2023 HR - Multiplei
of a Qainta RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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, a lectranic copy is kept in a safe and separate place.
Alcadia Triplett Human Resources
Department 5 nature Print Name Department
■ �c.(.L — 2Pa
City Attorney Signature Print Name Date
RECORDS TO BE DESTROYED:
UFFS# and TITLE or I E -IMAGE REQUIRED
TYPE FORMAT RECORD DATES TOTAL
DESCRIPTION OF RECORD EXIST? RETENTION
502.08 WYLER, DORIEL C PS 6/30/2021 YES Separated + 6
502.08 MARLEY, BRANDON C PS 7/30/2021 YES Separated + 6
502.08 HUNTER, CORY C PS 6/30/2021 YES Separated + 6
502.08 TWOHEY, DANIEL C PS 6/30/2021 YES Separated + 6
502.08 HOFFNER, JOHN C PS 7/1/2021 YES Separated + 6
"JOUR l � l�✓v�"�� S�IIJ �l � vVvi YJP�� � J v� • O C�
I certify that the recur s described above and approved for destruction were ❑ recycled shredded on as
prescribed Py law.
/
City Clerk
City Clerk or Dep try City bArk Signature
Print Name
Title
IfIty of�fa Qui.Rta RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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, secondqq electronic copy is kept in a safe and separate place.
Alcadia Tr plett Human Resources
Department Print Name I Department
oe
r _ ,
City Attorney Signature Print Name Date
RECORDS TO BE DESTROYED:
UFFS# and TITLE or E -IMAGE REQUIRED
DESCRIPTION OF RECORD TYPE FORMAT RECORD DATES EXIST? TOTAL
RETENTION
502.08 CAMPBELL, WILLIAM C PS 4/30/2022 YES Separated +6
502.05 LOPEZ, KAYLA C PS 11/18/2022 YES Separated +6
508.01 LOPEZ, KAYLA C PS 11/18/2022 YES Separated+30
502.05 THOMPSON, TERESA C PS 12/30/2022 YES Separated +6
508.01 THOMPSON, TERESA C PS 12/30/2022 YES Separated+30
502.05 GLINTERSON, KRISTOPHER C PS 2/20/2023 YES Separated+6
508.01 GLINTERSON, KRISTOPHER C PS 2/20/2023 YES Separated+30
502.05 MENDOZA, MISAELA C PS 6/3/2020 YES Separated+6
508.01 MENDOZA, MISAELA C PS 6/3/2020 YES Separated+30
`MAAM
% os
f,,A,4 W� � %'[Mit �1 MA bW, 1 -
1 V� Oka
IJV I'� n�,n1
i
I certify that the records cjpscribed above and approved for destruction were ❑ recycled shredded on Jas
prescribed by la
1 City Clerk
City Clerk or eputy C Cler i nature
Print Name Title
tji of,fa Qurota
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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, secondary,electronic copy is kept in a safe and separate place.
Alcadia Triplett
Human Resources
Department 9!ig=3re
Print Name
Department
—�
William Ihrke
City Attorney Signature
Print Name
Date
RECORDS TO BE DESTROYED:
REQUIRED
UFFS# and TITLE or
TYPE
FORMAT RECORD DATES
E-IMAGE
TOTAL
DESCRIPTION OF RECORD
EXIST?
RETENTION
502.05 GARRISON, CHARLES
C
PS
8/5/2020
YES
Separated + 6
508.01 GARRISON, CHARLES
C
PS
8/5/2020
YES
Separated + 30
502.05 CHOO, BERNICE
C
PS
10/9/2020
YES
Separated + 6
508.01 CHOO, BERNICE
C
PS
10/9/2020
YES
Separated + 30
502.05 BOJORQUEZ, ROSA
C
PS
10/5/2021
YES
Separated+6
508.01 BOJORQUEZ, ROSA
C
PS
10/5/2021
YES
Separated +30
502.05 DEMARCO, TERESA
C
PS
10/5/2021
YES
Separated +6
508.01 DEMARCO, TERESA
C
PS
10/5/2021
YES
Separated +30
502.05 HANSEN, TREVER
C
PS
9/10/2021
YES
Separated +6
508.01 HANSEN, TREVER
C
PS
9/10/2021
YES
Separated +30
502.05 MORGENROTH, ALLAN
C
PS
11/12/2021
YES
Separated +6
508.01 MORGENROTH, ALLAN
C
PS
11/12/2021
YES
Separated +30
502.05 RODRIGUEZ, ALEX
C
PS
12/17/2021
YES
Separated+6
508.01 RODRIGUEZ, ALEX
C
PS
12/17/2021
YES
Separated+30
503.12 RODRIGUEZ, ALEX CFRA
C
PS
3/1/2020
YES
Separated+30
502.05 JOHNSON, KRISS
C
PS
12/29/2021
YES
Separated +6
508.01 JOHNSON, KRISS
C
PS
12/29/2021
YES
Separated +30
502.05 KIRKLAND, RICHARD
C
PS
12/3/2021
YES
Separated +6
508.01 KIRKLAND, RICHARD
C
PS
12/3/2021
YES
Separated+30
502.05 COUSINS, NATASHA
C
PS
2/20/2020
YES
Separated+6
508.01 COUSINS, NATASHA
C
PS
2/20/2020
YES
Separated +30
502.05 GILLESPIE, CATHERINE
C
PS
1/31/2020
YES
Separated +6
508.01 GILLESPIE, CATHERINE
C
PS
1/31/2020
YES
Separated + 30
502.05 HERNANDEZ, EDWARD
C
PS
5/31/2022
YES
Separated +6
508.01 HERNANDEZ, EDWARD
C
PS
5/31/2022
YES
Separated + 30
502.08 BETTENCOURT, PHILLIP
C
PS
6/30/2021
YES
Separated +6
502.08 MCDONOUGH, MICHELE
C
PS
6/30/2021
YES
Separated +6
°
°d
I certify that the records described above and
approved for
destruction were ❑
recycled shredded
on I
as
prescribed by law.
