HomeMy WebLinkAbout19F - DESTRUCTION OF RECORDSREQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
NOVEMBER 19, 2019
TITLE:
APPROVE DESTRUCTION OF
OBSOLETE CITY RECORDS
(STRATEGIC PLAN NO. 5,1)
/s/ Kristine Ridge
CITY MANAGER
RECOMMENDED ACTION
CLERK OF COUNCIL USE ONLY:
APPROVED
❑ As Recommended
❑ As Amended
❑ Ordinance on ls' Reading
❑ Ordinance on 2nd Reading
❑ Implementing Resolution
❑ Set Public Hearing For
CONTINUED TO
I�I��R�LUI:3gi
Approve the request for the destruction of obsolete records from the City Attorney's Office, Human
Resources, Information Technology, Santa Ana Police Department, Community Development
Agency, City Manager's Office, and the Finance and Management Services Agency, in accordance
with the retention scheduled in City Council Resolution 2013-014.
DISCUSSION
On April 1, 2013, the City Council approved Resolution 2013-014 ("Resolution"). This Resolution
provides to the multiple agencies, departments, and offices of the City, guidance on the retention
of City records and how long the records need to be retained.
To assist the City, the Citywide Records Team compiled the Citywide Records Retention Schedule
("Schedule") which sets forth the retention period for a particular record. The Schedule reflects the
requirements of the Public Records Act, is modeled after the California Secretary of State's sample
for local government, and incorporates other statutory periods applicable to Santa Ana.
The Resolution attaches the Schedule, which is broken down into multiple sections covering the
varied responsibilities and retention periods for a City department. These are minimum retention
periods. Each department makes discretionary decisions on whether to retain records past the
minimum retention period requirements.
Section 5.13 of this Resolution and the City's Municipal Code requires that the City Attorney approve
the destruction of a City record. Accordingly, the executive directors for the City Attorney's Office,
Human Resources, Information Technology, Santa Ana Police Department, Community
Development Agency, City Manager's Office, and the Finance and Management Services Agency,
consulted with their staff on the attached lists of obsolete records proposed for destruction. A copy
of each memorandum was reviewed by staff from the City Attorney's Office and approved by the
City Attorney. Each memorandum is attached as an exhibit to this staff report. Destruction of these
records will serve to benefit each office with a more efficient access to files and alleviate the City's
current storage needs to maintain these obsolete records.
Destruction of Obsolete Records
November 19, 2019
Page 2
STRATEGIC PLAN ALIGNMENT
Approval of this item supports the City's efforts to meet Goal #5 -Community Health, Livability,
Engagement & Sustainability, Objective #1 (Establish a comprehensive community engagement
initiative to expand access to information and create opportunities for stakeholders to play an active
role in discussing public policy and setting priorities).
FISCAL IMPACT
There is no fiscal impact associated with this item.
Sonia R. Carvalho
City Attorney
City Attorney's Office
Jack Ciulla
Chief Technologies Innovation Officer
Information Technology Department
Steven Mendoza
Executive Director
Community Development Agency
Kathryn Downs, CPA
Executive Director
Finance and Management Services Agency
Kristine Ridge
City Manager
City Manager's Office
Steven V. Pham
Executive Director
Human Resources Department
David Valentin
Chief of Police
Santa Ana Police Department
Exhibits: 1. Request for Destruction of Records — City Attorney's Office
2. Request for Destruction of Records — Human Resources
3. Request for Destruction of Records— Information Technology
4. Request for Destruction of Records — Santa Ana Police Department
5. Request for Destruction of Records — Community Development Agency
6. Request for Destruction of Records — City Manager's Office
7. Request for Destruction of Records — Finance and Management Services Agency
Exhibit 1
u I D10V lei::►1u
To: Sonia R. Carvalho
City Attorney
From: David Quintana
Senior Paralegal
Date: July 30, 2019
Re: REQUEST FOR DESTRUCTION OF RECORDS
Staff members of the City Attorney's Office have reviewed and identified City records that may
be scheduled for destruction in accordance with the attached retention schedule outline in City
Council Resolution 2013-014. Staff is respectfully requesting your approval.
Thank you.
RECORDS TO BE DESTROYED:
Number of Boxes: 184
APPROVED BY:
-�:�' MM
Sonia K. Carvalho Date
City Attorney
Attachment
City of Santa Ana Records Retention Schedule
CITY ATTORNEY'S OFFICE
Exhibit C
RECORD CATEGORY
RECORD SERIES
RECORD DESCRIPTION
RECORD
RETENTION
REMARKS
CUSTODIAN
START DATE
PERIOD
code o7 nd
cqD
FEDERAL COURT CASES
By Case
Case file for federal court Case
dosing Date
5 years
Procedures Sec.
337
ERIMINALCASES
By Case
Case file for Cmmeal Court Case
Cbsing date
5years
JUDGEMENTS &
Bycase
CO rdooling Case documents
Closing Data
10 years
SETTLEMENTS
ERSONNEL BOARD
by Appellant
Personnel
Closing Dale
5years
PPEALS
SUPERIOR COURT
By Case
Case fne for Suweer Court Case
Closing Date
5 years
ASES
EMINENT DOMAIN CASES
By Property
Cos., Date
5years
GO 30d090
GENERAL FILES
By Subject
Sublecl matter fses
Closing Date
2vears
1 aft
Exhibit 2
MEMORANDUM
To: Sonia Carvalho, City Attorney Date: July 15, 2019
Steven V. Pham
From: Executive Director of Human Resources
Subject: _Request for Destruction of Records
The Human Resources Department requests your consent to destroy City records relating to the
Risk Management Division on the attached listing, in accordance with the retention schedule
outlined in City Council Resolution 2013-14,
Thank you.
