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CO0036969
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CO0036969
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Entry Properties
Last modified
4/18/2022 6:20:58 PM
Creation date
2/12/2019 12:41:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0036969
PE
2200
STREET_NUMBER
12751
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95242
ENTERED_DATE
9/11/2013 12:00:00 AM
SITE_LOCATION
12751 N THORNTON RD
RECEIVED_DATE
9/6/2013 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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FilePath
\MIGRATIONS\T\THORNTON\12751\CO0036969.PDF
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EHD - Public
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Page 3 of 6 <br /> .[if!supportLists]-->e <!--[endif]-->Documentation of any verbal instructions and <br /> comments between SJCM&VCD/fellow employees/supervisor(s) and the <br /> doctor/medical staff <br /> [if!supportLists]-->• <!- [endif]-->All medical records, lab results, reports, evaluation, <br /> notes written or transcribed <br /> [if!supportLists]-->• <!--[endif]-->Note: SJCM&VCD may have paid cash for the <br /> treatment on 1126/2005. If records are not found, Eddie Luchessi may be able to <br /> assist in obtaining them, <br /> "Please advise why you were seen at Dameron Occupational Health on the dates listed. <br /> Please advise fyou filed claims alleging a workplace injury for those dates. " <br /> When I reported symptoms to nay employer, I was told to till out a DWC-1 form <br /> and to visit Dameron for my tare-employment physical and for all work comp related <br /> injuries. The dates above were aproximated; the work comp claims 1 filed were for dates <br /> 6/9/04, 1/21/05, 1011 1105, and 6/30/11. The documents 1 received from Dameron were <br /> incomplete and lett out much of the doctor's examination notes, lab results, and other <br /> important aspects of my medical file (to which 1 atm entitled) <br /> 3. SJCM&VCD MSDS labels and chemical treatment records from 2000-2010, <br /> including but not limited to the application or use of Formalin, and/or other <br /> parasite treatments, herbicides, pesticides, and fungicides at the White Slough <br /> facility in Lodi, along with the documentation that all employees had been notified <br /> of the use of these substances, and the signed safe handling procedures from all <br /> employees. If this is not available for all employees, please send my own records. <br /> "I will ask for MSDS sheets in the District's possession for the locations that you <br /> serviced. If you worked at the White Slough Facility in Lodi I will ask for those records. <br /> It is of no relevance to your workers' compensation case what other employees were <br /> 12/23/2013 <br />
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