CITY CLERK'S DATE STAMP
CITY OF RIALTO CITY
SHALIN CHE OF RIALTO
LIABILITY 2000 MAY 28
SE CLAIM FOR DAMAGES P. I: 15
TO PERSON OR PROPERTY CLY CLERK
1. Claims for death, injury fo person, or to personal property must be filed not later than six (6) months affer the occurrence (Gov. Code 59112).
2. Claims for damages to real property must be filed not later than one (1) year after the occurrence (Gov. Code $911.2). RETURN TO:
Rialto City Clerk's Office
3.READ ENTIRE CLAIM FOR BEFORE FILING Mail: 150 S. Palm Ave., Rialto, CA 92376
4. ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Address: 290 W. Rialto Ave., Rialto, CA 92376 CLAIMANT INFORMATION:
Aron EJames
DATE OF BIRTH
FULL NAME
HOME TÉLEPHONE NO.
HOME ADDRESS INCLUDING CITY, STATE & ZIP'
me ABOve
BUSINESS TELEPHONE NO.
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP
Same
ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above):
2026 TIME: 1608 DAM PM
1. WHEN DID DAMAGE OR INJURY OCCUR? DATE:
2. PLACE OF ACCIDENT (OCCURRENCE) BE SPECIFIC - Describe fully and (if applicable) focate on diagram on reverse side of this sheet.
Where appropriate, give street names and addresses, measurements and landmarks. N Laurel AVE W. CaSmALTa 5I
3. HOW DID DAMAGE OR INJURY OCCUR?, Directed VeHicle to be taved where no signatio Police Exit 2I04 ALDER
existet to warn that keltire loriD Be fowed left on DuDEn to cusmaLia then Ret omade RT tirN made WERE PARAMEDICS AT THE SCENE? OYESENOTHEN LT ON LAURENS
4. WERE POLICE AT THE SCENE? DYES NO 5. WHAT PARTICULAR ACT OR OMISSION DO YOU CLAIM CAUSED THE INJURY OR DAMAGES? Give then me tehe Stonew employee causing the injury or damage, if known.
OR UNDER E CA VeH, CODE 22451(N) states. Pasted Sigul Required in order EmPropeR TOW BY OFFiCeR R. VIan. NO TOWAWY ZONE Posted To tow vettick. No sEes on zr0 west exit to ALDon Notifing No Parking vehicles $
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.
DAMAGES INCURRED TO DATE: 216.80
Item/Date: release. Fee 5/16 Amount: $
Amount: $ 1243
Item/Date: ToW Fee TANNENFeR + Storage
121 264 AmouNT$ 385
TRUCK 858 +
121 + 264
Trilor
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: s1844,80 ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:
Item/Date: Amount: $
Item/Date: Amount: $
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES:
7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: NAME:
ADDRESS: ADDRESS:
!.. ITY
TELEPHONE: ] TELEPHONE: L)
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:
NAME: NAME:
ADDRESS: ADDRESS:
TELEPHONE: TELEPHONE: L)
DATE: TIME: DAMO PM DATE: _ TIME:
L AM 03 PM
9. PLEASE READ THE FOLLOWING CAREFULLY:
For all vehicle accident claims, place on the following diagram, the names of streets, including NORTH, EAST, SOUTH AND WEST directions. Indicate place of accident by "X' and by showing house numbers or distances to street comers. f a cityflown vehicle was involved, designate by letter "A" location of the City/Town vehicle when you first saw it, and by 'B" location of yourself or your vehick hen you first saw City/Town vehicle; location of City/Town vehicle at time of accident by "A-1" and location of yourself or your vehicle at the time of the accident by "B-1" and the point of impact by "X.
→ NOTE: IF THE DIAGRAM BELOW DOES NOT FIT THE SITUATION, PLEASE ATTACH A PROPER DIAGRAM SIGNED BY THE CLAIMANT.