iAr i
City Clerk
City Clerk or eputy Ci Clerk gnature
jPrint Name I
Title
SdX.Q IS5o
1.0s GONnvt.:,
-
—
5oB -Ok Vk e G
�-E2-LAA,
�
Lo
50 3 -1a• LIMV th - �-a k&A tA� w.izs i c r/& - � el,,t, kA sit° ek ' p un l uci y eq�'
t!it0q ofcfa Qainta
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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 Ko-bpermit edits, (3) it is accessible for
public reference to the same degree
as the original version, and
(4) a true, se n ectr opy is kept in a safe and separate place.
Alcadia Triplett
Human Resources
Depart merr Sig atur
Print Name
Department
b.Uj
—
William Ihrke
Z
City Attorney Signature
Print Name
Date
RECORDS TO BE DESTROYED:
UFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT
RECORD DATES
E -IMAGE
EXIST?
REQUIRED
TOTAL
RETENTION
502.05 JOHNSTON, ALEXANDER
C
PS
6/30/2022
YES
Separated + 6
508.01 JOHNSTON, ALEXANDER
C
PS
6/30/2022
YES
Separated + 30
503.12 JOHNSTON, ALEXANDER
C
PS
9/1/2019
YES
Separated + 30
502.05 PETERS, JAMES
C
PS
8/26/2022
YES
Separated +6
508.01 PETERS, JAMES
C
PS
8/26/2022
YES
Separate + 30
502.05 SWANSTROM, STEPHANIE
C
PS
10/12/2022
YES
Separated +6
508.01 SWANSTROM, STEPHANIE
C
PS
10/12/2022
YES
Separated +30
503.12 SWANSTROM, STEPHANIE
C
PS
6/1/2019
YES
Separated +30
503.11 SWANSTROM, STEPHANIE
C
PS
10/1/2017
YES
Separated +30
502.05 CRUZ, CESAR
C
PS
10/21/2022
YES
Separated +6
508.01 CRUZ, CESAR
C
PS
10/21/2022
YES
Separated +30
502.05 RODARTE, MOISES
C
PS
1/8/2021
YES
Separated +6
508.01 RODARTE, MOISES
C
PS
1/8/2021
YES
Separated +30
502.08 PROCTOR, MICHAEL
C
PS
10/4/2022
YES
Separated +6
502.05 ESCOBEDO, CHRISTOPHER
C
PS
8/14/2022
YES
Separated+6
508.01 ESCOBEDO, CHRISTOPHER
C
PS
8/14/2022
YES
Separated + 30
503.12 ESCOBDEO, CHRISTOPHER
C
PS
1/1/2018
YES
Separated + 30
503.11 ESCOBEDO, CHRISTOPHER
C
PS
11/1/2018
YES
Separated +30
I certify that the records Pascribed above and approved for destruction were ❑recycled shredded on
as
prescribed by law.
_
t
_
City Clerk
City Clerk or Deputy dty Clerk gnature
Print Name
Title
Ot,q offa Quiata
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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, s Gonda ronic copy is kept in
a safe and separate place.
Alcadia Triplett
Human Resources
Depart -en
Print Name
William Ihrke
Department
Z -
City Attorney Signature
17int Name
D to
RECORDS TO BE DESTROYED:
UFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT RECORD DATES
E -IMAGE
EXIST?
