2023 HR - Personnel 2001-2022y ofta Qacnta IRECORDS
DESTRUCTION AUTHORIZATI
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.
i
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 elec ro 'c copy is kept in a safe and separate place.
Alcadia Triplett
.Human Resources
Tina re
Print Namel
Department
f
'�✓
William Ihrke
Print Name,
Dat
City Attorney Signature
RECORDS TO BE DESTROYED:
REQUIRED
UFFS# and TITLE or DESCRIPTION OF
RECORD
E-IMAGE
TYPE FORMAT
TOTAL
RECORD
DATES
EXIST?
RETENTION
502.01 PERSONNEL RECORDS
FULL TIME EMPLOYEE PERSONNEL RECORDS - See attached
C PS 2001-2021
YES
Separated + 6
list of full-time employees
yrs
502.03 PERSONNEL RECORDS
PART-TIME EMPLOYEE PERSONNEL RECORDS - See attached
C PS 2016
YES
Separated + 6
list of part-time employees
yrs
502.04 PERSONNEL RECORDS
TEMPORARY EMPLOYEE PERSONNEL RECORDS - See
C PS 2017-2022
YES
Separated + 6
attached list of temporary employees
yrs
502.05 PERSONNEL RECORDS
TERMINATED EMPLOYEE PERSONNEL RECORDS - See
C PS 2019
YES
Separated + 6
attached list of terminated employees
yrs
502.08 PERSONNEL RECORDS
BOARDS & COMMISSION MEMBERS PERSONNEL RECORDS -
C PS 2019
YES
Separated + 6
See attached list of Boards & Commissioners
yrs
502.10 PERSONNEL RECORDS
PAID INTERNS PERSONNEL RECORDS - See attached list of
C PS 2019
YES
Separated + 6
paid interns
yrs
503.11 SALARY & BENEFITS
EMPLOYEE DISABILITY CASES - See attached list of employee
C PS 2016-2018
YES
Separated + 30
disability leave files
yrs
503.12 SALARY & BENEFITS
EMPLOYEE LEAVES - FMLA/CFRA/PDL RECORDS - See
Separated + 30
C PS 2012-2020
YES
attached list of employee leave files
yrs
508.01 SAFETY & MEDICAL RECORDS
EMPLOYEE INDIVIDUAL MEDICAL RECORDS - See attached
C PS 2001-2022
YES
Separated + 30
list of employee medical files
yrs
509.07 LABOR RELATIONS
EMPLOYEE GRIEVANCES RECORDS - See attached list of
C PS 2007
YES
Separated + 3
employee grievance files
yrs
902.05 RISK MANAGEMENT
EMPLOYEE WORKER'S COMPENSATION RECORDS -See
C PS 2008-2019
YES
Separated + 30
attached list of employee worker's compensation files
vrs
I certify that the records descrfped above and approved for
destruction were o recycled hredded on
as
prescribed by law. '
r-
Monika Radeva
City Clerk
jC1ty Clerk or Deputy City Cle k Signath4e
Print Name
Title
502.01 PERSONNEL RECORDS - Full Time Employees with Record Dates
502.01 Pecina, Demetrio Personnel File
10/1/2001
502.01 Tellez, Benjamin Personnel File
4/4/2016
502.01 Triplett, Alcadia Personnel File
4/15/2013
502.01 Ulloa, Jose Personnel File
2/18/2020
502.01 Vargas Valenica, Osvaldo Personnel File
8/8/2016
502.01 Villanueva, Celeste Personnel File
5/10/2021
502.01 Villanueva, Paul Personnel File
1/4/2021
502.01 Vizcarra, Jorge Personnel File
3/7/2016
502.01 Yu, Pui Ting (Amy) Personnel File
3/12/2007
502.01 Pettus -Calderon, Michael Personnel File
10/15/2018
502.01 Radeva, Monika Personnel File
2/27/2008
502.01 Salas, Michael Personnel File
4/14/2014
502.01 Sanchez, Tommi Personnel File
8/20/2007
502.01 Sanchez, Steve Personnel File
10/6/2016
502.03 PERSONNEL RECORDS - Part Time Employees with Record Dates
502.03 Sanchez, Adriana Personnel File
5/16/2016
502.04 PERSONNEL RECORDS - Temporary Employees with Record Dates
502.04 Romane, Nicole Personnel File
502.04 Samaguey Chavez, Seiri Personnel File
8/21/2017
1/3/2022
502.05 PERSONNEL RECORDS -Terminated Employees with Record Dates
502.05 MARTINEZ, JESSE
5/5/2019
502.05 MARTINEZ, ELIZABETH
5/31/2019
502.05 RATHBONE, RACHEL
1/8/2019
502.05 HOWLETT, STEVEN
7/15/2019
502.05 GANT, MARCUS
4/15/2019
502.05 SPEVACEK, FRANK
6/30/2019
502.05 WIATRAK, JAMES
9/3/2019
502.05 FELIX BELTRAN, ARACELI
7/17/2019
502.05 ELIAS, MELISSA
