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07/26/2018 02:40 PM * * * * * * Confidential Medical Information * * * * * * Page 1 of 3

by L. Kirsch
Employer Report
Employer report for Target Masters West

Employer: Target Masters West ID 14301


122 Minnis Cir
Milpitas, CA 95035-3113 County: Santa Clara
Phone: (408) 263-7468 Phone 2: (209) 955-5880 Fax: (408) 263-3547 BOE number: 47066510
Contact: Bill Heskett, Owner Contact phone:
Email: tiffany.pettit@ymail.com Web site:
SIC code: 7999 (Amusement & Rec. Services, NEC)
NAICS 2002: 713990 (All Other Amusement and Recreation NAICS 2007: 713990 (All Other Amusement and Recreation
Company doctor:(none)
Alternate company names:
Projects:
Notes: ***Note added 05/14/15 01:06 PM by Jeffrey Piano:
Contact person: Tiffany Pettit tiffany.pettit@ymail.com

Electronic result of 05/10/2011 has phone number as .


Electronic result of 05/09/2011 has phone number as .
***Note added 04/12/11 03:35 PM by Adrian Tandoc:
Per Luz's note, "***Note added 04/04/11 05:16 PM by Luz Kirsch:
referred to OLPPP b/c works at a Firing Range owned by Bill Heskett: Milpitas Shooting Range: 122
Minnis Cir, Milpitas, CA 95035; 408/263-7468. " Updating owner information..

Electronic result of 03/03/2010 has phone number as


Electronic result of 12/17/2009 has phone number as
Electronic result of 11/24/2009 has phone number as
Electronic result of 08/19/2009 has phone number as
Electronic result of 08/11/09 has phone number as
Electronic result of 05/18/2009 has phone number as
Electronic result of 04/28/2009 has phone number as (
Electronic result of 04/27/2009 has phone number as (
Electronic result of 08/19/2008 has phone number as (
Electronic result of 08/07/2008 has phone number as (
Electronic result of 03/07/08 has phone number as (
2nd contact: Retha Schoch Health & Safety Manager; she is at Stockton location (209/955-5880)
04/03: TA call from re: BLL & ZPP; referred caller to KH; per KH's conversation w/ her, the company tests every 6
months. SP
8/05: Imported ER w/ name Milpitas Shooting Range. aw

Prevname field as of 11/26/08: Milpitas Shooting Range

Contact history
Date Type of contact Result ID Case ID Done by
/ / : : AM Letter to employer: provide employer information 761291 Jeffrey Piano

04/24/2000 12:00 40+ packet to Employer 83225 997

03/20/2006 12:00 40+ packet to Employer 250079 1183

06/25/2007 12:00 40+ packet to Employer 314521 1222

CA Dept of Public Health - Occupational Lead Poisoning Prevention Program


850 Marina Bay Parkway Building P, 3rd Fl., Richmond, CA 94804 Tel: (510) 620-5757 Fax: (510) 620-5743 www.cdph.ca.gov/ohb
[employer.frx]
07/26/2018 02:40 PM * * * * * * Confidential Medical Information * * * * * * Page 2 of 3
by L. Kirsch
Employer Report
Employer report for Target Masters West

Contact history
Date Type of contact Result ID Case ID Done by
03/17/2008 12:00 Letter to employer: HIPAA Patricia Coyle
Notes: Letter was signed by Michael DiBartolomeis.

06/12/2008 12:00 Letter to employer: provide employer information Patricia Coyle


Notes: Letter signed by Michael DiBartolomeis

08/28/2009 03:07 Letter to employer: provide employer information Charlie Hancock


Notes: Letter queued in batch process.
08/28/09 03:07 PM: Letter was signed by Michael DiBartolomeis.
08/28/09 03:07 PM: Letter was dated August 31, 2009.