Steven V. Pham
Cc Deborah Scott-Leistra, Risk Manager
Attachments
Approved to form
Sonia R. Carvalho
City Attorney
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Abdelsayed, Sarnia
9/8/2003
04-2945
x
n/a
2012
Abreu, Veronica (Mendez)
9/18/2003
04-2866
x
n/a
2012
Abrigo, Kevin
11/10/2004
05-3331
x
n/a
2012
Abrigo, Kevin
10/18/2006
07-4046
x
3
2015
Abrigo, Kevin
6/26/2006
06-3937
x
3
2015
Abundiz, Carmelita
10/03/1999
00-1198
x
n/a
2018
Achziger, Clint
8/10/2010
10-0191
x
n/a
2017
Achziger, Clinton
11/8/2007
08-4412
x
3
2015
Acosta, Candice
8/27/2004
053257
x
n/a
2012
Acosta, Candice
11/16/2003
043066
x
n/a
2012
Acosta, Candice
4/18/2003
032689
x
n/a
2012
Acosta, Carmelita
08/08/2013
13-0117
x
n/a
2018
Acosta, Cecilia
1/18/2002
022108
x
n/a
2012
Acosta, Suzan
4/12/1999
99PDN0126
x
n/a
2012
Acosta, Suzan
5/24/2004
05-3197
x
3
2015
Ada me, Victor
11/24/2005
06-3706
x
3
2015
Adame, Victor
9/17/2007
08-4356
x
3
2015
Adams, Kara
4/29/2007
07-4209
x
3
2015
Adams, Rose
7/13/1999
001096
x
n/a
2012
Adamson, Thomas
03/15/1993
93FDS0191
x
n/a
2018
Admire, Guy
7/25/2001
021907
x
n/a
2012
Aguilar, Arthur
1/5/2005
053443
x
n/a
2012
Aguilar, Arthur
1/6/2004
043000
x
n/a
2012
Aguilar, Arthur
7/7/2003
042780
x
n/a
2012
Aguilar, Arthur
1/14/2003
032663
x
n/a
2012
Aguilar, Arthur
2/4/2006
06-3791
x
3
2015
Aguilar, Arthur
8/8/2005
06-3588
x
3
2015
Aguilar, John
07/23/2013
13-0107
x
n/a
2018
Aguilar, Keene
7/25/2003
042801
x
n/a
2012
Aguilar, Keene
3/19/2001
011748
x
n/a
2012
Aguilar, Keene
8/27/2001
02-1948
x
3
2015
Aguilar, Keene
7/30/2007
08-4298
x
3
2015
Aguilar, Keene
7/5/2011
11-0164
x
n/a
2017
Aguilar, Keene
04/18/2013
13-0053
x
n/a
2018
Aguilar, Kenney
8/19/2007
08-4315
x
3
2015
Aguilar, Richard
10/30/2003
042922
x
n/a
2012
Aguilar, Richard
3/7/2008
08-4505
x
3
2015
Aguilar -Portugal, Yvette
9/25/2005
06-3649
x
3
2015
Aguinaga, Ramsey
12/13/2010
10-0309
x
1
2016
Ahearn, Stephen
7/5/2004
053190
x
n/a
2012
Ahearn, Stephen
7/14/2002
032322
x
n/a
2012
Ahearn, Thomas
11/2/1997
97PDS0361
x
n/a
2012
Ahearn, Thomas
9/22/1992
92PDS0354
x
n/a
2012
Akhavan, Esther
6/12/2006
06-3922
x
3
2015
1of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
:Claimant,-
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Alba, Michael
8/26/2006
07-3984
x
3
2015
Alba, Michael
9/16/2007
08-4353
x
3
2015
Alba, Mike
6/3/2003
032736
X
n/a
2012
Alcala, Daniel
01/04/2013
13-0003
X
n/a
2018
Alcantar, Abel
3/16/2002
022175
X
n/a
2012
Alcantra, Gregory
02/28/1995
95PDS0083
X
n/a
2018
Alcaraz, Giovanni
5/1/2003
032702
X
n/a
2012
Alcaraz, Giovanni
7/17/2002
032328
X
n/a
2012
Aldecoa, Mary
5/28/2002
022262
X
n/a
2012
Aldecoa, Mary
2/24/2006
06-3805
x
3
2015
Aldecoa, Mary
11/14/2007
08-4417
x
3
2015
Alegre, Steven
8/22/2007
08-4324
x
3
2015
Aloyian, Adam
09/02/2013
13-0134
X
n/a
2018
Altamirano, Monica
4/17/2007
07-4195
x
3
2015
Altamirano, Monica
2/24/2006
06-3822
x
3
2015
Alvarado, Evelyn
2/7/2011
11-0033
X
n/a
2017
Alvarado, Gloria
2/24/2004
043041
X
n/a
2012
Alvarado, Gloria
2/28/2006
06-3837
x
3
2015
Alvarado, Richard M.
(Ricardo) 8/19/2003
042823
X
n/a
2012
Alvarado, Richard M.
(Ricardo) 7/21/2003
042791
X
n/a
2012
Alvarado, Richard M.
(Ricardo) 3/26/2003
032632
X
n/a
2012
Alvarado, Richard M.
(Ricardo) 4/10/2001
011780
X
n/a
2012
Alvare, Ivan
7/30/2004
053225
X
n/a
2012
Alvare, Ivan
3/30/2006
06-3839
x
3
2015
Alvarez, Alice
11/8/2002
032502
X
n/a
2012
Alvarez, Andrew
11/13/2003
042943
X
n/a
2012
Alvarez, Andrew
10/19/2002
032449
X
n/a
2012
Alvarez, Andrew
1/1/2006
06-3734
x
3
2015
Alvarez, Andrew
4/2/2008
08-4535
x
3
2015
Alvarez, Andrew
5/6/2006
06-3883
x
3
2015
Alvarez, Nivaldo
11/12/2005
06-3693
x
13
2015
Alvarez, Nivaldo
6/23/2007
07-4261
x
13
2015
Alvarez, Nivaldo
1/25/2005
05-3394
x
13
2015
Alves, Albert
4/15/2004
043108
X
n/a
2012
Alves, Albert
1/11/2001
011665
X
n/a
2012
Alvidrez, Jesse
7/2/2001
021881
X
n/a
2012
Alvidrez, Manuel
1/7/2003
032535
X
n/a
2012
Amador, Mary
3/1/2001
011721
X
n/a
2012
Amaro, Remy
8/10/2001
021929
X
n/a
2012
Amende, Gerald
3/20/2002
022185
X
n/a
2012
Amende, Gerald
1/21/2001
011677
X
n/a
2012
Amende, Gerald
2/23/2007
07-4157
x
13
2015
Amende, Gerald
12/21/2005
06-3726
x
13
2015
Amende, Gerald
07/26/2004
05-3223
X
n/a
2018
2of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Am erson,Joyce
1/1/2002
022132
X
n/a
2012
Amezquita, Jose
10/13/2003
042881
X
n/a
2012
Amezquita,Jose
02/21/2013
13-0029
X
n/a
2018
Amezquita, Rachel
9/11/2003
042907
X
n/a
2012
Amezquita-Lopez, Raquel
12/6/2006
07-4096
x
13
2015
Anderson, Brent
3/6/2004
043072
X
n/a
2012
Anderson, Brent
11/1/2003
042965
X
n/a
2012
Anderson, Brent
7/2/2003
042782
X
n/a
2012
Anderson, Brent
2/4/2003
032578
X
n/a
2012
Anderson, Brent
11/15/2002
032485
X
n/a
2012
Anderson, Brent
9/18/2005
06-3636
x
13
2015
Anderson, Brent
7/1/2006
07-3945
x
13
2015
Anderson, Richard
8/5/2003
042808
X
n/a
2012
Anderson, Richard
5/7/2002
022243
X
n/a
2012
Anderson, Richard
9/19/2001
021974
X
n/a
2012
Anderson, Richard
6/1/2001
011849
X
n/a
2012
Anderson, Richard
3/17/2005
05-3450
x
13
2015
Anderson, Richard
12/5/2005
06-3719
x
16
2015
Andrade, Edward
6/5/2001
011842
X
n/a
2012
Andrade, Roland
9/29/2005
06-3646
x
13
2015
Andrade, Roland
2/16/2007
07-4152
x
13
2015
Andrade -Villa, Claudia
1/5/2008
08-4451
x
13
2015
Andrade -Villa, Claudia
12/02/2013
13-0198
X
n/a
2018
Angel, Virginia
8/9/2002
032365
X
n/a
2012
Anguiano, Martin
2/14/2008
08-4488
x
13
2015
Anzai, Ron
2/9/2004
043048
X
n/a
2012
Anzai, Ron
1/6/2003
032529
X
n/a
2012
Anzai, Ron
3/26/2008
08-4522
x
13
2015
Anzai, Ron
12/29/2006
07-4114
x
13
2015
Anzai, Ron
4/19/2007
04-4204
x
13
2015
Anzai, Ron
2/11/2007
07-4150
x
13
2015
Apodaca, Ralph Jr
8/11/1977
80000900
x
1
2016
Aragon, Frank
11/18/2004
053485
X
n/a
2012
Aragon, Frank
1/3/2006
06-3761
x
13
2015
Archer, Philip
5/7/2003
032714
X
n/a
2012
Arevalos, Gilbert
11/8/1996
97WOM0007
X
n/a
2017
Armendarez, Daniel
3/24/2008
08-4536
x
13
2015
Armendarez, Daniel
8/13/2007
08-4312
x
13
2015
Armendarez, Daniel
5/28/2007
07-4235
X
13
2015
Armendarez, Daniel
02/13/2008
08-4485
X
n/a
2018
Armendarez, Daniel
06/18/08
08-4612
X
n/a
2018
Armendarez, Daniel
05/12/2010
10-0105
X
n/a
2018
Armendarez, Daniel
08/02/1989
89140233
X
n/a
2018
Armendarez, Daniel
09/26/2007
08-4361
X
n/a
2018
3of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Armendariz, Daniel D.
