the claim. t as shown above. Dated: o JOI-IN CULLEN, CLERK De ty Clerk BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. A claim relating to a cause of action for death or for injury to person or to personal property or growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any other cause of action shall be presented not later than one year . after the accrual of the cause of action. (Gov. Code § 911.2.) B. Claims must be filed with the Cleric of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street,Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the 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. y E. Fraud. See penalty for fraudulent claims;Penal Code Sec. 72 at the end of this form. .......tr..itXalloMENENEREENENman MMMEEMEmanDREep0Mx8W0[[5eeeaai RE: Claim By: Reserved for Clerk's filing stamp RECEIVED ) Against the County of Contra Costa or ) .APR 0 4 2008 CLERK BOARD OF SUPERVISORS District) CONTRA COSTA CO. (Fill in the name) ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ '2.1 K_- \O and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) . 2. ' 'Where l�did ,,the damage or injury occur? (Include city and county) ccyo+f�l COU/4r 3. How did the damage or injury occur? (Give full details; use extra aper if required) V;rw 1.2 9 G U`tk__. �_63�-'�1`►" t n� Sl3 �(" �L� sce- w�.e Co,, - UVF OF 6 (3�t� �►� �4- C,Je , Gt. c� v.e.l S�.`�1 �t�`SftQ� .So ��/ a��� 4. What particular act or omission nrthe parts of county or district officers, servants, or<enlployees R- tr,( caused the injury or damage? ti 5 What are the names of county or district?ffc.?,rs. servants, or employees causing the damage or injury? 6. ',Arc?-'L damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) Oc•'1 P5� �>A l 2115✓ VVe y A-q— 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors, and hospitals: 9. List the expenditures you made on account of thus accident or injury: DATE TINE AMOUNT 2.�z.2.v1 Lo f66 4-v1 34 5-4 0 reama a C a a a an 0 R t7.s a a a a a a a a a a■a■;■a a a a a a a a!a a a a a r a a■■■t a a t a no a a a a a a a a r r a l .Gov. Code Sec. 910.2 provides "The claim shall be signed by the claimant or by some person on his behalf." SEND NOTICES TO: (Attomev) ) Name and address of Attorney ) r YDI (Claimant's Signature) skr (Address) Telephone NZ b `ID) 2 ) Telephone No. 94 2— M VNENEVEENVEREN mass wasno M ME .■■aaaaaaaaraaaaaaaraaaaaaaaaaaaaaaaaraaal PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed with the County under the Tort Claims Act, is subject to public disclosure under the California Public Records A_ct. (Gov. Code, §§ 6500 et seq.) f=urthermore, any attaclunents, addendums, or supplements attached to the claim form, including medical records, are also subject to public disclosure. ■owns MEN a a a a t a a a a r a a some a a a a a r R a a a r a r a a a a a a!a t a a r a a a a a a a l r a a a a a a a l a a a a a a a a a r a r a a a a r r i 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 ATiting, 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 dollars ($1,000.00), 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 imprisoiunent and fine.. APPLICATION TO FILE LATE CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Application to File Late Claim ) NOTICE TO APPLICANT Against the County, Routing ) The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application by (All Section References are to ) the Board of Supervisors (Paragraph I1I, below), California Government Coded ) given pursuant to Government Code Sections 911.8 and 915.4. Please note the "WARNING" below. � il,i Claimant: .Ji=.1`.11,lc:i.t.i..'E; C' , L Attorney: ,Address: � ,. c t .�,�i :�cCC1iLl�tft't.f� (:�` �- Amount* ��� I�� By delivery to Clerk on: Date Received: A1li,•�t.