04/28/2011 01:21 40+ letter & packet to GI employer 535846 1600 Luz Kirsch
Notes: 04/28/11 01:21 PM: Letter was signed by Michael DiBartolomeis.

05/02/2011 12:00 Case contact - employer 535846 1600 Luz Kirsch


Notes: ***Note added 05/02/11 12:31 PM by Luz Kirsch:
Bill Heskett called to say his employee who had a bll of 40+ worked for him over a year ago. was recently re-hired and this bll is part of
pre-placement bll test ; the pt was previously working in (unk emp). Bill stated that he keeps his workers blls under 40 as it's required.
He offers routine bll testing as required. He documents nail biters as well as hobby shooters too. He has 2 workers in full hazmat gear when
cleaning out the bullet trap. He said the ventilation system is good but the bldg is old and can't fix that. He said Cal/OSHA Consultation has offered
some service in the past. He asked what OLPPP offers. I mentioned we are not an enforcement agency but offer technical assistance. We have
IHs although site-visits aren't widespread as we are 1 office for the whole state. I also mentioned that medical information has shown that workers
should maintain their blls under 10. And I mentioned that may need more f/u. He said that he'd like info about new medical facilities (Kaiser on
the Job). I offered to email him the emp-md model contract (milpitasshootingrange@earthlink.net). He would like to talk to an IH as well. So, I
provided J.McNary's email.

05/04/2015 03:28 Employer letter: worker address needed 735497 Jeffrey Piano
Notes: Addresses were requested for these Worker IDs: 218411, 206150, 422243, 551372, 394686. A reply is due 05/18/15.

12/01/2015 01:09 Elevated BLL letter to sponsoring employer Adrian Tandoc


Notes: 12/01/15 01:09 PM: Letter was signed by Saeher Muzaffar.
Batch creation for Dec. 2015 mailing, per ELVIS Task ID 532.

02/01/2016 12:00 Other contact -employer 800349 Luz Kirsch


Notes: Contact with: Tiffany Pettit
***Note added 02/01/16 11:56 AM by Luz Kirsch:
I've forwarded this email to SM and MC requesting a call back to Tiffany Petitt:

From: Attfield, Kathleen (CDPH-PS-DEODC-EHIB)


Sent: Friday, January 29, 2016 4:02 PM
To: Kirsch, Luz C. (CDPH-DEODC-OHB)
Subject: occ blood lead inquiry
Hi Luz,
I received a call from someone in management at a gun range who wanted updated information on "2016 OSHA levels" of blood lead allowed for
workers. They have an employee who is at 1 and they think the occ nurse is wanting to take too stringent actions based on that. Becki told me
you were the one who answers these types of calls. Could you call this woman back?
Her name is and her number is .
Thanks,
Kathleen

--
Kathleen Attfield, ScD
CDC Epidemic Intelligence Officer
Environmental Health Investigations Branch/Occupational Health Branch

CA Dept of Public Health - Occupational Lead Poisoning Prevention Program


850 Marina Bay Parkway Building P, 3rd Fl., Richmond, CA 94804 Tel: (510) 620-5757 Fax: (510) 620-5743 www.cdph.ca.gov/ohb
[employer.frx]
07/26/2018 02:40 PM * * * * * * Confidential Medical Information * * * * * * Page 3 of 3
by L. Kirsch
Employer Report
Employer report for Target Masters West

Contact history
Date Type of contact Result ID Case ID Done by
Notes: California Department of Public Health
850 Marina Bay Parkway, Building P3
Richmond, CA 94804
Phone: 510-620-5773 Fax: 510-620-3720
Email: Kathleen.Attfield@cdph.ca.gov

09/15/2016 12:44 Elevated BLL letter to sponsoring employer Adrian Tandoc


Notes: 09/15/16 12:44 PM: Letter was dated September 16, 2016.
09/15/16 12:44 PM: Letter was signed by Saeher Muzaffar.
Batch creation for Sept. 2016 mailing, per ELVIS Task ID 546.