REQUIRED TOTAL
RETENTION
502.05 MOHTSHAM, MASON
C
PS
7/25/2021
yes
Separated + 6
508.01 MOHTSHAM, MASON
C
PS
7/25/2021
yes
Separated + 30
502.05 VASQUEZ, LEZLEE
C
PS
7/21/2021
yes
Separated + 6
508.01 VASQUEZ, LEZLEE
C
PS
7/21/2021
yes
Separated + 30
502.05 DVORKEN, JOSEPHINE
C
PS
6/30/2021
yes
Separated + 6
508.01 DVORKEN, JOSEPHINE
C
PS
6/30/2021
yes
Separated + 30
502.05 TORRES, JAIME
C
PS
5/272021
yes
Separated + 6
508.01 TORRES, JAIME
C
PS
5/27/2021
yes
Separated + 30
502.05 VILLALTA, JOSE
C
PS
5/20/2021
yes
Separated + 6
508.01 VILLALTA, JOSE
C
PS
5/20/2021
yes
Separated + 30
503.12 VILLALTA, JOSE
C
PS
8/22/2018
yes
Separated + 30
503.12 VILLALTA, JOSE
C
PS
9/1/2018
yes
Separated + 30
503.11 VILLALTA, JOSE
C
PS
8/1/2018
yes
Separated + 30
502.05 ROMERO, KARLA
C
PS
4/15/2021
yes
Separated + 6
508.01 ROMERO, KARLA
C
PS
4/15/2021
yes
Separated + 30
502.05 FERREIRA, ANGELA
C
PS
4/8/2021
yes
Separated + 6
'508.01 FERREIRA, ANGELA
C
PS
4/8/2021
yes
Separated + 30
'502.05 GARCIA, ALEXIS
C
PS
3/1/2021
yes
Separated + 6
1508.01 GARCIA, ALEXIS
C
PS
3/1/2021
yes
Separated + 30
;502.05 GARCIA, JUSTINE
C
PS
2/25/2021
yes
Separated + 6
1508.01 GARCIA, JUSTI NE
C
PS
2/25/2021
yes
Separated + 30
902.05 GARCIA, JUSTINE
C
PS
6/5/2015
yes
Separated + 30
1502.05 CARDONA, PEDRO
C
PS
3/12/2021
yes
Separated + 6
1508.01 CARDONA, PEDRO
C
PS
3/12/2021
yes
Separated +30
'502.05 ARELLANO, AGUSTIN
C
PS
2/5/2021
yes
Separated +6
1508.01 ARELLANO,AGUSTIN
C
PS
2/5/2021
yes
Separated +30
I certify that the records described above and approved for destruction were ❑ recycled Ashredded on
as
prescribed by law.
y
117
City Clerk
City Clerk or Depuq City CI rk Signature
Print Name
Title
�a Qttinta
of
RECORDS DESTRUCTION AUTHORIZATION
-CY
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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, se da–wq(4tronlc copy is kept in a safe and separate. place.
Alcadia Triplett
Human Resources
Signature
Print Name
Department
I�
William Ihrke
> Z'
City Attorney Signature
Print Name
Dai(e
RECORDS TO BE DESTROYED:
UFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT
RECORD DATES
E -IMAGE
EXIST?
REQUIRED
TOTAL
RETENTION
502.08 CHIAPPERINI, FELICE
C
PS
2/13/2019
YES
Separated +6
502.03 CASTANTINO, SALVATORE
C
PS
2/14/2019
YES
Separated +6
508.01 CASTANTINO, SALVATORE
C
PS
2/14/2019
YES
Separated +30
502.03 ELIAS, MELISSA
C
PS
2/14/2019
YES
Separated +6
508.01 ELIAS, MELISSA
C
PS
10/7/2019
YES
Separated +30
502.01 FELIX BELTRAN, ARACELI
C
PS
7/17/2019
YES
Separated +6
508.01 FELIX BELTRAN, ARACELI
C
PS
7/17/2019
YES
Separated +30
502.01 GANT, MARCUS
C
PS
4/15/2019
YES
Separated +6
508.01 GANT, MARCUS
C
PS
4/15/2019
YES
Separated +30
502.10 KHALID, AYESHA
C
PS
9/12/2019
YES
Separated +6
502.08 LONG, EVERETT
C
PS
6/30/2019
YES
Separated +6
502.08 LOPEZ, JAVIER
C
PS
4/15/2019
YES
Separated +6
502.03 MARTINEZ, ELIZABETH
C
PS
5/31/2019
YES
Separated +6
502.03 MARTINEZ, JESE
C
PS
5/5/2019
YES
Separated +6
502.10 MORENO, ADRIAN
C
PS
9/9/2019
YES
Separated +6
502.03 O'BRIAN, ALICIA
C
PS
3/11/2019
YES
Separated +6
508.01 O'BRIAN, ALICIA
C
PS
3/11/2019
YES
Separated +30
502.01 PETROVICH, LEEANN
C
PS
9/19/2019
YES
Separated +6
508.01 PETROVICH, LEEANN
C
PS
9/19/2019
YES
Separated +30
502.10 PADILLA, YEILIN
C
PS
9/5/2019
YES
Separated +6
502.08 QUILL, PAUL
C
PS
6/30/2019
YES
Separated +6
502.08 QUILL, DORI
C
PS
6/30/2019
YES
Separated +6
502.01 SPEVACEK, FRANK
C
PS
6/30/2019
YES
Separated +6
508.01 SPEVACEK, FRANK
C
PS
6/30/2019
YES
Separated +30
902.05 SPEVACEK, FRANK
C
PS
6/30/2019
YES
Separated +30
502.03 ROCHA, MANUEL
C
PS
9/30/2019
YES
Separated +6
508.01 ROCHA, MANUEL
C
PS
9/30/2019
YES
Separated +30
502.01 RATHBONE, RACHEL
