2022 HR - Workers Comp 2012-20180
of�ga Quizta RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2fl-1-3-036, it is requested that the records
_
delineated below be destroyed. There is no known litigation or reasonably anticipated investigation or litigation that would
require these records be held.
The total retention period has expired or in accordance with GC34090.5, any original/permanent records herein are being
destroyed because 1) these records have been scanned into a permanent electronic format, (2) the format produced an accurate,
legible copy that does not permit edits, (3) it is accessible for public reference to the same degree as the original version, and
(4) a true, qpcond^ electro rVc rppy is kept in a safe and separate place.
Carla Triplett Community Resources
Si.gnatu a
Print Name Department
William Ihrke
[}
L
City Attorney Signature I
Print Name
Date
RECORDS TO BE DESTROYED:
UFFS# and TITLE or DESCRIPTION OF REQUIRED TOTAL
TYPE FORMAT RECORD DATES IMAGE
RECORD RETENTION
EXIST?
902.05 RODRIGUEZ, ALBERTO WC 2011 C PS 9/30/2014 YES SEPARATED +30
902.05 WYMAN, SHELLEY WC 2011 C PS 3/6/2014 YES SEPARATED +30
902.05 MARTINEZ ALEX WC 2011 C PS 6/1/2017 YES SEPARATED +30
902.05 MARTINEZ ALEX WC 2014 C PS 6/1/2017 YES SEPARATED +30
902.05 TRAXEL,STEVEN WC 2013 C PS 4/24/2014 YES SEPARATED +30
902.05 JUAREZ, PHILIP WC 2013 C PS 9/21/2015 YES SEPARATED +30
902.05 GARCIA, ALEJANDRA 2012 C PS 10/28/2012 YES SEPARATED +30
902.05 HYLTON, EDIE WC 2015 C PS 2/21/2016 YES SEPARATED +30
902.05 WIMMER, EDWARD WC 2015 C PS 10/30/2017 YES SEPARATED +30
902.05 NIETO, MARGARET WC 2018 C PS 9/23/2018 YES SEPARATED +30
i °�
I certify that the records descri ed above and approved for destruction were ❑ recycled shredded on as
prescribed by law.
' City Clerk
City Clerk or Deputy City Clerk ignatu'rd
Print Name Title