03/29/2018 12:46 Elevated BLL letter to sponsoring employer Adrian Tandoc


Notes: 03/29/18 12:46 PM: Letter was signed by Nina Townsend.
Batch creation for March 2018 mailing, per ELVIS Task ID 560.

CA Dept of Public Health - Occupational Lead Poisoning Prevention Program


850 Marina Bay Parkway Building P, 3rd Fl., Richmond, CA 94804 Tel: (510) 620-5757 Fax: (510) 620-5743 www.cdph.ca.gov/ohb
[employer.frx]
Cooper, Michael@CDPH

From: Kirsch, Luz C. (CDPH-DEODC-OHB)


Sent: Wednesday, February 03, 2016 2:17 PM
To: vperez@allianceoccmed.com
Subject: Lead Medical Information

Importance: High

Dear Veronica,  
 
Thanks for answering my questions regarding Dr. Henry Poon’s patient with a blood lead level of 1 ug/dl taken  /15. 
As I mentioned by phone, the   patient may request a lead specific medical exam if he has symptoms or has 
concerns about his health at the workplace. As you know, Dr. Muzaffar from our office has spoken to Tiffany Pettit from 
Target Masters regarding medical followup questions.  
 
Here is the information I offered to email you:  

OLPPP Medial Guidelines: http://www.cdph.ca.gov/programs/olppp/Documents/medgdln.pdf (see page 5)


Environmental Health Perspectives (EHP) article:
http://www.cdph.ca.gov/programs/olppp/Documents/medmanagement.pdf
Our OLPPP Program protocol: http://www.cdph.ca.gov/programs/olppp/Documents/registry.pdf
For more Lead Medical Information, please go to http://www.cdph.ca.gov/programs/olppp/Pages/Publications.
OLPPP developed an online course for health care providers, Overview of Adult/Occupational Lead Poisoning in California , with
free continuing medical education units (CMEs).
Model Contract for a Lead Medical Program (PDF) - sample employer-physician contract
Point Blank: Lead Hazards at Indoor Firing Ranges (PDF) - factsheet for range owners

If you have questions regarding lead medical follow-up, please contact Dr. Saeher Muzaffar from our office at
Saeher.Muzaffar@cdph.ca.gov or (510) 620-5731. If you’d like lead companies to contact our office, please have them
contact our Industrial Hygienist Michael Cooper at Michael.Cooper@cdph.ca.gov or (510) 620-3894. He can offer
guidance on how to set up and improve a lead safety program in the workplace.

Thank you again,  
Luz
 
*****************
Luz C. Kirsch, BA
Occupational Lead Poisoning Prevention Program
CDPH/ OHB
850 Marina Bay Parkway, Bldg.P, 3rd Fl.
Richmond, CA 94804
direct: 510/620-5729 (M,W,Th)
general: 510/620-5757
fax: 510/620-5748
Luz.Kirsch@cdph.ca.gov
http://www.cdph.ca.gov/programs/olppp/
Sign up for Occupational Health Watch e-newsletter  
 

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Cooper, Michael@CDPH

From: Kirsch, Luz C. (CDPH-DEODC-OHB)


Sent: Wednesday, February 03, 2016 12:56 PM
To: Muzaffar, Saeher (CDPH-DEODC-OHB); Cooper, Michael (CDPH-DEODC-OHB)
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id-14301

Hi‐ it turns out there is NO cal/osha referral. AND when I asked about the   testing protocol,   said it's a 


 follow‐up protocol. At this level, the   needs   bll testing until   has 2 consecutive results under 
ug/dl,  months apart.  
I'll write more...  

‐‐‐‐‐Original Message‐‐‐‐‐ 
From: Muzaffar, Saeher (CDPH‐DEODC‐OHB)  
Sent: Monday, February 01, 2016 2:35 PM 
To: Kirsch, Luz C. (CDPH‐DEODC‐OHB); Cooper, Michael (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id‐14301 

Thanks Luz, where does the   protocol say   testing? 