C
PS
1/8/2019
YES
Separated +6
508.01 RATHBONE, RACHEL
C
PS
1/8/2019
YES
Separated +30
I certify: that the records described above and approved for destruction were ❑ recycled. shredded ona�
-� s
prescribed by law.
J
City Clerk
r!t—YClerk or Deputy City Clerk-tignature
Print Name
Title
dtjf ofXa Quinta
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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 do not permit edits, (3) it is accessible for public reference to the same degree as the original version, and
(4) a true, se is copy is kept in a safe and separate place.
Alcadia Triplett Human Resources
Signature Print Name
Department
William Ihrke 2-
City Attorney Signature Print Name Date
City
RECORDS TO BE DESTROYED:
UFFS# and TITLE or E-IMAGE REQUIRED
DESCRIPTION OF RECORD TYPE FORMAT RECORD DATES EXIST? TOTAL
RETENTION
502.08 TURBOW, SHERMWYN C PS 6/30/2019 YES Separated +6
502.08 WRIGHT, ROBERT C PS 6/30/2019 YES Separated +6
502,01 WIATRAK, JAMES C PS 9/30/2019 YES Separated +6
508.01 WIATRAK, JAMES C PS 9/30/2019 YES Separated +30
I certify that the records described above and approved for destruction were ❑ reqygled shredded on as
prescribed bylaw.
kuAm Y City Clerk
City Clerk or Deputy tity C16A Signature
Print Name Title
t!itcV of�fa Quinta
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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 pernanent 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, sec ndary a ronic copy is kept in a safe and separate place.
Alcadia Triplett ;Human Resources
Department ig
Print Name Department
William Ihrke j
Z
City Attorney Signature
Print Name
D A
4
RECORDS TO BE DESTROYED:
UFFS# and TITLE or E -IMAGE REQUIRED
DESCRIPTION OF RECORD TYPE FORMAT RECORD DATES EXIST? TOTAL
RETENTION
502.05 GARCIA, JACOB C PS 3/29/2022 YES Separated +6
508.01 GARCIA, JACOB C PS 3/29/2022 YES Separated +30
502.05 SUMMERS, HAROLD (HAL) C PS 3/21/2022 YES Separated +6
508.01 SUMMERS, HAROLD (HAL) C PS 3/21/2022 YES Separated +30
502.05 SILVA, LAURA C PS 1/24/2022 YES Separated +6
508.01 SILVA, LAURA C PS 1/24/2022 YES Separated +30
502.05ORTEGA, HECTOR C PS 3/7/2022 YES Separated+6
508.01 ORTEGA, HECTOR C PS 3/7/2022 YES Separated +30
502.05 PHI LIPS, TANYA C PS 1/10/2022 YES Separated+6
508.01 PHILIPS, TANYA C PS 1/10/2022 YES Separated+30
502.05 PONDER, HART C PS 1/13/2022 YES Separated+6
508.01 PONDER, HART C PS 1/13/2022 YES Separated+30
502.05 MURPHY, KAYLIN C PS 5/5/2022 YES Separated+6
508.01 MURPHY, KAYLIN C PS 5/5/2022 YES Separated +30
502.05 CAMARENA, KATHERINE C PS 5/2/2022 YES Separated+6
508.01 CAMARENA, KATHERINE C PS 5/2/2022 YES Separated +30
502.05 CAMPBELL, WAYNE C PS 3/1/2022 YES Separated+6
508.01 CAMPBELL, WAYNE C PS 3/1/2022 YES Separated +30
502.05 ALFORD, KAYLI C PS 1/5/2022 YES Separated +6
508.01 ALFORD, KAYLI C PS 1/5/2022 YES Separated +30
502.05 MUNIZ, RAFAEL C PS 5/27/2022 YES Separated +6
508.01 MUNIZ, RAFAEL C PS 5/27/2022 YES Separated +30
502.05 WATSON, ROCHELLE C PS 6/30/2022 YES Separated + 6
508.01 WATSON, ROCHELLE C PS 6/30/2022 YES Separated +30
502.05 TURGEMAN, ELIZABETH C PS 6/30/2022 YES Separated + 6
508.01 TURGEMAN, ELIZABETH C PS 6/30/2022 YES Separated +30
502.05 WEISMAN, ARIANA C PS 6/29/2022 YES Separated +6
508.01 WEISMAN, ARIANA C PS 6/29/2022 YES Separated +30
I certify that the records dpscribeq
above and approved for destruction were 0 recycled Ashredded on as
prescribed by law
I P, I I
City Clerk
[City Clerk or Deputy CiO Clerk i nature
Print Name
ITitle
t!% of Qainta
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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 tru , BEP el onic copy is kept. in a safe and separate place.