11/19/2003
042934
X
n/a
2012
Armendariz, Daniel D.
9/14/2002
032415
X
n/a
2012
Armendariz, Daniel D.
11/23/2001
022041
X
n/a
2012
Armendariz, Daniel D.
1/25/2001
011685
X
n/a
2012
Armenta, Karina
02/27/2013
13-0034
X
n/a
2018
Armstrong, James
8/10/2005
06-3586
x
3
2015
Arnold, Al
6/7/2005
05-3530
x
16
2015
Arnold, Al
10/14/2005
06-3668
x
16
2015
Arnold, Alan
4/2/2003
042847
X
n/a
2012
Arnold, Alan
9/11/2002
032467
X
n/a
2012
Arnold, Alan
3/9/2009
09-4844
X
n/a
2017
Arnone,Anthony
7/9/2010
10-0165
x
1
2016
Arnone,Anthony
2/8/2004
043028
X
n/a
2012
Arnone,Anthony
1/19/2004
043008
X
n/a
2012
Arnone,Anthony
12/16/2003
042972
X
n/a
2012
Arnone,Anthony
3/7/2003
032643
X
n/a
2012
Arnone,Anthony
4/10/2006
06-3847
x
16
2015
Arnone, Anthony
1/13/2006
06-3780
x
16
2015
Arnone,Anthony
6/11/2009
09-4933
X
n/a
2017
Arnone,Anthony
10/22/2009
09-5072
X
n/a
2017
Arostegui, Guillermo
4/23/1998
99PDS0067
X
n/a
2012
Arostegui, Guillermo
4/23/1998
98PDS0369
X
n/a
2012
Arroyo,Jorge
7/20/2012
12-0137
X
n/a
2017
Arroyo, Jorge
1/20/2012
12-0026
X
n/a
2017
Arzate,Francisca
5/15/2012
12-0103
X
n/a
2017
Ashworth, Jennifer
6/20/2001
01-1858
x
16
2015
Astran, Marian
4/11/2009
09-4913
X
n/a
2017
Astran, Marian
04/20/2013
13-0005
X
n/a
2018
Atkinson, Bryan
8/18/2004
053247
X
n/a
2012
Atkinson, Bryan
11/16/2002
032482
X
n/a
2012
Atkinson, Bryan
10/17/2006
07-4044
x
13
2015
Atkinson, Bryan
10/25/2007
08-4390
x
16
2015
Attar, Richard
12/20/2007
08-4446
x
13
2015
Au, Di
4/4/2003
032658
X
n/a
2012
Audelo, Claudia
04/30/2013
13-0060
X
n/a
2018
Avalos Jr., Jose
12/5/2000
011625
X
n/a
2012
Avalos, Joaquin
10/21/2005
06-3675
x
13
2015
Avina, Gabriel
9/3/2002
032410
X
n/a
2012
Avina, Gabriel
4/19/2005
05-3478
x
13
2015
Avina, Sergio
7/14/2004
053199
X
n/a
2012
Avina, Sergio
4/18/2003
032685
X
n/a
2012
Avina, Sergio
9/10/2005
06-3627
x
13
2015
Avina, Sergio
8/18/2005
06-3593
x
13
2015
Avina, Sergio
6/25/2005
05-3557
x
13
2015
4of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Ayou, Scott
9/18/2001
021957
X
n/a
2012
Ayres, Robert
5/6/2006
06-3877
x
13
2015
Backes, Charles
4/3/2003
032668
X
n/a
2012
Baker, Estella
4/1/2001
01-1762
x
13
2015
Baker, Kathleen
4/18/2006
06-3852
x
16
2015
Baker, Patricia
3/24/1998
98PBS0101
X
n/a
2012
Baker, Patricia
2/17/1998
98PBS0050
X
n/a
2012
Baker, Patricia
06/01/1993
93PBS0209
X
n/a
2018
Bao,Chuong
1/6/2006
06-3787
x
16
2015
Bao,ChuongL.
8/13/2002
032363
X
n/a
2012
Bao,Laure
7/7/2007
08-4279
x
16
2015
Baptista, Joshua
6/12/2003
032757
X
n/a
2012
Baptista, Joshua
12/7/2007
08-4434
x
16
2015
Barasch, Theresa
12/30/2004
053382
X
n/a
2012
Barela, Andrew
8/15/2003
042828
X
n/a
2012
Barela, Anthony
10/3/2002
032437
X
n/a
2012
Barela, Anthony
5/8/2006
06-3884
x
16
2015
Barela, Anthony
10/3/2005
06-3651
x
16
2015
Barela, Anthony
10/16/2006
08-4343
x
16
2015
Barkley, Sheri
1/29/2008
08-4471
x
16
2015
Barnard, Robert
1/1/2007
07-4154
x
16
2015
Barnard, Robert
8/25/2008
09-4790
x
16
2015
Barnard, Robert
9/1/2006
07-3993
x
16
2015
Barnette, Bradley L.
2/15/2002
022137
X
n/a
2012
Barnette, Bradley L.
8/29/2001
021967
X
n/a
2012
Barnette, Bradley L.
8/29/2001
021966
X
n/a
2012
Barnette, Bradley L.
8/29/2001
021965
X
n/a
2012
Barnette, Bradley L.
8/29/2001
021964
X
n/a
2012
Barnette, Bradley L.
8/29/2001
021963
X
n/a
2012
Barnette, Bradley L.
8/29/2001
021962
X
n/a
2012
Barnette, Bradley L.
7/2/2001
021884
X
n/a
2012
Barnette, Bradley L.
5/1/2001
032545
X
n/a
2012
Barnette, Bradley L.