CURB
PARKWAY
7 SIDEWALK
HAVE EAR FAE FORECO CAN AND EN THE COME TEA AN AN A TO RE A TE EAT A TO BE RECEPT ASTOr I CERTIFY EOS DECLARELUNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
GIGNATURE OECLAIMANT OR AGENT
ron Lame s 5/24/2026
TYPE OR PRINT NAME DATE
RELATIONSHIP TO CLAIMANT
NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (CA PENAL CODE 72) RETURN CLAIM TO: RIALTO CITY CLERK'S OFFICE - 150 S. PALM AVE., RIALTO, CA 92376 RIALTO
RIALTO
POLICE DEPAREMENE: TO
POLICE SILEO FOLLES
4:15 AREA CODE (909)
MARK P KLING 128 NORTH WILLOW AVENUE 820-2578
Chief of Police RIALTO, CA 92376-5894 EMERGENCY 9-1-1
NOTICE OF STORED VEHICLE (CVC 22852)
VEHICLE OWNER'S RIGHT TO HEARING
ATTENTION: THIS IS NOT AN AUTHORIZATION OF RELEASE
Authorization for release of impounded vehicles must be obtained from the Rialto Police Department 128 N.
Willow Avenue, Rialto, CA 92376 (909) 820-2578. You may recover possession of your stored vehicle by fulfilling the following requirements:
• Paying to the Rialto Police Department a release fee of two hundred sixteen dollars and eighty cents. ($216.80).
• The registered owner of the vehicle must be present with a valid driver's license, or have a valid licensed driver with them at the time of release.
• Provide proof of current registration and insurance on the vehicle. • Pay all towing and storage fees at the tow yard. The Rialto Police Department has no authority over fees charged by the tow company.
If you believe you have cause to dispute this impound, you may request a post-storage hearing. This departmental hearing will determine whether there was a sufficient legal basis for impounding your vehicle.
A hearing request must be received by this agency within ten (10) days from the date of this notice. Hearing requests may be submitted in person, by mail to Rialto Police Department 128 N. Willow Avenue, Rialto, CA 92376, or by telephone at (909) 820-2578
This hearing must be held within forty-eight (48) hours of your request * (Excluding weekends and holidays) Failure to request or attend a scheduled hearing shall satisfy the post-storage validity hearing requirements of California Vehicle Code Section 22852.
Please note these procedures DO NOT affect any related traffic citations or other criminal proceedings. If you wish to challenge underlying charges such as a citation or other criminal proceeding, you must do so at the appropriate court.
Revised 07/31/2019
PEPES FORING SERVICE Pepe's Towing Service miTy OF Fi Impound Receipt 14351 VETERANS MAY PO Box 7450, Moreno Valley CA 92552 2070 MAY 20 Moreno Valley CA 92553 Phone: (951) 682-5682 | Fax: (951) 682-5030 Printed 5/13/2025 951-653-2423
RON JAMES Phone: (832) 752-0676
26-0516-81429 Reason for Impound S26S1 NNO PARKING BY CITY ORDINANCE 05, 18/2026 16:05
Sale 81429 VIN Number
Batch:68 932605931 Model 2018 Kenworth T680 (Black)
Trans:5
DISCOVER CHIP RIALTO PD License Plate
+3504
5/16/2026 4:51 PM Drivable Yes
AMOUNT: $1628.00 No
5/16/20264:52 PM Keys
Resp: APPROVAL
Code: 01807P 5/16/2026 5:13 PM Towed from CASAMALIA/LAURAL Ref#: 613816727289 5/16/2026 5:26 PM Stored at Date Yard App Nae: Discover 2005 South Date Avenue, Bloomington CA 92316 A0000001523010 5/16/2026 6:32 PM
0000008000 Israel P.
TSI: E800 TRK 62
5/18/20264:06 PM
3 days
by the cardholder's
agreement with issuer.
CUSTOMER COPY Quantity Price Line Total
Thank You
Povered By ValorPay (v3. 0. 16) nds/Storage: Daily Impound Rate $88.00 $264.00 Quantity Price Line Total
NG FEE PORT TO PORT (price per hour) $572.00 $858.00
1 $121.00 $121.00
Towing SubTotal $979.00
Storage - Storage Fees SubTotal $264.00
Subtotal $1,243.00
Taxes $0.00
Grand Total $1,243.00
Amount Due: $0.00 / Paid
Discover payment (Ref # CC APV 01807P) of $1,243.00 applied on 5/18/2026 All towing services sales are final at time of payment. By authorizing payment, you agree to the following terms:
No Cancellations/Changes: Once service is dispatched or rendered, payments cannot be canceled or modified.