Alcadia Triplett Human Resources
Signature
Print Name
Department
\
William Ihrke
City Attorney Signature
Print Name
Da
RECORDS TO BE DESTROYED:
UFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT RECORD DATES
E-
IMAGE
EXIST?
REQUIRED
TOTAL
RETENTION
'502.01 Anaya, Julio Personnel File
'508.01 Anaya, Julio Medical File
'502.01 Armendariz, Derrick[ Personnel File
508.01 Armendariz, Derrick Medical File
.502.01 Ayon, Ubaldo Personnel File
'508.01 Ayon, Ubaldo Medica[ File
:502.01 Batres, Jesse Personnel File
:508.01 Batres, Jesse Medical File
:502.01 Batuta, Daniele Personnel File
'508.01 Batuta, Daniele Medical File
:502.01 Bender-Evans, Linda Personnel File
'508.01 Bender- Evans, Linda Medical File
'502.01 Berumen, Alfred Personnel File
:508.01 Berumen, Alfred Medical File
'502.01 Blondell, Krystena Personnel File
508.01 Blondell, Krystena Medical File
,902.05 Blondell, Krystena Workers Comp
503.11 Blondell, Krystena Disability Accommodation
503.11 Blondell, Krystena STD
'503.12 Blondell, Krystena FMLA/ PDL
'503.12 Blondell, Krystena FMLA
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
2/5/2018
2/5/2018
6/4/2016
6/4/2016
8/10/2015
8/10/2015
12/7/2020
12/7/2020
9/14/2020
9/14/2020
6/2/2020
6/2/2020
7/10/2017
7/10/2017
5/24/2006
5/24/2006
12/1/2018
8/1/2019
1/1/2017
1/1/2017
3/1/2013
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated +30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
I
f
I certify that the records des ribed above and approved for destruction were
❑ recycled yQshredded
on
as
prescribed by law.
City Clerk
City Clerk or Deputy City G . rk S ature
Print Name
Title
t!it of to Qainta RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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 llllacqfnolectronic copy is kept in a safe and separate place.
Alcadia Triplett
Human Resources
Sig na# a
Print Name
Department
►�--
William Ihrke
/ Z
City Attorney Signature
Print Name
Dat
RECORDS TO BE DESTROYED:
LIFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT RECORD DATES
E-
IMAGE
EXIST?
REQBRED
TOTAL
RETENTION
'502.01 Cabrera, Armando Personnel File
'508.01 Cabrera, Armando Medical File
'902.05 Cabrera, Armando Workers Compensation
'502.01 Calderon, Christina Personnel File
'508.01 Calderon, Christina Medical File
'503.11 Calderon, Christina STD
'503.12 Calderon, Christina FMLA
902.05 Calderon, Christina Workers Compensation
:502.01 Camarena, Reyna Personnel File
'508.01 Camarena, Reyna Medical File
502.01 Castaneda, Monica Personnel File
508.01 Castaneda, Monica Medical File
'503.11 Castaneda, Monica STD
503.11 Castaneda, Monica STD
503.12 Castaneda, Monica FMLA/CFRA
503.12 Castaneda, Monica FMLA/CFRA
503.12 Castaneda, Monica FMLA/CFRA
502.01 Castaneda, Ruben Personnel File
'508.01 Castaneda, Ruben Medical File
:902.05 Castaneda, Ruben Workers Compensation
'503.11 Castaneda, Ruben STD
1302.05 Castaneda, Ruben Workers Compensation
502.01 Castro, Delfin (Danny) Personnel File
'508.01 Castro, Delfin (Danny) Medical File
'502.01 Castro Sevilla, Ramses Personnel File
'508.01 Castro Sevilla, Ramses Medical File
'502.01 Chaudhry, Elizabeth Personnel File
1508.01 Chaudhry, Elizabeth Medical File
'502.01 Clayton, Duane Personnel File
'508.01 Clayton, Duane Medical File
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
7/23/2018
7/23/2018
4/1/2020
8/16/2004
8/16/2004
1/27/2014
1/27/2014
10/1/2011
10/1/2018
10/1/2018
4/4/2016
4/4/2016
10/1/2019
12/1/2019
12/1/2019
10/1/2019
8/1/2018
10/17/2005
10/17/2005
4/8/2014
4/1/2016
5/1/2019
7/30/2018
7/30/2018
2/18/2020
2/18/2020
7/1/2014
7/14/2014
5/30/2016
5/30/2016
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated +30 yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
1 certify that the records described above and approved for destruction were ❑ recycled Ashredded on
as
prescribed by law.