If we can confirm cal/osha involvement that would be helpful.  Our guidelines would recommend every 2 mo testing at 
this BLL ‐ if we can mail our medical guidelines to the employer that would be helpful. 
I can try to call tomorrow but would like to clarify cal/osha role. 

thx, 
Saeher  

________________________________________ 
From: Kirsch, Luz C. (CDPH‐DEODC‐OHB) 
Sent: Monday, February 01, 2016 11:53 AM 
To: Muzaffar, Saeher (CDPH‐DEODC‐OHB); Cooper, Michael (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id‐14301 

Hi‐ I was about to leave a msg for   but her outgoing cel phone msg says “Tiffany” (510‐857‐7267), who I believe 
is the employer contact for Target Masters (emp id‐ 14301). I think it would be best for Saeher to call her back, as you 
are our expert for medical followup for  . The   from   called me urgently this morning. She was 
upset bc the employer Tiffany called her re: f/u care for a   named   (wid‐ 550557). The  y/o has a bll of 1 ug/dl 
taken  /15. Per the   protocol,   need to get bll tested every   when they have a bll 
of   The employer disagrees. So, she would like OLPPP assistance. 

Let me know if you’d rather have Mike call her back. The company has lots of ees with blls in the teens and 20s. We sent 
them a LOW BLL letter on 12/1/15 and they rec’d a 40+ letter/packet in 2011. Quite a few ees are   
! AND I haven’t heard back from the Occ Hlth clinic about the Cal/OSHA referral (to confirm there is one). 

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Cooper, Michael@CDPH

From: Payne, Susan (CDPH-DEODC-OHB)


Sent: Tuesday, February 16, 2016 2:55 PM
To: Kirsch, Luz C. (CDPH-DEODC-OHB); Muzaffar, Saeher (CDPH-DEODC-OHB); Cooper,
Michael (CDPH-DEODC-OHB)
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id-14301

Yeah, they just have to accept that   and we follow the OLPPP, not   protocols (which are 


of course informed by lead standards, not exactly perfectly health‐based...) 
 
‐‐‐‐‐Original Message‐‐‐‐‐ 
From: Kirsch, Luz C. (CDPH‐DEODC‐OHB)  
Sent: Wednesday, February 03, 2016 1:14 PM 
To: Muzaffar, Saeher (CDPH‐DEODC‐OHB); Cooper, Michael (CDPH‐DEODC‐OHB) 
Cc: Payne, Susan (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id‐14301 
 
Veronica is from Alliance Occ Med.  
 had said that Veronica referred the company to cal/osha so I wanted to verify this. 
 
AND yes, I have the   manual. I think   is following it but I think the confusion is   ‐ the pt is   
but  .   is new to the   program. She welcomes clarification.  
 
‐‐‐‐‐Original Message‐‐‐‐‐ 
From: Muzaffar, Saeher (CDPH‐DEODC‐OHB)  
Sent: Wednesday, February 03, 2016 1:08 PM 
To: Kirsch, Luz C. (CDPH‐DEODC‐OHB); Cooper, Michael (CDPH‐DEODC‐OHB) 
Cc: Payne, Susan (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id‐14301 
 
Thanks Luz. Who is Veronica? Do we have a copy of the   manual? 
I think this case needs to be discussed with   if the   wants a monthly BLL. 
 
Saeher 
________________________________________ 
From: Kirsch, Luz C. (CDPH‐DEODC‐OHB) 
Sent: Wednesday, February 03, 2016 12:56 PM 
To: Muzaffar, Saeher (CDPH‐DEODC‐OHB); Cooper, Michael (CDPH‐DEODC‐OHB) 
Cc: Payne, Susan (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id‐14301 
 
Hi‐ This morning, I spoke at length to both Vanessa from the Alliance Occ Med clinic and   from  . 
 