5/2/1995
95FDS0187
X
n/a
2012
Barnhardt, Oscar
12/6/2002
032508
X
n/a
2012
Barnhardt, Oscar
8/23/2002
032389
X
n/a
2012
Barnhardt, Oscar
8/13/2002
032367
X
n/a
2012
Barrera, Ross
1/29/2003
032565
X
n/a
2012
Barrera, Ross
6/16/2002
032373
X
n/a
2012
Barrera, Ross
5/29/2002
022263
X
n/a
2012
Barrera, Ross
9/16/2001
021954
X
n/a
2012
Barrera, Ross
1/14/2001
011673
X
n/a
2012
Barrera, Ross
7/6/1997
97PDS0199
X
n/a
2012
Barrera, Ross
3/27/2008
08-4527
x
16
2015
Barrera, Ross
5/22/2005
05-3511
x
16
2015
5of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Barrera, Ross
2/15/2005
05-3420
x
16
2015
Barrera, Ross
09/29/2013
13-0145
X
n/a
2018
Barrett, Anita
3/6/2001
011736
X
n/a
2012
Barrett, William
7/20/1989
89140207
X
n/a
2017
Barrett, William
4/3/2006
07-4047
X
n/a
2017
Barrett, William
3/28/2004
04-3116
X
n/a
2017
Barrett, William
1/29/2006
06-3809
X
n/a
2017
Barrett, William
10/30/1989
89140327
X
n/a
2017
Bartholome, David
3/13/2005
05-3442
x
16
2015
Bauer, Sarah
8/18/2004
053242
X
n/a
2012
Bauer, Sarah
1/13/2003
032564
X
n/a
2012
Bauer, Sarah
12/20/2002
032517
X
n/a
2012
Bautista-Montanez, Yolanda
3/29/2004
043085
X
n/a
2012
Bazaire, Richard
12/19/2004
053368
X
n/a
2012
Bazaire, Richard
10/3/2004
05-3300
x
16
2015
Beach, Glenn
05/15/2013
13-0073
X
n/a
2018
Bear, Bryan
6/10/2006
06-3921
x
16
2015
Beaumarchais, Peter
05/22/2013
13-0076
X
n/a
2018
Becerra, Jose
1/29/2004
043019
X
n/a
2012
Becerra, Jose
7/12/2003
042781
X
n/a
2012
Becerra, Jose
11/15/2005
06-3699
x
16
2015
Beckx, Randolph
11/12/2013
13-0180
X
n/a
2018
Beckx, Randy
3/30/2006
06-3841
x
16
2015
Beilby, Karl
1/6/2003
032530
X
n/a
2012
Beilby, Karl
1/16/2002
022093
X
n/a
2012
Bell, Thomas
7/25/1978
80001352
X
n/a
2017
Belles, John
3/31/2004
043083
X
n/a
2012
Belles, John
9/10/2008
09-4707
x
16
2015
Belles, John
3/30/2011
11-0083
X
n/a
2017
Benard, Christian
4/4/2007
07-4190
x
16
2015
Bento, Jay
5/24/2006
06-3898
x
16
2015
Bento, Jay
4/6/2008
08-4532
x
16
2015
Bento,Jay
10/1/2010
10-0241
X
n/a
2017
Berg, Alan
05/10/2013
13-0063
X
n/a
2018
Berg, Sondra
7/6/2011
11-0174
X
n/a
2017
Berg, Sondra
2/8/2011
11-0036
X
n/a
2017
Berg, Sondra
10/09/2013
13-0153
X
n/a
2018
Berger, Matthew
1/11/2005
053388
X
n/a
2012
Berger, Matthew
7/18/2004
053206
X
n/a
2012
Berger, Matthew
4/20/2002
022217
X
n/a
2012
Berger, Matthew
8/20/2007
08-4320
x
16
2015
Bernal, Lisa
3/9/2001
011741
X
n/a
2012
Berwanger, James
3/12/2008
08-4507
x
16
2015
Berwanger, James
10/2/2006
07-4025
x
16
2015
6of71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Berwanger, James
01/28/2013
13-0015
X
n/a
2018
Berwanger, Leticia
4/22/2003
032703
X
n/a
2012
Bidgood, Gary
11/12/2001
022046
X
n/a
2012
Bidgood, Gary
10/5/2004
05-3298
x
16
2015
Biering, Derek
4/26/2005
05-3487
x
16
2015
Bishop, Mark
2/25/2004
043057
X
n/a
2012
Bishop, Mark
2/15/2005
05-3421
x
1
2015
Black, Randy
5/5/2003
032704
X
n/a
2012
Blackmore, Michael
9/10/2004
053288
X
n/a
2012
Blackmore, Michael
1/17/2008
08-4459
x
1
2015
Blackmore, Michael
9/6/2002
03-2405
x
2
2015
Blackmore, Michael
8/31/2005
6-3608
x
2
2015
Blackmore, Michael
10/12/2005
06-3661
x
2
2015
Bias, Alberto
4/27/2005
05-3489
x
2
2015
Blascovich, Angelo
4/27/2001
011806
X
n/a
2012
Blascovich, Angelo
3/13/2000
001342
X
n/a
2012
Blascovich, Angelo
5/1/2010
10-0141
X
n/a
2017
Blohm, Clyde
1/31/2001
011690
X
n/a
2012
Bodo, John
2/4/2003
032577
X
n/a
2012
Bodo, John
11/14/2001
022032
X
n/a
2012
Bogue, Patricia
9/1/2004
05-3404
x
2
2015
Bollinger, Pete
9/2/2007
08-4392
x
2
2015
Bonilla, Rene
8/1/2007
08-4305
x
2
2015
Booker, Brian
8/7/2004
053234
X
n/a
2012
Booker, Brian
3/20/2004
043073
X
n/a
2012
Booker, Brian
10/24/2003
042890
X
n/a
2012
Booker, Brian
12/25/2002
032520
X
n/a
2012
Booker, Brian
5/5/2007
07-4221
x
2
2015
Botello, Jorge
2/7/2004
043043
X
n/a
2012
Boulter, Deborah (Debbie)
11/4/2002
032468
X
n/a
2012
Boulter, Deborah (Debbie)
4/5/2002
022196
X
n/a
2012
Bowers, Carol
11/29/2004
053354
X
n/a
2012
Brackman, Garth
1/26/2003
032581
X
n/a
2012
Brackman, Garth
12/3/2001
022056
X
n/a
2012
Brandt, Dennis
7/13/2005
06-3569
x
2
2015
Braswell, Deshannon
10/02/2013
13-0147
X
n/a
2018
Braswell, Deshannon D.
5/19/2004
043138
X
n/a
2012
Braswell, Deshannon D.
4/19/2004
043115
X
n/a
2012
Braswell, Deshannon D.
8/30/2001
021941
X
n/a
2012
Briones, Roberta
2/2/2005
05-3407
x
2
2015
Brocker, Douglas
9/11/2005
06-3617
x
2
2015
Brown, Matthew
11/1/2007
08-4399
x
2
2015
Browne, Jeff
4/17/2007
07-4201
x
2
2015
Browne, Jeff
1/22/2008
08-4466
x
2
2015
7of71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Browne, Jeffrey
6/7/2004
043164
X
n/a
2012
Browne, Jeffrey
7/22/2002
032350
X
n/a
2012
Bruce, Gary
8/15/2002
032440
X
n/a
2012
Brunmeier, Anthony (Jim)
10/30/2002
032464
X
n/a
2012
Brunmeier, Anthony (Jim)
9/25/2002
032421
X
n/a
2012
Brunmeier, Anthony (Jim)
7/27/2002
032766
X
n/a
2012
Brunmeier, Anthony (Jim)
3/17/2000
001329
X
n/a
2012
Buckle, Sue
6/10/2005
05-3537
x
2
2015
Buelna, Michael
3/8/2006
06-3814
x
2
2015
Buelna, Michael
11/8/2005
06-3690
x
2
2015
Buelna, Michael
9/22/2005
06-3637
x
2
2015
Bun,Ny
11/1/2010
10-0280
X
n/a
2017
Buren, Michael
7/30/2002
032360
X
n/a
2012
Burgos, Leticia
7/25/2001
021905
X
n/a
2012
Burns, Jason
2/12/2008
08-4493
x
2
2015
Butler, Song Yul
1/16/2002
022115
X
n/a
2012
Byl, John
7/6/2006
07-3947
x
2
2015
Byl, John
05/08/2013
13-0066
X
n/a
2018
Byron, John
8/12/2002
032359
X
n/a
2012
Cabral, James
8/12/2004
053239
X
n/a
2012
Cabral, James
10/6/2003
042880
X
n/a
2012
Cabral, James
5/21/2001
011827
X
n/a
2012
Calbert, Sheryl
7/13/2004
053211
X
n/a
2012
Calbert, Sheryl
5/1/2002
022274
X
n/a
2012
Camacho, Sergio
10/23/2003
042894
X
n/a
2012
Camacho, Sergio
1/29/2003
032585
X
n/a
2012
Camacho, Sergio
10/22/2000
011574
X
n/a
2012
Campbell, Wayne
10/17/2000
011578
X
n/a
2012
Campuzano, Mary
1/2/2004
042992
X
n/a
2012
Campuzano, Mary
6/11/2005
05-3536
x
2
2015
Canchola, Sara
6/21/2007
07-4265
x
2
2015
Canlas, Kathia
4/18/2011
11-0098
X
n/a
2017
Cante, Angel F.
