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.c YARDS 21. NO HUMIDITY EXTREMES
9. NO LIFTING > LBS. 22. NO EXPOSURE TO ENVTRONMENT POLLUTANTS
10.NO BENDING AT WAIST 23. NO WORK WITH CHEMICALS OR IRRITANTS
11.NO REPETITIVE SQUATTING 24. NO WORK REQUTRIJNG SAFETY BOOTS
12.NO CLIMBING 25. NO WORK AROUND MACHINE WITH MOVING PART
13.LIMITED SITTING 26. NO WORK EXPOSURE TO LOUD NOISES
14.NO REACHING OVER SHOULDER
IV. DISCIPLINARY PROCESS (CHECK ONE)
X A. NO RESTRICTIONS
B. CONSULT REP OF MENTAL HEALTH DEPT BEFORE TAKING DISCIPLINARY ACTION
C. CONSULT REP OF MEDICAL DEPARTMENT BEFORE TAKING DISCIPLINARY ACTION
V. J1SDIVTIJUALIZED TREATMENT PLAN (CHECK ALL TTHAT APPLY)
X A. NO RESTRICTION C. MENTAL HEALTH REPRESENTATIVE REQUIRED
B. MEDICAL REPRESENTATIVE REQUIRED
VI. TRANSPORTATION RESTRICTIONS (CHECK ONE)
X A. NO RESTRICTION C. WHEELCHAIR VAN
B. EMS AMBULANCE D. MULTI-PATIENT VEHICLE (MPV)
JONES MD 12/09/2014
PRINTED NAME AND TITLE OF REVIEWER DATE SIGNATURE OF REVIEWER
_~ ... 1201 Franklin Street, 13th Floor
BUDllC Houston, Texas 77002
Tjefender^s 713.368.0016
713.368.9278 eFax
Harris County, Texas
Febrero 2,2015
ALAN OMAR RODRIGUEZ
TDC#01928606
W.F. Ramsey Unit
1100 FM 655
Rosharon, TX 77583
Sr. Rodriguez:
Espero se encuentre bien. Gracias por mandarme todos esos documentos. Se los estoy
regresando en caso de que los necesite. Yo le creo cuando dice que es inocente y que aun ama
a America. Hare lo mas posible por usted. Por favor cuidese.
Sinceramente,
JANI MASELLI
Assistant Public Defender
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