Target Masters West Comms-Redacted Original

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 04/28/2009 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
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]
by L. Kirsch
Employer Report
Contact history
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

[employer.frx]
by L. Kirsch
Employer Report
Contact history
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

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.

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

[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

1
From: Kirsch, Luz C. (CDPH-DEODC-OHB)

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)
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).
1
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...)

Cc: Payne, Susan (CDPH‐DEODC‐OHB)

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.


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
________________________________________

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
1
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:


Her email is tiffany.pettit@ymail.com<mailto:tiffany.pettit@ymail.com>


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

Sent: Monday, February 01, 2016 11:53 AM
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)
To: Kirsch, Luz C. (CDPH‐DEODC‐OHB)
Subject: RE: occ blood lead inquiry

Thanks!

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)
3
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>
[cid:image001.png@01D0A84D.1503E7B0]<http://www.saveourwater.com/>

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

Employer: Target Masters West ID 14301

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

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

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

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

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

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

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

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

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

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

CA Dept of Public Health - Occupational Lead Poisoning Prevention Program

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

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

CA Dept of Public Health - Occupational Lead Poisoning Prevention Program

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

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

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

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

Thanks Luz, where does the protocol say testing?

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

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

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