10/31/2003
042909
X
n/a
2012
Cante, Angel F.
4/25/2002
022236
X
n/a
2012
Cante, Juan
9/28/2004
053290
X
n/a
2012
Capacete, Adrian
7/12/2010
10-0164
X
n/a
2017
Cardona, Leonard
3/9/2004
043058
X
n/a
2012
Cardona, Leonard
11/23/2013
13-0185
X
n/a
2018
Cardona, Ruby
11/12/2004
053333
X
n/a
2012
Carillo, Maria
1/20/2010
10-0028
x
1
2016
Carlson, Bruce
1/25/2006
06-3794
x
2
2015
Carlson, Jeff
5/24/2007
07-4233
x
2
2015
Carmona, Maribel
3/25/2006
06-3835
x
2
2015
Caro, Sergio
3/8/2007
07-4177
x
1
2015
8of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box tt
Purge Year
Caro, Sergio
10/08/2013
13-0150
X
n/a
2018
Carrera, Robert
3/11/2010
10-0056
x
1
2016
Carrera, Robert
4/19/2004
043155
X
n/a
2012
Carrera, Robert
5/8/2002
022253
X
n/a
2012
Carrera, Robert
1/7/2002
022086
X
n/a
2012
Carrera, Robert
1/11/2001
011675
X
n/a
2012
Carrera, Robert
1/25/2007
07-4134
x
2
2015
Carrera, Robert
4/6/2005
05-3542
x
2
2015
Carrera, Robert
5/8/2007
07-4216
x
2
2015
Carrera, Robert
3/10/2008
08-4509
x
2
2015
Carrera, Robert
5/15/2005
05-3504
x
2
2015
Carrillo, Daniel
11/16/2007
08-4419
x
2
2015
Carrillo, Daniel
7/30/2011
11-0197
X
n/a
2017
Carrillo, Lorenzo
11/20/2003
042941
X
n/a
2012
Carrillo, Lorenzo
2/5/2002
022121
X
n/a
2012
Carrillo, Yolanda
4/19/2005
05-3476
x
2
2015
Carrizales, Clair
6/26/2007
07-4266
x
2
2015
Carroll, Jimmy
5/17/2001
011823
X
n/a
2012
Casey, William C.
4/17/2004
043110
X
n/a
2012
Casey, William C.
11/23/2001
022042
X
n/a
2012
Casillas, John L.
9/25/2003
042867
X
n/a
2012
Casillas, John L.
5/5/2003
032709
X
n/a
2012
Casson, Nicholas
4/19/2005
05-3473
x
2
2015
Casson, Nicholas
1/18/2007
07-4132
x
2
2015
Casson, Nicholas
8/19/2005
06-3592
x
2
2015
Casson, Nicholas
4/21/2006
06-3861
x
2
2015
Casson, Nicholas M.
8/19/2004
053252
X
n/a
2012
Casson, Nicholas M.
5/28/2004
043149
X
n/a
2012
Casson, Nicholas M.
2/10/2004
043032
X
n/a
2012
Casson, Nicholas M.
3/21/2002
022194
X
n/a
2012
Castellanos, Joe
6/10/2007
07-4252
x
2
2015
Castellanos, Joe
02/04/2013
13-0018
X
n/a
2018
Castellanos, Joe
10/3/2006
07-4027
x
2
2015
Castellanos, Joe
4/19/2007
07-4199
x
2
2015
Castillo, Aaron
8/17/2005
06-3611
x
2
2015
Castillo, Mary
12/31/1999
053543
X
n/a
2012
Castillo, Mary
3/21/2006
06-3832
x
2
2015
Castillo, Ronald
8/21/2005
06-3593
x
2
2015
Castillo, Ronald
7/14/2006
07-3956
x
2
2015
Castillo -Gonzales, Mary
3/12/2005
05-3444
x
2
2015
Castillo -Gonzalez, Mary
9/5/2001
021949
X
n/a
2012
Castillo -Moreno, Lucille
6/3/2002
022296
X
n/a
2012
Castorena, Arturo
8/29/2003
042841
X
n/a
2012
Castorena, Arturo
8/1/2002
032344
X
n/a
2012
9of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Castro, Alfredo
6/20/2005
Castro, Fernandez
11/30/2007
Castro, Fernando
8/2/2002
Castro, James
1/19/2006
Castro, Joe
2/15/2002
Castro, Joe
11/6/2001
Castro, Joe
11/3/2001
Castro, Joe
7/24/2007
Castro, John
8/7/2004
Castro, John
12/4/2002
Castro, John
8/28/2001
Castro, John
7/23/2011
Castro, Ronald
12/2/2003
Castro, Ronald
9/4/2007
Castro, Ronald
4/27/2008
Castro, Ronald
5/29/2005
Casul, Margarita
9/21/2000
Caswell, Christian P.
2/23/2003
Cauble, Leticia
7/19/2003
Cazarez, Juan
9/6/2002
Cebreros, Hector
3/23/2003
Cebreros, Hector
5/8/2008
Cebreros, Hector
9/28/2004
Cebreros, Hector
5/3/2004
Cebreros, Hector
12/2/2003
Cebreros, Hector
6/5/2003
Cebreros, Hector
2/4/2003
Cendejas, Marlyn C.