( By mail,postmarked on: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above noted Application to File Late Claint. ry .. 101-1N C.11 -EN , t .: _C. DEPUTY Clerk, BJ II. FRONT: County Counsel Td: Clerk of thejBoard of Supervisors ( ) The Board should grant this Application to File Late.Claim (Section 911.6) ( ) The Board should deny this Application to File Late Claim (Section 911.6): DATED: SILVANO B. MARCHESI, County Counsel,By: DEPUTY III. BOARD ORDER By unanimous vote of Supervisors present (Check one only) ( ) This Application Is granted (Section 911.6). ( ) This Application to FIle Late Claim is denied (Section 911.6). I certify that this a true and correct copy of the Board's Order entered in its minutes for this date. DATE: JOHN CULLEN, Clerk, By: DEPUTY WARNING (Gov. Code §911.8) If you wish to file a court action on this matter,you must first petition the appropriate court for an order relieving you from the provisions of Government Code Section 945.4 (claims presentation requirement). See Government Code Section 946.6-Such petition must be filed with the court within six (6) months from the date your apRjcation for leave to present a late claim was denied. 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. 1V. FROM: Clerk of the Board TO:: (1) County Counsel (2) County Administrator Attached are copies of the above Application. We notified the applicant of the Board's action on this . Application by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in Accordance with Section 29703. DATED: JOHN CULLEN', Clerk, By: DEPUTY V. FROM: (1) County Counsel (2) County Administrator TO: Clerk of the Board of Supervisors Received copies of this Application and Board Order. DATED; County Counsel, By: County Administrator, By APPLICATION TO FILE LATE CLAIM Joo- .. BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. A claim relating to a cause of action for death or for injury to person or to personal property or growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any other cause of action shall be presented not later than one year after the accrual of the cause of action. (Gov. Code § 911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine 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. ■■NEsSusan saw ONE answulnurssuanumamswoman at RE: Claim By: Reserved for Clerk's filing stamp L)EM A into. OCLOM CBE6a� D Against the County of Contra Costa or ) APR 0 9 2008 ) CLERK BOARD Or SUP'IERViSORS C°1^ �•. C c-�'k C,trin�n- �-District) CONTRA COSTA CO. (Fill in the name) T) e*tV61t2,V, The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$212,Ll D 6 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 0 C+ober. �,, �bo5 E--�r Feb g 2_00V 2. Where did the damage or injury occur? (Include city and county) Anf i och, Co A*rA Vista Coon 3. How did the damage or injury occur? (Give full details;use extra paper if required) cku_vei (- o "Grsoh 5 -- 45 1. D 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? C? / < Corotoohn A biG.S IY\v�S�13a+ion 5What are the names of county or district officers, servants, o�loydiis causing the damage or injury? p " Lis& Maviine--L, C 6nfro, (,as(� Coo J l �aS1�itTl� ire. 1-nY�C—[Aa`�o�' 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) 'S.• iwri g P �r -��dZA, o 5t— riA� J a b C OA - 1K.%k toe'V��i�-�S L h a r e, r10 ��,,c.� -� s�� a,1 7. How was the amount claimed aboveomputed? (Include the estimated amount of any prospective injury or damage.) [65 �,?J2, 00 C�.r• 32 600 �j�ealrS it• �^,` 4 J 0 DD & ?r' 8. Names and addresses of wi es es, c1'octors, and hospitals: C, ,,q--r- AY' 5cs k � o �J bo, M ac fim-2.. Own -�S�b�M mn.c.� DAAdor O&f� l� fn G D L''-F' .b 9. List the expenditures you made on account of this acciden orm�ury � 1 a C,.,) DATE TIME AMOUNT e (YI I � : oY 2- Al 321 000 ................................ra■ra■r.raaaaaaa■aaaaasaaraaaaaaaaaaaaaaaaa.aaa■ .i r.