City Clerk
City Clerk or Deputy City Iblerk "nature
Print Name
Title
&W offa Quints
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution
2019-025,
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, s o lectronic copy is kept in a safe and separate place.
Alcadia Triplett
Human Resources
Signature
Print Name .
Department
William Ihrke
2
City Attorney Signature
RECORDS TO BE DESTROYED:
Print Name
Date'
UFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT RECORD DATES
E-
IMAGE
. EXIST?
I REQUIRED
TOTAL
RETENTION
502.01 Delgado Aguilera, Jose Personnel File
508.01 Delgado Aguilera, Jose Medical File
502.01 Delgado, Jessica Personnel File
508.01 Delgado, Jessica Medical File
503.11 Delgado, Jessica Disability Accomodation
502.01 Doran, Caroline Personnel File
508.01 Doran, Caroline Medical File
503.12 Doran, Caroline FMLA
503.11 Doran, Caroline STD
902.05 Doran, Caroline Worker's Compensation
502.01 Duchene, Gerald Personnel File
508.01 Duchene, Gerald Medical File
502.01 Escarrega, Carley Personnel File
508.01 Escarrega, Carley Medical File
503.12 Escarrega, Carley CERA
503.11 Escarrega, Carley Disability Accomodation
503.12 Escarrega, Carley FMLA/CFRA
502.01 Fernandez, Sijifredo Personnel File
508.01 Fernandez, Sijifredo Medical File
502.01 Fitzpatrick, Kathleen Personnel File
508.01 Fitzpatrick, Kathleen Medical File
502.01 Flores, Carlos Personnel File
508.01 Flores, Carlos Medical File
502.01 Flores, Cheri Personnel File
508.01 Flores, Cheri Medical File
902.05 Flores, Cheri Worker's Compensation
502.01 Flores, Tania Personnel File
508.01 Flores, Tania Medical File
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
7/23/2018
7/23/2018
10/3/2016
10/3/2016
12/1/2019
12/17/2004
12/17/2004
2/1/2014
2/1/2014
12/1/2004
1/8/2018
1/8/2018
4/4/2016
4/4/2016
7/1/2017
5/1/2018
11/1/2017
8/6/2019
8/6/2019
12/6/2016
12/6/2016
5/2/2016
5/2/2016
4/17/2017
4/17/2017
7/1/2017
11/27/2017
11/27/2017
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated +30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
I certify that'the records described above and approved
for destruction were
❑ recycled hredded on 11
as
prescribed by law.
City Clerk
City Clerk or Deputy City Ierk Si ature
Print Name
Title
t of a QuLnta
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025,
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, seco d ronic copy is kept in a safe and separate place.
Alcadia Triplett
Human Resources
Signature
Print Name
Department
/' - I P '
/
�fff=7777__/-
William Ihrke
City Attorney Signature
Print Name
Dat
RECORDS TO BE DESTROYED:
UFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT RECORD DATES
E-
IMAGE
EXIST?