 
 
Vanessa confirmed they have NOT made a Cal/OSHA complaint. They are working with the employer regarding f/u with 
the  . They have agreed to retest the   but the Cal/OSHA regs don't indicate this. Veronica would like a written 
document from   stating required medical guidelines for a pt with a bll of 1 ug/dl. I explained that   
 and our program at OLPPP handles the lead working adults   

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However, we'll assist in the medical f/u. I also mentioned that Saeher has been in touch with Tiffany from the range and 
suggested bll testing every 2 months. Veronica said it would be best to have that in writing. I will email Veronica the 
Medical Guidelines, the Model Contract (btwn md/emp) and other information about our program. Her email: 
vperez@allianceoccmed.com<mailto:vperez@allianceoccmed.com> 
 
 
 
Then, I called   about clarification. She was sure Veronica mentioned Cal/OSHA. I said they are following the 
Cal/OSHA guidelines for medical f/u but no Cal/OSHA referral.   went into great discussion about case management 
for  . She said their   has the details: Under   
 It clearly states that for a bll of 1 , the 
 makes sure bll testing is done  . Once this is 
true, then the   investigation is done and they can close the case. I mentioned the   in 
the   manual but she wasn't familiar with it. I said   
 That's why she 
wanted us to talk to the employer. I said Saeher has already spoken to the employer Tiffany and recommended bll 
testing every 2 months. I said that I'll have Saeher contact   for clarification.   said she'd be happy to discuss. 
 She's been in touch with the   and clinic 
only. She also mentioned that the   works more at the range than as a hobbyist (  a recreational shooter).   
aware of hygiene and procedures. I will email her the Medical Guidelines, OLPPP protocol, 10+ letter & enclosures, the 
 and Saeher’s contact info. Her email: 

 
 
From: Muzaffar, Saeher (CDPH‐DEODC‐OHB) 
Sent: Tuesday, February 02, 2016 12:02 PM 
To: Kirsch, Luz C. (CDPH‐DEODC‐OHB); Cooper, Michael (CDPH‐DEODC‐OHB) 
Cc: Payne, Susan (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id‐14301 
 
Her email is tiffany.pettit@ymail.com<mailto:tiffany.pettit@ymail.com> 
 
From: Muzaffar, Saeher (CDPH‐DEODC‐OHB) 
Sent: Tuesday, February 02, 2016 12:01 PM 
To: Kirsch, Luz C. (CDPH‐DEODC‐OHB); Cooper, Michael (CDPH‐DEODC‐OHB) 
Cc: Payne, Susan (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id‐14301 
 
Hi, 
I spoke with Tiffany. She is concerned re cal/osha referral. Says they are trying to be compliant and are ok with BLL 
surveillance and pt being seen in clinic.  Worker also per her report owns guns and shoots recreationally.  works 
3d/wk with them. I mentioned her company has other BLLs in the same range and reviewed our health based 
surveillance recs. She inquired about the lead standards and I indicated these were being revised. I am sending her the 
links to the standards and draft revision and medical guidelines. 
 
I indicated we could try to connect w/Cal‐OSHA re the referral but said we were somewhat limited since we didn’t 
initiate the process and aren’t fully aware of the context of the referral. 
Mike, if you can look into the cal/osha role here further that would be helpful; we can also discuss further when you’re 
in. 
 
Thanks, 
Saeher 

2
 
From: Kirsch, Luz C. (CDPH‐DEODC‐OHB) 
Sent: Monday, February 01, 2016 11:53 AM 
To: Muzaffar, Saeher (CDPH‐DEODC‐OHB); Cooper, Michael (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry (employer: Target Masters, emp id‐14301 
Importance: High 
 
Hi‐ I was about to leave a msg for   but her outgoing cel phone msg says “Tiffany” (510‐857‐7267), who I believe 
is the employer contact for Target Masters (emp id‐ 14301). I think it would be best for Saeher to call her back, as you 
are our expert for medical followup for  . The   from   called me urgently this morning. She was 
upset bc the employer Tiffany called her re: f/u care for a  named   (wid‐ 550557). The   y/o has a bll of 1 ug/dl 
taken  /15. Per the   protocol,   need to get bll tested every  when they have a bll 
of  . The employer disagrees. So, she would like OLPPP assistance. 
 