� Gov. Code Sec. 910.2 provides"The claim shall be signed by the claimant or by some person on his behalf." SEND NOTICES T0: Attome Name and address of Attorney (Claimant's Signature) . (Address) Telephone No. )Telephone No. 70-7 to,-31V 3�0 Da.r-5 Ce_`` .soon.amanWa............................................. .............. 2-0■..8a0..21 PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed with the County under the Tort Claims Act, is subject to public disclosure under the California Public Records Act. (Gov. Code, §� 6500 et seq.) Furthermore, any attachments, addendums,or supplements attached to the claim form, including medical records, are also subject to public disclosure. j ■aaaa0aaMaaa0aaaaa0aaaa08aa0a0Naaaaaaaa00aa.aaa■aaaa0a0aa2a0a00aaaaaaa0aa0aaaa00aar.I NOTICE: Section 72 of the Venal 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 dollars ($1,000.00), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000), or by both such imprisonment and fine. . 8888. ......... CLAiM HOARD OF SUPERVISORS OF CONTRA-COSTA COLJNTY . BOARD ACTION: Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed,to California Government Codes. ) you is your notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given Pursuant to Government Code ,M.OU.NT: s)o APR 0 8 2008 Section 913 and 915.4. Please note all COUNTY COUNSEL "Warnings". CLAIMANT: Khaltd TINEZ CALIF.A rvLOU'P� ATTORNEY: kv,,�5d( marrl i DATE RECEIVED: 4— ADD RESS: —ADDRESS: �'1� Ma-t-R4& aW6_'O � "T. BY DELIVERY TO CLERK ON: C=L 'ori I ledio Rd:: Q5 . BY MAIL POSTMARKED: cl4q03 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN CULLEN,.Clerk ~ 4 Dated: �-CJ0 By: Deputy 6wdayi 11. 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). O Other: Dated: �,4- By: 1?Vz Deputy County Counsel 111. FROM.: Clerk of the Board TO: County Counsel (1) County Administrator(2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V BOARD ORDER: By unanimous vote of the Supervisors present: Tliis 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: JOHN CULLEN, CLERK, y eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions,you have only six(6) montlis from tlr date this notice was personally served or deposited in the mail to file a coma action on this cUim.See Government Code Sectiaf 945.6.You may seek the a4vice of an attorney of your choice in connection with this matter. If you want to consult an attorney,you should do so immediately. *For AdditiaraL Warning See Reverse Side ofThis Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am flow, 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 [Wartinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant,.addressed to the claimant shown above. DatedJOHN CULLEN, CLERK By ttty Clerk CLAiM C �0 BOARD OF SUPERVISORS OF CONTRA COSTA COUN"i'Y BOARD ACTION: Claim Against the County, or District Governed by ) the Board of Supervisors, Routing .Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are.to ) The copy of this document mailed to California Government Codes. ) you is your notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given Pursuant to Government Code �1 L(,L r Section 913 and 915.4. Please note all AMOUNT: 1 LJ J "Warnings". i , CLAIMANT: KI�o.t(A. A luoaru ATTORNEY: �Z�� S �,l 11 � DATE RECEIVED: L ._ ADDRESS: ' ' lCL1 BY DELIVERY TO CLERIC ON: c� C t BY MAIL POSTMARKED: Y� FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. // _ JOHN CUL NCierk - f Dated1l3V - L�' ' By: Deputy fl. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) 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). O Other: Dated: 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). 1V. 