REQUIRED
TOTAL
RETENTION
502.01 Fuentes, Nadia Personnel File
508.01 Fuentes, Nadia Medical File
502.01 Fuson, Jacob Personnel File
508.01 Fuson, Jacob Medical File
502.03 Galvan, Lavita Personnel File
508.01 Galvan, Lavita Medical File
502.01 Gamez, Christina Personnel File
508.01 Gamez, Christina Medical File
503.11 Gamez, Christina STD
503.12 Gamez, Christina FMLA/CFRA
502.03 Gonzalez, Michelle Personnel File
508.01 Gonzalez, Michelle Medical File
502.01 Graham, Marcie Personnel File
508.01 Graham, Marcie Medical File
502.01 Griffin, Jeremy Personnel File
508.01 Griffin, Jeremy Medical File
502.01 Hallick, Rosemary Personnel File
508.01 Hallick, Rosemary Medical File
502.01 Hamilton, Scott Personnel File
508.01 Hamilton, Scott Medical File
902.05 Hamilton, Scott Workers Compensation
902.05 Hamilton, Scott Workers Compensation
•902.05 Hamilton, Scott Workers Compensation
•902.05 Hamilton, Scott Workers Compensation
502.01 Hansen, Dianne Personnel File
508.01 Hansen, Dianne Medical File
503.11 Hansen, Dianne FMLA/CFRA
502.01 Hickson, Aaron Personnel File
508.01 Hickson, Aaron Medical File
502.01 Kinley, Douglas Personnel File
508.01 Kinley, Douglas Medical File
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
4/2/2021
4/2/2021
10/27/2014
10/27/2014
5/16/2016
5/16/2016
3/6/2017
3/6/2017
7/1/2019
7/1/2019
11/8/2021
11/8/2021
5/16/2016
5/16/2016
8/16/2021
8/16/2021
10/31/2016
10/31/2016
8/23/2004
8/23/2004
4/1/2015
2/1/2017
8/1/2019
5/1/2019
9/7/2015
9/7/2015
8/1/2018
10/20/2017
10/20/2017
9/5/2019
9/5/2019
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated +30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
L
I certify that the records described above and approved for destruction were
❑ recycled shredded
on L pLA as
prescribed by. law./
City Clerk
6thl ofcrf_a Qacnta RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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 -sec d IC40nic copy is kept in a safe and separate place.
Alcadia Triplett
Human Resources
Signature
Print Name
Department
r�
"
William Ihrke&ZZZ
City Attorney Signature
Print Name
Da
RECORDS TO BE DESTROYED:
UFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT
RECORD DATES
E-
IMAGE
EXIST?
REQUIRED
TOTAL
. RETENTION
502.03 Lee, Bryant Personnel File
508.01 Lee, Bryant Medical File
503.12 Lee, Bryant FMLA/CFRA
502.03 Lee, Justin Personnel File
508.01 Lee, Justin Medical File
502.01 Laureano, Sandra Personnel File
508.01 Laureano, Sandra Medical File
503.11 Laureano, Sandra Stay at Work
503.12 Laureano, Sandra FMLA/CFRA
503.12 Laureano, Sandra FMLA/CFRA
503.12 Laureano, Sandra FMLA/CFRA
503.11 Laureano, Sandra STD
502.01 Lerma, Mirta Personnel File
508.01 Lerma, Mirta Medical File
503.11 Lerma, Mirta Stay at Work
503.11 Lerma, Mirta STD
503.12 Lerma, Mirta FMLA/CFRA
502.01 Lima, Jack Personnel File
508.01 Lima, Jack Medical File
502.01 Lopez, Michelle Personnel File
508.01 Lopez, Michelle Medical File
503.11 Lopez, Michelle STD
503.11 Lopez, Michelle Stay at work
503.11 Lopez, Michelle Disability Accomm
502.01 Lovett; Lori Personnel File
508.01 Lorett, Lori Medical File
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
10/24/2014
10/24/2014
3/11/2020
11/8/2021
11/8/2021
7/22/2019
7/22/2019
9/1/2019
5/1/2017
6/1/2017
7/1/2017
10/1/2017
5/15/2017
5/15/2017
6/1/2018
2/1/2018
2/1/2019
10/1/2018
10/1/2018
4/15/2019
4/15/2019
9/1/2011
10/1/2019
11/1/2019
1/7/2019
1/7/2019
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated +30yr
Separated+ 30yr
Separated + 30yr
Separated +6 yr
Separated +30 yr
Separated +30 yr
Separated +30 yr
Separated +30 yr
Separated +6 yr
Separated +30yr
Separated +6 yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated +6 yr
Separated +30yr
_
_
_
_
1 certify that the records described above and approved for destruction were ❑ reeydled hredded on
owl s
prescribed by levy,
i.
City Clerk
City Clerk or Deputy CoCler ignature
Print Name
'Title
c°'t of a Qu&ta
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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, sec nda a ectranic copy is kept in a safe and separate place.
Alcadia Triplett
Human Resources
Signature
Print Name
Department
VEAPI
William Ihrke
City Attorney Signature
Print Name
Dat
RECORDS TO BE DESTROYED:
UFFS# and TITLE or
DESCRIPTION OF RECORD
TYPE
FORMAT
RECORD DATES
E- I
IMAGE
EXIST?