8/1/2001
Centanni, Jon
9/13/2005
Cervantes, Elia
11/15/2002
Cervantes, Rene
11/28/2005
Cervantes, Rene
3/9/2011
Cesena, Albert
4/11/2002
Cesena, Albert
1/8/2002
Cesena, Albert
10/1/2007
Cesena, Albert
7/27/2011
Cesena, Jesse
4/18/2002
Cesena, Jesse
5/5/2001
Chacon, Armando
2/23/2011
Chairez, Monica
5/2/2003
Chamberlain, Brian
8/2/2004
Chamberlain, Brian
7/27/2005
Chamberlain, Brian
12/3/2007
Chambers, John
1/30/2002
Claim #:
Medical Indemnity
Box #
Purge Year
05-3511
x
1
2015
08-4426
x
1
2015
032362
X
n/a
2012
06-3765
x
1
2015
022159
X
n/a
2012
022023
X
n/a
2012
022056
X
n/a
2012
08-4291
x
1
2015
053231
X
n/a
2012
032536
X
n/a
2012
021937
X
n/a
2012
11-0193
X
n/a
2017
042947
X
n/a
2012
08-4334
x
1
2015
08-4560
x
1
2015
05-3523
x
1
2015
01-1536
x
17
2016
032607
X
n/a
2012
042787
X
n/a
2012
032411
X
n/a
2012
03-2667
x
1
2016
08-4593
x
1
2016
053295
X
n/a
2012
043123
X
n/a
2012
042957
X
n/a
2012
032760
X
n/a
2012
032598
X
n/a
2012
021917
X
n/a
2012
06-3623
x
1
2015
032479
X
n/a
2012
06-3712
x
1
2015
11-0063
X
n/a
2017
022203
X
n/a
2012
022084
X
n/a
2012
08-4368
x
1
2015
11-0201
X
n/a
2017
022214
X
n/a
2012
011814
X
n/a
2012
11-0057
X
n/a
2017
032712
X
n/a
2012
053226
X
n/a
2012
06-3577
x
1
2015
08-4429
x
1
2015
022156
X
n/a
2012
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Chapman, Elta
6/26/2003
042773
X
n/a
2012
Chapman, Elta
12/18/2002
032507
X
n/a
2012
Chapman, Elta
5/17/2001
011828
X
n/a
2012
Chapman, Elta
7/9/2008
09-4627
x
1
2015
Chapman, Elta
7/19/2005
06-3576
x
1
2015
Chapman, Elta
1/17/2008
08-4457
x
1
2015
Chavez,Edgar
8/22/2008
09-4680
x
1
2015
Chavez, Joe M.
2/10/2001
011708
X
n/a
2012
Chavez, Larry
4/15/2003
032677
X
n/a
2012
Chavez, Stephen
8/30/2003
042838
X
n/a
2012
Chavez, Stephen
12/24/2002
032540
X
n/a
2012
Chavez, Stephen
3/6/2001
011738
X
n/a
2012
Chavez, Stephen
12/19/2006
07-4108
x
1
2015
Chavez, Stephen
5/8/2007
07-4215
x
1
2015
Chavez, Stephen
11/05/2013
13-0172
X
n/a
2018
Chedister, John
11/14/2003
042921
X
n/a
2012
Chedister, John
1/31/2002
022123
X
n/a
2012
Chedister, John
11/11/2007
08-4408
x
1
2015
Chedister, John
2/27/2007
07-4160
x
1
2015
Chedister, John
4/6/2005
05-3467
x
1
2015
Chesanek, Tyrone
4/4/2003
032652
X
n/a
2012
Chiechi, Mary
6/6/2001
011850
X
n/a
2012
Chitjian, Mark
10/23/2002
032460
X
n/a
2012
Chiu, Daphne
5/10/2003
032718
X
n/a
2012
Christensen, Angela
08/19/2013
13-0123
X
n/a
2018
Chumacero, Juan
10/14/2010
10-0256
x
1
2016
Chumacero, Juan
11/2/2006
07-4064
x
1
2015
Chumacero, Juan M.
12/12/2003
042970
X
n/a
2012
Chumacero, Juan M.
9/11/2003
042853
X
n/a
2012
Chu macero,Juan M.
9/14/2002
032418
X
n/a
2012
Chumacero, Juan M.
5/2/2002
022238
X
n/a
2012
Ciraulo, Christopher
11/29/2004
053344
X
n/a
2012
Ciraulo, Christopher
4/3/2003
032651
X
n/a
2012
Claborn, Michael
10/2/2006
07-4024
x
1
2015
Clark, Kevin
2/9/2001
011701
X
n/a
2012
Clemente, Jason
1/5/2002
022083
X
n/a
2012
Clevenger, Don
12/14/2007
08-4437
x
8
2015
Clevenger, Don
8/24/2005
06-3599
x
8
2015
Clinkingbeard, Janell
7/12/2002
032323
X
n/a
2012
Coleman, Lawrence
7/12/2000
011455
X
n/a
2012
Coleman, Lawrence
03/21/2013
13-0041
X
n/a
2018
Combs, Jan
10/18/2002
032459
X
n/a
2012
Combs, Jan
04/03/2013
13-0045
X
n/a
2018
Conde, Ernest
8/18/2008
09-4686
x
8
2015
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Conde, Ernest A.
12/23/2003
042985
X
n/a
2012
Conde, Ernest A.
6/4/2002
022300
X
n/a
2012
Conde, Ernest A.
3/14/2001
011744
X
n/a
2012
Conde, Ernesto
09/01/2011
11-0224
X
n/a
2018
Contreras, Caroline
9/3/2009
09-5019
x
17
2016
Contreras, Richard
7/29/2003
042802
X
n/a
2012
Cooper, Dawn
01/15/2003
03-2544
X
n/a
2018
Cooper, Dawn
01/06/2001
01-1655
X
n/a
2018
Cooper, Dawna
10/11/2004
05-3304
x
8
2015
Cooper, Dawna
4/30/2006
06-3873
x
8
2015
Cooper, Dawna
1/19/2006
06-3766
x
8
2015
Cooper, Dawna
8/21/2005
06-3595
x
8
2015
Cooper, Dawna
1/28/2004
04-3018
x
8
2015
Cooper, Dawna
8/21/2005
06-3595
x
8
2015
Cooper, Dawna
7/31/2004
05-3227
X
n/a
2017
Cooper, Dawna
8/4/2002
03-2349
X
n/a
2017
Corby, John
8/12/2004
053243
X
n/a
2012
Corby, John
3/7/2001
011746
X
n/a
2012
Corby, John
5/14/2005
05-3520
x
10
2015
Corby, John
10/24/2006
07-4050
x
10
2015
Cordova, Enrique
7/23/2006
07-3963
x
10
2015
Cornejo, Arnoldo
10/4/2006
07-4026
x
10
2015
Corona, Mario
2/7/2007
07-4144
x
10
2015
Corona, Mario
4/27/2005
05-3490
x
10
2015
Corona, Mario
03/01/2013
13-0031
X
n/a
2018
Corona, Mario
09/19/2013
13-0142
X
n/a
2018
Corona, Mario A.
11/14/2003
042920
X
n/a
2012
Correa, Leonard
8/14/2003
042821
X
n/a
2012
Cossios, Esther
8/29/2005
06-3605
x
10
2015
Costello, James
8/22/2005
06-3594
x
10
2015
Costello, James
11/6/2007
08-4414
x
10
2015
Couisine, Hank
03/11/2013
13-0044
X
n/a
2018
Cox, Michael
11/20/2001
022043
X
n/a
2012
Cox, Michael
6/23/2001
011869
X
n/a
2012
Cox, Michael
2/6/2007
07-4142
x
10
2015
Crawford, Richard
11/12/1985
85003049
x
10
2015
Crews, John
2/17/2004
043059
X
n/a
2012
Critchfield, Michael
12/29/2004
053381
X
n/a
2012
Critchfield, Michael
4/10/2004
043094
X
n/a
2012
Critchfield, Michael
9/28/2002
032436
X
n/a
2012
Critchfield, Michael
10/1/2007
08-4370
x
10
2015
Critchfield, Michael
8/25/2005
06-3598
x
10
2015
Critchfield, Michael
9/30/2005
06-3645
x
10
2015
Critchfield, Steve W.
5/18/2004
043137
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Critchfield, Steve W.