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: JOHN CULLEN, 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. *Fo.r Additional Warning See Reverse Side of n its Notice. . AFFIDAVIT OF MAILING I declare under penalty of perjury that t ani 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` JOHN CULLEN, CLERK By Deputy Clerk THE MARNE LAW GROUP A Professional Corporation 30 North San Pedro Road, Suite 195 San Rafael, California 94903- (415)499-8100 April 3, 2008 Pat Edwards, City Clerk I pn> City of San Ramon 2722 Camino Ramon San Ramon, CA 94583 -`-"— Board of Supervisor Clerk of the Board 651 Pine Street, Suite 106 Martinez, CA 94553 Robert J. Kochly, District Attorney 725 Court Street Martinez, CA 94553 Scott Holder, Chief of Police San Ramon Police Department 2222 Camino Ramon San Ramon, CA 94583 Re: Claim aeainst the Citv of San Ramon & County of Contra Costa by Khalid Anwari Dear Pat Edwards, Robert J. Kochly, and Scott Holder: 1. Claimant's Name: Khalid Anwari 2. Date of Birth 11/30/1992 3. Claimant's address: 520 Rockcrest Circle, San Ramon, CA 95482 4. Date of Occurrence : 11/28/2007 5. Time of Occurrence: 4:00p.m. 6. Location: On Bollinger Canyon Road, San Ramon, CA 95482 7. Description of Incident: Khalid Anwar] was falsely arrested and falsely imprisoned, Khalid Anwari spent 27 days and 26 nights in jail 8. What specific injury, damage or other losses were incurred: False arrest, false imprisonment, assault, battery. loss of liberty, depravation of civil rights under the color of law, loss of money expended on attorneys, investigators, and experts. RUSSELL(a)MARNE.COM Page 2 California Government Code§910 Notice of Claim Masuma Anwari on behalf of minor Khalid Anwari 9. What is the names of the of the City & County employee(s)whom caused the injury, damage and loss: Robert J. Kochly, Daniel J. Cabral, Carlos Vega, Officer Gunning, Officer Stephens, Officer R. Ransom, Officer A. Medina and the San Ramon Police Department 10. Amount of money Khalid Anwari is seeking to recover: The amount claimed is more then $10,000,000.00;jurisdiction rests in the Superior Court Unlimited Jurisdiction 11. The basis for claiming that the City of San Ramon, the county of Contra Costa, and City and county employee(s) are the cause of Khalid Anwari's injury, damages and loss: Khalid Anwari was arrested and confined based on name and ethnic background. Khalid Anwari was innocent of any and all charges. Khalid Anwari was found innocent by the Contra Costa County Superior Court and the underlying criminal matter was dismissed. There was no probable cause to arrest and/or imprison Khalid Anwari. erL, Groupl T)re Marn .C. /Rus L� RUSSELLONARNE.COM 1 PROOF OF SERVICE BY MAIL 2 [C. C . P. §§1013a, 2015. 5] 3 Re : Government Code §910 Notice of Claim 4 I declare "�that : 5 I am employed in the County of San Francisco., California . 6 I am over the age of eighteen years and not a party to the within 7 action. My business address is 30 North San Pedro Road, Suite 195, 8 San Rafael, California 94903. On the date indicated below, I 9 served the within: 10 California Government Code §910 Notice of Claim by Masuma Anwari on behalf of minor Khalid Anwari & California Government Code§910 Notice of Claim by Adli Rasheed 11 on behalf of minor Kareem Rasheed 12 to Defendants in said cause, by mail as follows : 13 14 Pat Edwards, City Clerk City of San Ramon 15 2222 Camino Ramon San Ramon, CA 94583 16 Board of Supervisor 17 Clerk of the Board 651 Pine Street, Suite 106 18 Martinez, CA 94553 19 Robert J. Kochly, District.Attorney 725 Court Street 20 Martinez, CA 94553 21. Scott Holder, Chief of Police San Ramon Police Department 22 2222 Camino Ramon San Ramon. CA 94583 23 I declare under penalty of perjury that the foregoing is true 24 and correct and that this declaration was executed on April 3, 2008 25 at San Rafael, California . 