Let me know if you’d rather have Mike call her back. The company has lots of ees with blls in the teens and 20s. We sent 
them a LOW BLL letter on 12/1/15 and they rec’d a 40+ letter/packet in 2011. Quite a few ees are   
! AND I haven’t heard back from the Occ Hlth clinic about the Cal/OSHA referral (to confirm there is one). 
 
Here’s my conversation with the Santa Clara phn: 
***Note added 02/01/16 10:23 AM by Luz Kirsch: 
 called to ask OLPPP for assistance. She'd like us to contact Tiffany Pettit at 
Target Masters in Milpitas (408‐263‐7468) bc they called her about a referral the md office (Veronica Perez, MA at 
Alliance Occ Hlth 408‐790‐2900) made to Cal/OSHA.   doesn't know why the company called her but Tiffany was 
very upset about the Cal/OSHA referral. I asked if she knew the name of the IH at Cal/OSHA so that we can help him with 
data if needed. OLPPP doesn't intervene with the employer when there's a Cal/OSHA investigation.   explained that 
she wants OLPPP to contact Tiffany Pettit ASAP bc she's not happy with the recommendations from   re: f/u. She 
also mentioned that she has been in touch with the Occ Hlth clinic bc the  still has a bll of 1 ug/dl in   2015 and no 
f/u bll testing has been done since. I said I'll contact the clinic and find out who at Cal/OSHA is involved with the 
investigation. lk 
 
From: Attfield, Kathleen (CDPH‐PS‐DEODC‐EHIB) 
Sent: Friday, January 29, 2016 4:28 PM 
To: Kirsch, Luz C. (CDPH‐DEODC‐OHB) 
Subject: RE: occ blood lead inquiry 
 
Thanks! 
 
From: Kirsch, Luz C. (CDPH‐DEODC‐OHB) 
Sent: Friday, January 29, 2016 4:16 PM 
To: Attfield, Kathleen (CDPH‐PS‐DEODC‐EHIB) 
Subject: RE: occ blood lead inquiry 
 
 
Hi‐ I think the best person to talk to an employer is Mike Cooper but I think he's out next week. I'm happy to call her on 
Monday 2/1 when I'm back in the office. 
 
Thanks, Luz 
 
510/620‐5729 M,W,Th 
 
________________________________ 
From: Attfield, Kathleen (CDPH‐PS‐DEODC‐EHIB) 

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Sent: Friday, January 29, 2016 4:02 PM 
To: Kirsch, Luz C. (CDPH‐DEODC‐OHB) 
Subject: occ blood lead inquiry 
Hi Luz, 
I received a call from someone in management at a gun range who wanted updated information on “2016 OSHA levels” 
of blood lead allowed for workers. They have an employee who is at 1  and they think the occ nurse is wanting to take 
too stringent actions based on that. Becki told me you were the one who answers these types of calls. Could you call this 
woman back? 
Her name is   and her number is   
Thanks, 
Kathleen 
 
‐‐ 
Kathleen Attfield, ScD 
CDC Epidemic Intelligence Officer 
Environmental Health Investigations Branch/Occupational Health Branch California Department of Public Health 
850 Marina Bay Parkway, Building P3 
Richmond, CA 94804 
Phone: 510‐620‐5773     Fax: 510‐620‐3720 
Email: Kathleen.Attfield@cdph.ca.gov<mailto:Kathleen.Attfield@cdph.ca.gov> 
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