10/7/2019
502.05 ROCHA, MANUEL
9/30/2019
502.05 PETROVICH, LEEANN
9/19/2019
502.05 RODRIGUEZ, MIKE
3/21/2019
502.05 O'BRIEN, ALICIA
3/11/2019
502.05 COSTANTINO, SALVATORE
2/14/2019
1
502.08 PERSONNEL RECORDS - Boards & Commission Members with Record Dates
502.08 QUILL, PAUL
6/30/2019
502.08 QUILL, DORI
6/30/2019
502.08 WRIGHT, ROBERT
6/30/2019
502.08 LOPEZ, JAVIER
9/30/2019
502.08 LONG, EVERETT
6/30/2019
502.08 CHIAPPERINI, FELICE
2/13/2019
502.08 TURBOW, SHERWYN
6/30/2019
502.10 PERSONNEL RECORDS - Paid Interns with Record Dates
502.10 KHALID, AYESHA 9/12/2019
502.10 MORENO, ADRIAN 9/9/2019
502.10 PADILLA, YEILIN 9/5/2019
503.11 SALARY & BENEFITS - Employee Disability cases with Record Dates
503.11 Romane, Nicole STD
12/1/2017
503.11 Salas, Michael STD
9/1/2016
503.11 Sanchez, Tommi STD
5/1/2018
503.11 Escarrega (Votaw), Carley STD
10/1/2016
503.11 Villalpando, Gilbert Stay at Work
8/1/2018
503.11 Votaw, Carley STD
10/1/2016
503.12 SALARY & BENEFITS- Employee FMLA/CFRA/PDL Leaves with Record Dates
503.12 Pecina, Demetrio FMLA
3/1/2012
503.12 Romane, Nicole FMLA/ PDL
12/1/2017
503.12 Romane, Nicole CFRA
10/1/2018
503.12 Salas, Michael FMLA
9/1/2016
503.12 Sanchez, Tommi FMLA/PDL
5/1/2018
503.12 Escarrega (Votaw), Carley PDL
10/1/2016
503.12 Triplett, Alcadia FMLA
12/1/2015
503.12 Vargas Valencia, Osvaldo CFRA
5/1/2018
503.12 Vargas Valencia, Osvaldo FMLA
3/1/2018
503.12 Vargas Valencia, Osvaldo FMLA
3/1/2020
503.12 Villalpando, Gilbert FMLA
12/1/2015
503.12 Votaw, Carley PDL
10/1/2016
FN
508.01 SAFETY & MEDICAL RECORDS - Employee Individual Medical File with Record Dates
508.01 Pecina, Demetrio Medical File
10/1/2001
508.01 Pettus -Calderon, Michael Medical File
10/15/2018
508.01 Radeva, Monika Medical File
2/27/2008
508.01 Romane, Nicole Medical File
8/21/2017
508.01 Salas, Michael Medical File
4/14/2014
508.01 Samaguey Chavez, Seiri Medical File
1/3/2022
508.01 Sanchez, Adriana Medical File
5/16/2016
508.01 Sanchez, Tommi Medical File
8/20/2007
508.01 Sanchez, Steve Medical File
10/6/2016
508.01 Tellez, Benjamin Medical File
4/4/2016
508.01 Triplett, Alcadia Medical File
4/15/2013
508.01 Ulloa, Jose Medical File
2/18/2020
508.01 Vargas Valencia, Osvaldo Medical File
8/8/2016
508.01 Villalpando, Gilbert Medical File
12/11/2006
508.01 Villanueva, Celeste Medical File
5/10/2021
508.01 Villanueva, Paul Medical File
1/4/2021
508.01 Vizcarra, Jorge Medical File
3/7/2016
508.01 Yu, Pui Ting (Amy) Medical File
3/12/2007
508.01 MARTINEZ, JESSE
5/5/2019
508.01 MARTINEZ, ELIZABETH Medical File
5/31/2019
508.01 RATHBONE, RACHEL Medical File
1/8/2019
508.01 HOWLETT, STEVEN Medical File
7/15/2019
508.01 GANT, MARCUS Medical File
4/15/2019
508.01 SPEVACEK, FRANK Medical File
6/30/2019
508.01 WIATRAK, JAMES Medical File
9/3/2019
508.01 FELIX BELTRAN, ARACELI Medical File
7/17/2019
508.01 ELIAS, MELISSA Medical File
10/7/2019
508.01 ROCHA, MANUEL Medical File
9/30/2019
508.01 PETROVICH, LEEANN Medical File
9/19/2019
508.01 RODRIGUEZ, MIKE Medical File
3/21/2019
508.01 O'BRIEN, ALICIA Medical File
3/11/2019
508.01 COSTANTINO, SALVATORE Medical File
2/14/2019
509.07 LABOR RELATIONS - Employee Grievance with Record Dates
509.07 Yu, Pui Ting (Amy) Grievance
3
4/11/2007
902.05 RISK MANAGEMENT— Employee Worker's Compensation Claims with Record Dates
902.05 Pecina, Demetrio WC
4/11/2016
902.05 RadeVa, Monika WC
2/1/2008
902.05 Sanchez, Tommi WC
8/27/2007
902.05 Triplett, Alcadia WC
4/15/2013
902.05 Vargas Valencia, Osvaldo WC
5/1/2017
902.05 Vargas Valencia, Osvaldo WC
2/1/2018
902.05 Vargas Valencia, Osvaldo WC
8/1/2019
902.05 Vizcarra, Jorge WC
7/29/2016
902.05 HOWLETT, STEVEN WC
8/20/2015
902:05 SPEVACEK, FRANKWC
8/20/2015
4