No Refunds: All fees (towing, recovery, storage, etc.) are non-refundable.
No Chargebacks: Disputing valid charges may lead to additional fees.
By proceeding with payment, you confirm acceptance of these terms.
Pepe's Towing Service appreciates your business; if you have any questions regarding this invoice, please contact us at 951-682-5682. Thank you.
Damage Disclaimer:
Have been advised that my vehicle may be damaged if winched, towed, unlocked, jump started, tire changed or left on unattended premises. I recognize tt ficulty involved and 1 agree not to hold Pepe's Towing Service responsible for such damages should it result. I, the undersigned do hereby certify that I am legal authorized and entitled to take possession of the vehicle described and all personal property therein. I have received the vehicle and all personal property in satisfactory condition.
Signature: Date:
CA# 117433 USDOT: 1005094
Upon request, you are entitled to receive a copy of the Towing and Storage Fees and Access Notice pat
frater
https://app.fowbook.com/impounds/impound?id=28213981#Releasee
CITYROF RIALTO
impoter: Mir2а
Pepe's Towing Service Impound Receipt
90002800063
Phone: (951) 682-5682 | Fax: (951) 682-5030 PO Box 7450, Moreno Valley CA 92552 Phore: (832, 752 0575
20110 WESTFIELD PKWY KATY TX 21449
DRIVER ARON JAMES Reason for Impound 22651 N NO PARKING PY CITY ORGINANCE Released To 26-0516 81429
VIN Number
Invoice # $1429 2018 Konworth 7680 (Black)
Model
Call f 932605931
License Plate
Case # RIALTO PD Yes
5/16/2026 4:51 PM Drivable
Account
Date/Time Requested Keys No
5/16/2026 4:52 PM CASAMALIA/LAURAL
Date/Time Dispatched Towed from
5/16/20265:13 PM
Date/Time Arrived to scene Stored at Date Yard
5/16/202G 5:26 PM 2005 South Date Avenue, Bloominaton CA 92315 Date/Time Towing Time: 5/16/2026 6:32 PM
Date/Time Completed: Israel P.
Driver TRK 62
Truck 5/18/2026 4:06 PM
Date/Time Released: 3 days
Days Held in Impound
Notes DATE NO ROOM LOCUST
Price Line Total
Quantity
Storage charges $88.00 $264.50
(Storage - Storage Fees) Impounds/Storage: Daily Impound Rate Price Line Total
Quantity
Towing charges 1S(1h30 ml $572.00 $858.00
(Towing) AFTER HOURS TOWING FEE PORT TO PORT (price per hour) 1 $121.00 $121.00 (Towing) Admin Fee Towing SubTotal $979.00
Storage - Storage Fees Sub Total $264.00
Subtotal $1,243.00
Taxes $0.00
Grand Total $1,243.00
Amount Due: $0.00 / Paid
Discover payment (Ref # CC APV 01807P) of $1,243.00 applied on 5/18/2026 All towing services saies are final at time of payment. By authorizing payment, you agree to the following terms: No Cancellations/Changes: Once service is dispatched or rendered, payments cannot be canceled or modified.
No Refunds: All fees (towing, recovery, storage, etc.) are non-refundable.
No Chargebacks: Disputing valid charges may lead to additional fees.
By proceeding with payment, you confirm acceptance of these terms.
Pepe's Towing Service appreciates your business; if you have any questions regarding this invoice, please contact us at 951-682-5682. Thank you Damage Disclaimer:
Have been advised that my vehicle may be damaged if winched, towed, unlocked, jump started, tire changed or left on unattended premises. I recognize th ifficulty involved and I agree not to hold Pepe's Towing Service responsible for such damages should it result. I, the undersigned do hereby certify that I am legall authorized and entitled to take possession of the vehicle described and ail personal property therein, I have received the vehicle and all personal property in satisfactory condition.