26 27 29 Bobbi Steger i U.S. POSTAGE ptilo SAN RR4Ra3.CA APR MOUNT $ UNIT6�AT ES rosrnc�sspwcs $5,•38 -- {.��.. . X000 94553 00100459-13 �o r%- 0 m `e a ID �v o C3 O to O cn u Lr, . nu 'DC.1 rU Sr. V < C u aj'- �v C3 O {— � N U c � F'' '7 li CLAIM HOARD OF SUPERVISORS OF CONTRA COSTA COUN'T'Y BOARD ACTION: - � Claim Against the County, or. District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action.. All Section references are to ) The copy of this document mailed to California Government Codes. you is your notice of the action taken L5 �/ on your claim by the Board of APR 0 7 2008 Supervisors. (Paragraph IV below), given Pursuant to Government Code AMOUNT: _ ��j1. 33 COUNTY COUNSEL Section 913 and 915.4. Please note all MARTINEZ CALIF. <`Warnings". CLAIMANT: ( CU96, SS ATTORNEY: l!�Ct; DATE RECEIVED: ado ADDRESS: i �j3�O > ��I l5 S I X07 BY DELIVERY TO CLERK ON: CJ BY MAIL POSTMARKED: C� f' � FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. { (l JOHN CUL SEN, Cl Dated: t* I.Q� ib By: Deputy iL FROM: County Counsel TO: Clerk of the Board of Supervisors (,Y-,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: 4_7_0 By: 17"7 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: JOHN CULLEN, CLERK, eputy Clerk WARNING (Go . code section 913) Subject to certain exceptions,you have only six(6) months firm tl a date this notice was personally served or deposited in the nuiil to file a court actio;on this chitin.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection wide this matter. If'you want to consult an. attoi-iiey,you should do so immediately. *For Additioial Warning See Reverse Side ofThis Notice. AFFIDAVIT OF MAILING I declare under penalty of per jury that I ant now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today 1 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 clanAaqt as shown above. Dated: a _ JOIIN CULLEN, CLERK eputy Clerk C;LA,i.M BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to California Government Codes. ) you is your notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given Pursuant to Government Code AMOUNT: .` ; 1 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ATTOKNEY: I.A.A . DATE RECEIVED: ADDRESS: r> J,t! l-'�'(.1.1 %I"�-44-1C ,I BY DELIVERY TO CLERK ON: \ : BY MAIL POSTMARKED . C FROM: Clerk of the Board of Supervisol-s TO: County Counsel Attached is a copy of the above-noted claim. JOHN CULLEN,+Clerk Dated:i±,I'�•i i �� ' ' ' By: Deputy4ftLf aA Il. FROM.: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( } This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: By: Deputy County Counsel 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 fill. ( ) Other i certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: JOHN CULLEN, CLERK, By Deputy Clerk WARNING (Gov: code section 913) Subject to certain exceptions,you have only six(6) months frown the date this notice was personally seil-ed or deposited in the nwil to file a court action on this claim.See Government Code Section 945.6.You inay seek the advice of an attorirley of your choice in connection with this matter. If you want to consult an attorney,you should do so immediately. *For Additional Warning See Reverse Side of'This Notice. AFFIDAVIT OF MAILING 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 18; and that today I deposited in the United States Postal Service in Martinez, California, postage 11*611y prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JOHN CULLEN, CLERK By Deputy Clerk APR. 1 20-'13 2: CCPV CCC .RICK MAIWEME1" 6 P, � BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAZLAn A claim relating to a cause of action for death or for injury to person or to personal property or growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any other cause of action shall be.presented not later than.one year after the accrual of the cause of action- (Gov. Code § 911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine 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. ■MSa•f■fffa80asmass 5WEsonzff//i■son MOVE"1ff/0,291!ffftotson Rpm■■■ffuswllfl!