SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA LOMPOC DIVISION 115 Civic Center Plaza, Lompoc, CA 93436 PLAINTIFF: DEFENDANT: ADDRESS: FOR COURT USE ONLY MILLER DIVISION 312-M E. Cook St., Santa Maria, CA 93454 Dept. ____ People of the State of California Charge(s): Misd. Felony Date of Birth: CASE NUMBER: COURT ORDERED PROGRAM NOTICE OF NON-COMPLIANCE DEFENDANT: NOTICE OF HEARING: You are hereby notified to appear in the Superior Court (checked above) on _________________________ at ________ a.m., to respond to an alleged violation of your court ordered program as indicated below. Upon your arrival at the court, please check the posted court calendar for your name. If it does not appear, inquire in the Clerk's Office immediately. FAILURE TO APPEAR MAY RESULT IN A WARRANT ISSUING FOR YOUR ARREST. Reason(s) for Non-Compliance: Failure to enroll Failure to pay program fees Failure to complete program Other (specify in comments) Comments: Failure to provide out-of-county proof of enrollment Failure to comply with program rules and regulations Acts of violence: Threats, unlawful activity against others Violation: Subsequent alcohol or drug related offense Positive urinalysis test for ________________________ Program: PC 1000 Coast Valley Substance Abuse Center Coast Valley Substance Abuse Center 1414 S. Miller, Suite 11, Santa Maria, CA 93455 1133 North H Street, Suite F, Lompoc, CA 93436 Phone (805) 739-1512 Phone (805) 322-8014 Certificate of Service I declare under penalty of perjury under the laws of the State of California, that the above information is true and correct to the best of my knowledge and ability. I certify that this Notice of Non-Compliance was mailed first class, postage prepaid, Hand delivered in office in a sealed envelope to the defendant at the address shown above on the date shown below. ______________________________ Program Representative SC-3008N [Rev. Mar. 30, 2016] ______________________________ Program Name _________________ Date PC 1000 COURT ORDERED PROGRAM NOTICE OF NON-COMPLIANCE American LegalNet, Inc. www.FormsWorkFlow.com