Signature: Date: _
CA# 117433 USDOT: 1005094
Upon request, you are entitled to receive a copy of the Towing and Storage Fees and Access Notice pat
trater
1/1
Depe's Towink Service EYY 21 CITINOF RIALTO
Impound Receipt
PO Box 7450, Moreno Valley CA 92557
hone: (951) 682-5682 1 Fax: (951) 682-5030 Pri 4: 15 ta: 180008 VIC
Twing
20110 WESTFIELD PKWY KALY TX 77449 Phone (832) 752 9813 DRIVER ARON JAMES Reason for impound 22651-NNO PARING 3/ CT: OR0M4N0= 26-0516-81430
Released To
$1430 VIN Number
invoice # Model UTILITY 33 FEET TRAILER (White)
932605931
Call F License Plate
RIALTO PD
Case # Drivable Yes
Account 5/16/2026 5:28 PM
5/16/2026 5:28 PM Keys No
Date/Time Requested CASAMALIA/LAURAL
Date/Time Dispatched 5/16/2026 5:29 PM Towed from
Date/Time Arrived to scene Stored at Date Yard
5/16/2026 5:29 PM 2005 South Date Avenue, Bloomington CA 92315 Date/Time Towing Time: 5/16/2026 6:34 PM
Date/Time Completed: Israel P.
Driver TRK 62
Truck 5/18/2026 4:07 PM
Date/Time Released:
3 days
Days Held in Impound
Notes TRAILER
DATE NO ROOM AT LOCUST Price Line Total
Quantity $264.00
$88.00
Storage charges 3
(Storage - Storage Fees) Impounds/Storage: Daily Impound Rate Price Line Total Quantity $121.00 $122. 0€
Towing charges 1
$121.00
(Towing) Admin Fee Towing SubTotal $264.00
Storage - Storage Fees SubTotal
Subtotal $385.00
$0.00
Taxes
Grand Total $385.00
Amount Due: $0.00 / Paid
APV 01807P) of $385.00 applied on 5/18/2026
Discover payment (Ref # CC
All towing services sales are final at time of payment. By authorizing payment, you agree to the following terms: No Cancellations/Changes: Once service is dispatched or rendered, payments cannot be canceled or modified.
No Refunds: All fees (towing, recovery, storage, etc.) are non-refundable.
No Chargebacks: Disputing valid charges may lead to additional fees.
By proceeding with payment, you confirm acceptance of these terms.
Pepe's Towing Service appreciates your business; if you have any quessions regarding this invoice, please contact us at 951-682-5682. Thank you. Have been advised that mu vehicle mav be damaged if winched, towed, unlocked, lump started, tire changed of left on unattended premises. I recognize th suthorized and entitled to take possession of the vehicle described and all personal propertys serein. I have received the vehicle and all personat property in irriculty involved and lagree not to hold Pede's Towing Service responsible for such damages should it result L the undersigned do hereby certify that lamlega Signature: Date:
CA# 117433 USDOT: 1005094
Upon request, you are entitled to receive a copy of the Towing and Storage Fees and Access Notice 1/1
https://app.towbook.com/impounds/lmpound?id=28214318#Releasee no signage coming into,
4: 15
CITY OF RIALTO town
MAY 23
east Alder off ramp
CITY OF RIALTO
2075 MAY 28 PM #: 15
CITY CLEAR RECEIVEN
going
on south Alder
•SIGNAGE
CITY OF RIA
2029 MAY 28 PK
CITY CLERF
T) Rate -TRUCK
SIGN
BEC BIENE
ECONTE
no signs, corner of alder and
Casmalia
G Alder Ave
Shell Gas staion
Laurel Ave
casmalia
no signage
looking North from corner of
Laurel and Casmalia
This is an
VC/ Parke here
abandoned
vehicle. Its stir
here from when
they towed my
truck
OF 28 NOSEENS AMy where coins into town Either off
CITY NA
7072 where.I states there most be visible, fosted sins girg notice Freeway or to my Park Destination, Per 22651(n) todners that they are in a fow-ausy zone on that stopping parting Is not crowed AND UNDER EVA Califonia Vehicle code Section 22852(ę) states the agect should be responsible for fees tacured due to INVALID tow
CITY OF RIALT
2075 MAY 28 PM 4:
HECEITEL
CITY CLERK
© Casmalia St
no signage