`Cfft RE: Claim By: Reserved for Clerk's filing stamp RECEIVED Against the County of Contra Costa or ) APR 0 7 2008 C-NCLERK BOARD OF SUPERVISORS , (L-k (-O j District) CONTRA COSTA CO. (Fill in the e) ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$_ \\`�\�`3 and in support of this claim represents as follows: 'zR-e- 0C'&-QOS)r'\eC\ 1. When did the damage or injury occur? (Give exact date and hour) 2. Where did the damage or injury occur? (Include city and county) , C\aL� Qrx C_�A 3. How did the damage or injury occur? (Give hill details;use extra paper if required) ��-- �C����-� �a.��'S gid► �rto't-�S. 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? '�\V\ mz- On YY\c -Sh C -e-etv— �.c\ 3 What are the names of county or district officers, servants, or employees causing the damage or injury? C�-4(-0, CMkCk_ C_Q>-X� APP,. 3 20Ov8 2: 0 PC CCC R18K iMOAGEMENT !y C.. 77F P a 6. WL-e, damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) -�e 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) -Y,� WC;Lf_.� C(DN%PixAe_c\_ `fJ �le.Lc� e c.aeA ��er �_'e ��i 0-Ce- C%.-- a,\so -pec.«a C6e_r. CSee a L�-c-te. 0--V` aCN,eA-) S. Names and addresses of witnesses, doctors, and hospitals: K30 9. List the expenditures you made on account of this accident or injury: DATE TIME AMOUNT (,o:0(Of,% oq NNVICAV ■ d a s s s s■■Alleges Russ s a s s s s A■s!s s s s l■■■a s s s a s s Oak s e s s a■■u e s 3119801151140116M ONE s s s s s■■s s■a l .Gov. Code Sec. 910.2 provides"The claim shall be signed by the claimant or by some person on his behalf." SEND NOTICES T0: (Attorney) ) Name and address of Attorney ) ` (Claimant's Signature) )-lo SAree\- Avrt (Address) Telephone No. )Telephone No, CQ'S"SS 0" q�Q S `� . wag ssssvan s■a ass■sesssis■■d■rssssaa■ ■rsssss'sc�aR■a-an sss■■■■Amu swam sa■a■.rs2era■■■ssI PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed with the County under the Tort Claims Act, is subj ect to public disclosure under the California Public Records Act. (Gov. Code, g§ .65D0 et seq.) Furthermore, any attachmants, addendums, or supplements attached to the claim form, including medical records, are also subject to public disclosure. ■s s s s e s s s i s s■■■aglowMann s■■1 1 s f s s■■■■cr a s s s s s s Namable s s s■■■doe 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 falst 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 dollars ($1,000:00); or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000),or by both such imprisonment and fine. 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A10 IF CONCORD .... *INV - OICE* 2101 Market Street TAI SHA,ROSS Concord,' °rCA 94520 16.:KEARSTI CT. (925). 582-3033 - OAKLEY;. CA 94551 :::. PAGE 1 B G8,i 0 EPI,.7,CAR CO0057299 Pro :.428_556-4 7.6;32:..,BLTS::'925-550-4652. . : .. TATION#RL 208„0 AR SMOG S CELL.:.925=550.-4;652. ;; .:.;.:::.:' S.:ERIYICE AD.VISOR,:: 591 BLAINE. OWENSBY GYJE O EAR. MAK fMOD I L. 1fii� 11CX NSE . JHCK26 29850195`OS` LUS 'IS,; 250: 934 934 T579 :.... .. ... D:E�.:t3.T ':::P. D F3 T ..... ... PA.YTvIc T IhIV..E7R._..... ... A..:�,:,.:: .:R{2.:...DAT.E....WA�if3-:EXP.::::•.::.::;:.:..::.;FRO.M.1S�D ...P�3..EJf3..,..,.:....,....:::.:.: ..E...........:...... . �1........ :.. ... :. 22DEC07 I 17:00 25JAN08 0 :.00 CASH. 25JANOB R0ND: .:... :::.:... OPTION? S: . DLR: 60428 ENG:2 . 5 Liter DOHC 18 :.16 24JANOS . 