5/29/2002
022264
X
n/a
2012
Crook, Kathleen
9/19/2006
07-4009
x
10
2015
Croopnick, Roseli D.
7/15/2004
053204
X
n/a
2012
Croopnick, Roseli D.
7/4/2002
032317
X
n/a
2012
Cruz, Maer
8/26/2006
07-3986
x
10
2015
Cruz, Phillip
12/18/1996
96PAR0346
x
10
2015
Cuevas, Silvia
11/6/2006
07-4075
x
10
2015
Cung,Kha
4/24/2002
022223
X
n/a
2012
Daley, Michael
8/11/2003
042818
X
n/a
2012
Daley, Michael
10/16/2002
032448
X
n/a
2012
Daley, Michael
8/21/2002
032380
X
n/a
2012
Daley, Michael
7/13/2002
032330
X
n/a
2012
Daley, Michael
4/21/2008
08-4548
x
10
2015
Daley, Michael
09/19/2012
12-0195
X
n/a
2018
Dasher, Albert
9/6/2004
053266
X
n/a
2012
Dasher, Albert
7/5/2003
042772
X
n/a
2012
Dasher, Albert
2/5/2002
022129
X
n/a
2012
Dasher, Albert
12/29/2001
022078
X
n/a
2012
Dasher, Albert
9/17/2005
06-3631
x
17
2015
Dasher, Albert
6/8/2008
08-4604
x
17
2015
Dasher, Albert
2/23/2005
05-3425
x
17
2015
Dasher, Albert
3/17/2008
08-4552
x
17
2015
Dasher, Albert
8/28/2006
07-3985
x
17
2015
Dasher, Albert
12/16/2006
07-4105
x
17
2015
Dasher, Albert
4/5/2011
11-0087
X
n/a
2017
Davenport, Donald
5/11/2001
011820
X
n/a
2012
Davidson, Juanita
4/4/2001
011766
X
n/a
2012
Davies, Barry
11/1/2003
043111
X
n/a
2012
Davies, Barry
12/4/2001
022053
X
n/a
2012
Davies, Barry
1/21/2006
06-3767
x
17
2015
Davis, Fred
1/27/2004
043017
X
n/a
2012
Davis, Fred
6/14/2002
022281
X
n/a
2012
Davis, Fred
2/22/2002
022161
X
n/a
2012
Davis, Fred
8/30/2001
021940
X
n/a
2012
Davis, James
6/4/1990
91140139
x
17
2015
De Deaux, Kevin
2/13/2011
11-0051
X
n/a
2017
De LaTorre, Raul
1/18/2005
053393
X
n/a
2012
De Leon, Michael
8/30/2010
10-0213
x
1
2016
Deakins, Charles
9/15/2004
053277
X
n/a
2012
Dedeaux,Kevin
8/11/2010
10-0189
x
1
2016
Dee, Mary S.
3/8/2002
022168
X
n/a
2012
Defries, Trent
3/3/2010
10-0048
x
1
2016
Defries, Trent
07/23/2011
11-0192
X
n/a
2018
Delabarcena, Jesus
10/3/2003
042878
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Delabarcena, Jesus
3/4/2003
032625
X
n/a
2012
Delabarcena, Jesus
2/25/2001
011716
X
n/a
2012
Delabarcena, Jesus
7/14/2008
09-4656
x
17
2015
Delabarcena, Jesus
02/22/2012
12-0043
X
n/a
2018
Delaney, Robert
10/17/2005
06-3664
x
17
2015
Delgadillo Renteria, Aubrey
1/10/2003
043913
X
n/a
2012
Delgadillo Renteria, Aubrey
10/23/2002
032455
X
n/a
2012
Delgadillo, Manuel
3/18/2003
032666
X
n/a
2012
Delgadillo, Manuel
3/16/2008
08-4524
x
17
2015
Delgado, Manuel
03/19/2013
13-0040
X
n/a
2018
Demarco, Edward
5/26/2007
07-4243
x
17
2015
Demopoulos, Eric
7/24/2006
07-3955
x
17
2015
Demopoulos, Eric
11/29/2005
06-3742
x
17
2015
Dennis, Scott
9/7/1987
88140123
x
23
2015
Desantiago, Jose
06/16/2010
10-0153
X
n/a
2018
Diaz, Andy
5/7/2007
07-4220
x
8
2015
Diaz, Galen
11/26/2002
032498
X
n/a
2012
Diaz, Galen
06/10/2012
12-0113
X
n/a
2018
Diaz, Luis
7/21/2004
053212
X
n/a
2012
Diaz, Ricardo
11/1/2004
053323
X
n/a
2012
Diaz, Ricardo
3/31/2003
032646
X
n/a
2012
Diaz, Ricardo
6/3/2002
022267
X
n/a
2012
Diaz, Ricardo
10/3/2006
07-4031
x
8
2015
Diaz, Ricardo
3/29/2007
07-4183
x
8
2015
Dinger, Jason
9/1/2002
032400
X
n/a
2012
Dinger, Jason
10/29/2001
022015
X
n/a
2012
Dinh, Quyen
8/17/2007
08-4325
x
8
2015
Dinh, Quyen
01/27/2011
11-0023
X
n/a
2018
Dix, Susan
4/11/2005
05-3495
x
13
2015
Dolan, Daniel
12/8/2004
053359
X
n/a
2012
Dolin, Glenn
4/24/2008
08-4557
x
18
2015
Dolin, Glenn
1/27/2011
11-0026
X
n/a
2017
Donnelly, Jim
4/24/2007
07-2403
x
18
2015
Donnelly, Patricia
8/1/2001
021911
X
n/a
2012
Donnelly, Patricia
11/18/2005
06-3703
x
18
2015
Dougherty, Michael
6/5/2003
032746
X
n/a
2012
Dougherty, Michael
5/1/2000
011662
X
n/a
2012
Dougherty, Michael
1/20/1999
99PWM0028
X
n/a
2012
Driggs, Daniel
5/6/2002
022234
X
n/a
2012
Driggs, Daniel
3/26/2002
022183
X
n/a
2012
Driggs, Daniel
4/23/2001
011796
X
n/a
2012
Dryva, Ronald
2/22/2001
011710
X
n/a
2012
Duarte Jr., Frank
8/12/2004
053238
X
n/a
2012
Duarte Jr., Frank
7/19/2002
032335
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Duarte Sr., Frank
9/20/1999
001168
X
n/a
2012
Duarte, Frank
8/27/2006
07-3988
X
18
2015
Duquin, Cherryl
10/05/2012
12-0197
X
n/a
2018
Duran, Pedro
2/23/2011
11-0056
X
n/a
2017
Duran, Tony
7/5/2003
042774
X
n/a
2012
Duran, Tony
9/20/2001
022007
X
n/a
2012
Duran, Tony
5/17/2007
07-4228
x
18
2015
Duron, Christina
10/15/2001
022000
X
n/a
2012
Edwards, Rocky
8/20/2007
08-4322
x
18
2015
Eggers, Terri
09/12/2012
12-0181
X
n/a
2018
Eggleston, Robert
04/01/2004
05-3424
X
n/a
2018
Eide, Mark
4/17/2003
032693
X
n/a
2012
Eide, Mark
3/2/2001
011725
X
n/a
2012
Eide, Mark
3/14/2006
06-3824
x
18
2015
Eide, Mark
5/25/2007
07-4238
x
18
2015
Eide, Mark
10/9/2005
06-3662
x
18
2015
Eide, Mark
05/03/2010
10-0115
X
n/a
2018
Eide, Mark
08/13/2001
02-1920
X
n/a
2018
Eldridge, Randall N.