REQUIRED
TOTAL
RETENTION
502.01 Magallanez, Luis Personnel File
1508.01 Magallanez, Luis Medical File
503.12 Magallanez, Luis FMLA/CERA
503.12 Magallanez, Luis FMLA
:503.12 Magallanez, Luis FMLA
1902.05 Magallanez, Luis Worker's Compensation
1502.01 Magallon, Armando Personnel File
1508.01 Magallon, Armando Medical File
502.01 Martinez, Claudia Personnel File
1508.01 Martinez, Claudia Medical File
1502.01 McKinney, Bryan Personnel File
.508.01 McKinney, Bryan Medical File
502.01 McGinley, Laurie Personnel File
508.01 McGinley, Laurie Medical File
'502.01 McMillen, Jon Personnel File
508.01 McMillen, Jon Medical File
502.01 Mendez, Martha Personnel File
508.01 Mendez, Martha Medical File
.503.11 Mendez, Martha Stay at Work
902.05 Mendoza, Misaela Workers Compensation
.502.01 Meredith, Kevin Personnel File
508.01 Meredith, Kevin Medical File
'902.05 Meredith, Kevin Workers Compensation
'902.05 Meredith, Kevin Workers Compensation
502.01 Mignogna, Julie Personnel File
508.01 Mignogna, Julie Medical File
503.12 Mignogna, Julie FMLA/PDL
503.11 Mignogna, Julie STD
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
PS
3/7/2016
3/7/2016
3/1/2020
9/1/2019
9/1/2017
11/1/2018
2/6/2017
2/6/2017
6/26/2017
6/26/2017
9/15/2006
9/15/2006
9/14/2020
9/14/2020
7/1/2019
7/1/2019
9/21/2015
9/21/2015
8/1/2018
6/18/1991
5/5/2005
5/5/2005
11/1/2009
4/1/2011
10/17/2016
10/17/2016
1/1/2018
1/1/2018
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
Separated + 6yr
Separated + 30yr
Separated + 30yr
Separated + 30yr
_
i
I certrfy that the records described above and approved for destruction were ❑ recycled shredded
on
as
prescribed by law.
City Clerk
City Clerk or De uty City tlerk Si nature
!Print Name
ITitle
tjf of a Qui.Rta
RECORDS DESTRUCTION AUTHORIZATION
In accordance with the City's Records Retention Schedule as adopted by Resolution 2019-025, 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 of permit edits, (3) it is accessible for public reference to the same degree as the original version, and
(4) a true, sec runic copy is kept in a safe and separate place.
Alcadia Triplett Human Resources
Signature
Print Name Department
William Ihrke
City Attorney Signature
Print Name Dat
RECORDS TO BE DESTROYED:
UFFS# and TITLE or
DESCRIPTION OF RECORD
E- REQUIRED
TYPE FORMAT RECORD DATES IMAGE TOTAL
EXIST?. RETENTION
502.01 Montenegro, Alexis Personnel File C PS 7/7/2021 YES Separated + 6yr
508.01 Montenegro, Alexis Medical File C PS 7/7/2021 YES Separated + 30yr
502.01 Moreno, Anthony Personnel File C PS 11/6/1995 YES Separated + 6yr
508.01 Moreno, Anthony Medical File C PS 11/6/1995 YES Separated + 30yr
902.05 Moreno, Anthony Workers Comp C PS 5/6/2014 YES Separated + 30yr
902.05 Moreno, Anthony Workers Comp C PS 12/31/2000 YES Separated + 30yr
902.05 Moreno, Anthony Workers Comp C PS 10/1/2009 YES Separated + 30yr
503.11 Moreno, Anthony Disability Accommodation C PS 3/1/2020 YES Separated + 30yr
502.01 Ortega, Anthony Personnel File C PS 2/25/2008 YES Separated + 6yr
508.01 Ortega, Anthony Medical File C PS 2/25/2008 YES Separated + 30yr
902.05 Ortega, Anthony Workers Comp C PS 2/28/2008 YES Separated +30yr
902.05 Ortiz, Anna Workers Comp C PS 2/22/1994 YES Separated + 30yr
502.01 Palafox, Joseph Personnel File C PS 7/23/2018 YES Separated + 6yr
508.01 Palafox, Joseph Medical File C PS 7/23/2018 YES Separated + 30yr
502.01 Pena, John Personnel File C PS 12/2/2014 YES Separated + 6yr
508.01 Pena, John Medical File C PS 12/2/2014 YES Separated + 30yr
I certify that the records described above and approved for destruction were ❑ recycled • shredded on as
prescribed by law.
1 City Clerk
City Clerk or Deputy ity Clerk Signature Print Name jTitle