08:33 25JANO.8 LINE OPCODE TECH TYPE FiOURs LIST NET TOTAL A .CUSTOMER STATES TO REPLACE RIGHT SACK TIRE. RIM AND TIRE ARE IN TRUNK. SAVE OLD TIRE. IN A BAG AND PUT IN TRUNK $45 .00 FOR LABOR PLUS PRICE FOR TIRE M REPLACE TIRE 583 PEARSON,JOSEPH LIC#.: 5103 C 45,. 00 45 . 00 1 2254517D DUNLOP 195,00 195 . 00 195 .00 MISC TIRE RECYCLING C 1.25 1 .25 MISC TIP! TAX C 1 . 75 1 . 75 PARTS: 195.00 LABOR: 45_00.z..'''OTHER: ,;'; "3 O Q.:. TOTAL LINE A. 243 . 00 REPLACED TIRE RETURNED SPARE«Tp'COMPARTMENT ;AND 'PLACED`:°':OLD TIRE IN GA.R.BAGE BAG IN TRUNK . B USTOF'R STATES TO INSPECT-`;`T;IGHT ON.,-:13A-Sil . ' M RESET LIGHT ji 583 PEARSOAT,JOSEPH LIC# 503...........:.. ..::::. ... ...:-:..:,.:..::,;.. PARTS: 0 .00 LABOR: ;:.Q=;.00 OT�•IER • ":'' ' `0:00” `A `TOTAL LINE B: 0 . 00 VERIFIED LIGHT ON TN DASH, LIGHT'IS''FROM SPAR.E....,TIRE'='BEIDiG ON VEHICLE. (LOW TIRE LTGHT) RESET LIGHT\ C 1, 000 MILE SERVICE, ADJUST DOOR LOCKS TO ONLY UNLOCK DRIVERS. DOOR , WHEN ?UTTIDTG CAT? INTO PARK. AND LEAVE ALL OTHER DOORS LOCKED. CAUSE: MAIN 001010 1, 000 MILE SERVICE 583 PEARSON,JOSEPH LIC#: 5103 W (N%C) FC: PART## : COUNT: CLAIM TYPE: MT ArJTH CODE DISCLAIMER OF'NARRANTIES FINAL TOTALS. ORIGINAL II If' Thr• sel'er hereby exoressly •disclaims `-STIA,tATE s _ _ EST.;.OATE s LABOR AMOUNT 3II Ma:ra:lties, either express Cr D.A;E :IME FHON-p'OR IN PERSON AUTVORIZED'•_+y ADDITIONAL AN:OUNT— implied.Including any..plied narrariv I PARTS AMOUNT of meronantability or !Imes.<. for a I I s particular pur,_ose, ;rd reith.er T GAS, CIL, LUBE 35sumes nor uutnonJes ane n o."r 9r.A_'Jh 1 RF.v ISED TOTAL person to assLma t.:. ;any isability in SUBLET AMOUNT c nnect!on with tra sa'e of said - 000MMLS D.=.TE T!A1E ?HONE x DR PERSON AU"•I�RIZcD�r I ADDITIONAL AMOUNT .HAZ.WAS,I a i Ai:ISC. ' TOTAL CHARGES ALL PARTS INSTALLED ARE NEW UNLESS SPECIFIED OTHERWISE AS IREASDN I'VISEDTOTA_ LESS INSURANCE ;D'.SC. I _ BEING UScD OR RENIANUFACTURED SALES TAX TACKNOWLEOG=RE_MPTCF v:HIC:E ANC -LAVE —j iA'CKNO�r:�_OGE:JCi ICE AN D CARL APPRO`.'AL'Jr .. R� _ O A-Oi+y rl:'*=:IS'N'Jr.:I:.E ! AN lrJ:;�E.i J'` N'::iE.)^I.J;iJa I.ESTIMATE MICE PLEASE PAY' I . X +v.. i X TH!S AMOUNT j aer.:NG. !.tJ:c..re,:c es c:.:a:::c•,•n: sIs<r;::v- to Me S.?:e nl rr:ra: cause a:r:er ara u,r:I.;::::s ar olr:::::,red=:;.e.a•. . ^-s: a n:eols o:.:o::a:rco,,ma,::•r•l::Ic-r,m: Darts.vel:c.e I uiu;.,ntl 1::: a%i:rl;;3.,:;.larerr::Is::::cam::„•?ir:l a: rch_ies.u::;IuC r. III;n]:'.m..'¢L lu:I.oil.oa!:ern.�s,ara;:",ar',c.'n new D,Ija,'nq vaai]a:;.i:.ac:�:�on.me•o•.eh:c:e:t'm I!?n(:np?vl,.a:s:?"a:,�":C;.d::U'r:n!n der::;•.U,:!^.art_`C.,cr.^,aiat a:::.�'y`P.ne!:!r?j V:v^�?I 'n'�s:e Ii.::;.ll...,e:._r';s?.i:il.1.'. 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F3t7 AY#v E,T ".:Ii d.V...DATE,...::.:;'.. 22"DEC07 I `17:c"00; 2.5`JAND8. : ,".:.. ; 0 00MSH : 12.5J-kN08 OPTIONS:` DLR;6042.$::ENG:2 ,5 "Liter DOHC 18:16. 24JAN08 08:33 25JAN08 I LINE OPCODE TECH TYPE HOURS LIST NET TOTAL PARTS: 0.00 LABOR: 4.40 OTHER:' 0. 00 TOTAL LINE C; 0, 00 PERFORMED 1K SERVICE CANNOT TURN OFF SPECIFIC DOORS . EST: 45.00 24JAN08 18:16 SA: 591 . THANK YOU FOR CHOOSING LEXUS OF CONCORD HAVE A NICE DAY! DISCLAIMER OF WARRANTIES f JRtGlNAt 'FINAL OES R:PT:#Oid� ::TOTA'.L& The seller hereby expressly disclaims ESTIMATE 5 REVISED E S dll war-3nVai, ether exoress or iJA: •TI'9i= r PHONE tl'JR IN PERS7V AIiTF;CF.!Z.D ay Ac�I'IGNA.nr.li;uvT LABOR AiNICLI.NTT 45 00 Imo ied,�nclud;ng eny:rr.piicc•rjarrcrdy I PARTS A.M=NT �'�5, a Q of merchantacil,ty or fitness for a ; POMCUlat au:Pose. and neither R=.A,DN GAS,OIL,LUSE 00 assumes !iC' at:moti2es any otttat REVISED TOTAL person to assume for I; any Rabbit`;;n SUBLET AMOUNT 0connection 'A"M Iute sate .it said4 3 �00 � omo.cts `JFTE :trriE PlIGNE•:,'n IN eEHsON .vJ?=3U;!�ED i,`� hDGT,C)NA!.AMOUNT HA?.WAST=,I MISC. ALL PARTS INSTALLED ARE NEWt ( s TaTAL':i-inRC.x`S 2=53 00 UNLESS SPECIFIED OTHERWISE ASr^, I;yn AiON I nr,.:�" BEING USED OR REMANUFACTURED + en Tnt. I LESS+NSU^ANC='DISC. 0 00 j SALES TAX 16. 09 r ACKNOWLEDGE iE-E!?T:)F JEHI___ANC'tiA%:,( :AOK:tpt':LE"''..E:1^'!"_ANO GRAt.ilPPRGV:.i J' . RECE!VED A�^PY JF THIS R:':'O:CE ! AN <raEAse�r,-..r oFIGINAL S::ntA-Fare_. ' PLEASE PAY . X (X H + THIS AMOUNT `:JAFMNUI'. ".toter vehicles eaJrao on?.TLeal_''i.^.JT:n IC:r:Q]:ate o'hailDrr.a:o cause care+and ow"ccfrets er Deter 2nredt ctwe harm.T hC>e n.^fi.^.11:3:5 are.onlained:0 man::v R:[:5:or^nenen's aco•eDlaca S7 0.ns. idl' �dinC a.^.c m;Ir9aC U^C,to ma:n:a,n+eh bei.r�::;yur,.DO c .-UC:. !uC. I.Cx>pree:,nta),65,pnli vrfieCi n,1I ..in.;�.ve.t¢hts.(0 aetlition,:P.Ct e, en— in,fl'IDt^ngin^,exhatt5:; JrY45 Ind�: Jam¢.::{yrEd,3t 1'3irna-^^_i gnhrratr {a o:'.'.vast^{"a:D3,'unci,.3:?ase.lrnn=.anC: u'JteS'rem,c:`TDcne:`:.!3r, _ nt3:"::1rrn::, }'{p�}y{ ,ar_Cr any Ji.^,h d2."i:S ar opt^'n...,3rC::::::'vot drn•.rPn;:C,:'n ._eJe S `2?l 5 e" ;r;an?r ra,Yn�r.t!o—t'an irau:lwe.mon i5.,.. .vr� top ._....,.._.jji .11%^t�EiB 7-�; 1 92Eo8r=1 07 __. _C't!�GP i rA+ E 3 210 1 M�'(�Qck t t �s t a�e-n5p01 (925) 632- :1 Farts Direct; (925) 808-4122 ALL CLAIMS AND RETURNED GOODS MUST BE ACCC,MPANIED B'Y TMS INVOICE. NO RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. NO RETURNS AFTER 30 DAYS. 10% RE-STOCK CHARD_ ON ALL RETURNED PARTS, DISCLAIMER OF WARRANTIES AnyW9r•9ntle'1 on the oroouct sold horeby are ShOSe f11ado ov tho rn*nufoctutor The :eller hereoy 9uprescly d;sclalrna all warranties, elther express or implied, inclvdng any Implled warrant of merchentablllty or fltness for a particular purpose, and the 9e ler neither a95Umes nor authorizes any otner person to ?SSur^.e for It Any(lability In connection with the Sella of Said products. DATE ENTERED YOUR ORDEP. NO DATE SHIPPED INVOICE DATE Ih`�CICL1 i 11 FEB 08 _1 FEB 08 NjTA@ER Q14130 TTfEIE: 13 :42 S **QUOTE** S e ACCOUNT NO. PA H PAGE 1 OF 1 I D RETAIL P SHIP V•A SLSM. B;L"M 'FRMS =.O.B. POINT ' 0 v,'l CONCORD CA an- PART NO. DESCRIPTION LIST NET AMOUNT 0 2611-53240 WHEEL, DIS 501. °5 501.95 50195 1 0 misc RE,CHROME 1350. 00 350 .00 350. 00 **** I N V 0 I C E Q U C T E - DO N.-IT PAY ** i �OR YOUR CONVE NI'rZNCE OPEN MON-3= 7:00AM - 5 :00PM PARTS 851. 95 KS FOR YOUR 13JSINESS SUBLET . IIICE,:CIM, JJ,HMMY,WAY'VE,KYLE,JOHN-NY FREIGHT 0. 00 SALES TAX 70 •29 ! Cv I J)W.,A S bl(:NA-UPe i I X ,::.' ':.j TAL' ::.,;:'.:. ' 922•.24 I WARNINQ MI;dl'veNclae caftan cnamicall Mrown in rna$rpryof Colitornie to cause canoat and Dinh detects or orh•!r rcoroductivo herrn.T1,o2o chomicais oro-Dr!aimed Tony .rhlc i comanront: ]rd raClee^T.�nt oars.—.1cia i!uids,and 99•nts arc materials ut to maintain vahicies.in GVd�ng,but not limitnd:a.h-^i,ail olmernae,are4ua,and wheel winncino weights 'vvngn vov vtr ce.::'eon o' !ira'^;a,:n vdur ca'. vmi w:il be n.an¢ed to liatad cheml:ate contained In used oil,­?:totnd'¢alacmm�nt !!Vida,(aria�.glossa,gnme.touct-ulo paint.Certain iapi!'Car^9^: eerie•fnU cer!'c!Ilotea!"o"'-1 q'fcta 7i wnnr lV Ya,w¢tje vlca your Car,via v+lil rervrr.used compona.!o you coon rowest Vied owto en7 co-ocranta Matain chornicalia known to tha state�f-:or:fo•n.a to:a�.CC:onto'crd •tn ata ;:nei @.­=.+c!;.*',arm To minlmha your owposurs when servlairtp,malntalelna of eWalnp vour vah(cln t;work In a wall vantllarad arae:2)do not.make.drink or nett whilr working: 31 w®ah vour hand.when 9ni.had or whan faklno a"k:and 41 follow all manufaotvtarjg1glntin it �t{apr use end wralntanenee of matot vehletr•s end uehIC40 Centoonerlte. :Paztsd'n� 3c:J'darCc rvn`Prnpnsl•Irn S�in:al,Hitalt;l d Safety Code'125.-39 5 r..•.rrp.i:or!ur`.1 ra Prdd�cordFRR�D�5�JJ665:nnc:•'rtvww.se%!Ma,ar7/Dr000 5.nr•N. a� coo i N o t, N� 1 m cow VA 0 N t • awW 64s N o 1 Q32W o �.1J a tl to Ln i On r ' 9 o" 1 co " a oat= O LQ v � Cf f ti.lJ