1/29/2003
032563
X
n/a
2012
Elizonso, James
06/27/2012
12-0121
X
n/a
2018
Elliot, Lourdes
7/18/1997
97PDNO230
x
8
2015
Elliot, Lourdes
7/8/1998
98PDNO242
x
8
2015
Elliot, Lourdes
12/19/2002
03-2516
x
18
2015
Elmore, Donald
1/22/2004
043016
X
n/a
2012
Elmore, Donald
5/3/2006
06-3879
x
8
2015
Elmore, Donald
3/14/2005
05-3447
x
8
2015
Elmore, Donald
9/9/2005
06-3655
x
8
2015
Elms, Charles
7/3/2003
042776
X
n/a
2012
Elms, Charles
5/24/2003
032726
X
n/a
2012
Elms, Charles
9/28/2002
032425
X
n/a
2012
Elms, Charles
1/7/2002
022092
X
n/a
2012
Elms, Charles
3/21/2001
011747
X
n/a
2012
Elms, Charles
6/3/2007
07-4240
x
8
2015
Elms, Charles
05/18/2009
09-4925
X
n/a
2018
Elms, Charles
11/09/2012
12-0208
X
n/a
2018
Encinas, Theodore
7/17/1975
80000057
X
1
2016
Encinas, Theodore
12/24/1975
80000250
x
1
2016
Encinas, Theodore
02/10/1977
80000668
X
n/a
2018
Encinas, Theodore
02/12/1980
80001956
X
n/a
2018
Enomoto, Michael
10/4/2002
032447
X
n/a
2012
Enriquez, Adrian
04/16/2013
13-0050
X
n/a
2018
Enriquez, Adrian
07/15/2012
12-0131
X
n/a
2018
Enriquez, Liz
11/14/2011
114-0283
X
n/a
2018
Enriquez, Sergio
5/24/2001
011836
X
n/a
2012
15 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Escobar, Alfonso
1/31/2001
011698
X
n/a
2012
Escobar, Alfonso
12/13/2000
011642
X
n/a
2012
Escobar, Mynor
3/10/2001
011735
X
n/a
2012
Escobar, Mynor
2/5/2000
001290
X
n/a
2012
Escobar, Mynor
5/30/2008
08-4589
x
8
2015
Esparza, Benita
2/8/2007
07-4145
x
7
2015
Esparza, Enrique
1/8/2001
011606
X
n/a
2012
Esparza, Enrique
9/14/2007
08-4351
x
7
2015
Esparza, Janet
7/15/2002
032338
X
n/a
2012
Esparza, Janet
12/17/2001
022099
X
n/a
2012
Esparza, Janet
8/16/2000
011501
X
n/a
2012
Esparza, Janet
2/13/2006
06-3796
x
7
2015
Esparza, Janet
04/07/2011
11-0092
X
n/a
2018
Esparza, Rosa
9/15/2004
053275
X
n/a
2012
Esparza, Rosa
7/29/2009
09-4986
x
17
2016
Esparza, Rosa
7/8/2005
06-3573
x
7
2015
Espino, Hector
7/12/2002
032324
X
n/a
2012
Espinosa, Anthony
8/8/2001
021947
X
n/a
2012
Espinosa, Laura
7/8/2002
032329
X
n/a
2012
Espinosa, Martin Ochoa
2/10/2011
11-0038
X
n/a
2017
Espinoza, Anthony
04/08/1993
93FDS0097
X
n/a
2018
Espinoza, Anthony
02/10/2005
05-3416
X
n/a
2018
Espinoza, Anthony
02/014/2000
01-1834
X
n/a
2018
Espinoza, Anthony
09/09/1994
94FDS0371
X
n/a
2018
Espinoza, Anthony
05/13/2011
11-01257
X
n/a
2018
Espinoza, Anthony
09/14/2010
10-0254
X
n/a
2018
Espinoza, Fernando
6/10/2003
032749
X
n/a
2012
Espinoza, Fernando
4/14/2003
032671
X
n/a
2012
Espinoza -Quintero, Frank
1/9/2002
022089
X
n/a
2012
Esser, Chris
9/29/2003
043087
X
n/a
2012
Esser, Chris
9/29/2003
043087
X
n/a
2012
Esser, Chris
11/5/2007
08-4406
x
7
2015
Esser, Chris
1/5/2008
08-4450
x
7
2015
Esser, Chris
2/10/2005
05-3413
x
7
2015
Estrada, Augustine
5/3/2004
043122
X
n/a
2012
Estrada, Augustine
11/28/2002
032505
X
n/a
2012
Estrada, Augustine
2/16/2007
07-4168
x
7
2015
Estrada, Augustine
12/21/2006
07-4110
x
7
2015
Estrada, Donna
6/11/2003
032750
X
n/a
2012
Estrada, Donna
7/18/2002
032327
X
n/a
2012
Estrada, Donna
10/3/2005
06-3650
x
7
2015
Estrada, Donna
04/17/2013
13-0054
X
n/a
2018
Estrada, Donna
02/09/2012
12-0035
X
n/a
2018
Estrada, Mauricio
4/22/2005
05-3483
x
7
2015
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7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Evagues, Virginia
11/11/2003
042940
X
n/a
2012
Evans, Taylor
4/27/2007
07-4213
x
7
2015
Evans, Taylor
3/2/2009
09-4855
X
n/a
2017
Eyraz, Teresa
3/29/2002
022189
X
n/a
2012
Eyraz, Teresa
12/22/2001
022076
X
n/a
2012
Fahrney,Scott
12/31/2010
11-0016
X
n/a
2018
Fahrney,Scott
05/12/2013
13-0065
X
n/a
2018
Fairchild, Jason
7/14/2004
053202
X
n/a
2012
Fairchild, Jason
8/16/2006
07-3978
x
7
2015
Fairchild, Jason
8/11/2010
10-0190
X
n/a
2017
Fajardo, Frank
2/3/2004
043023
X
n/a
2012
Fajardo, Frank
10/12/2006
07-4041
x
7
2015
Fajardo, Frank
05/21/2012
12-0099
X
n/a
2018
Farran, Jorge
11/7/2004
053329
X
n/a
2012
Feieraband, Karl
05/22/2008
09-4631
X
n/a
2018
Felix, Daniel
02/24/2000
00-1323
X
n/a
2018
Ferguson, Michael
9/12/2001
02-1960
x
7
2015
Fernandez, Armando
8/29/2007
08-4335
x
7
2015
Fernandez, Gregory
12/12/2011
11-0304
X
n/a
2018
Fernandez, Luis
10/23/1998
98FDS0438
x
7
2015
Fernandez, Luis
9/29/2000
01-1659
x
7
2015
Fernandez, Luis
11/20/2003
04-2950
x
7
2015
Fernandez, Luis
2/17/2002
02/2172
x
7
2015
Fernandez, Luis
2/19/2003
03-2637
x
7
2015
Fernandez, Mollie
12/31/2003
04-2990
x
7
2015
Fernandez, Mollie
9/10/2001
02-1955
x
7
2015
Fernberg, Mark
4/8/2006
06-3845
x
7
2015
Fernberg, Mark
3/20/2003
03-2633
x
7
2015
Fernberg, Mark
3/23/2002
02-2179
x
7
2015
Fernberg, Mark
12/1/2004
05-3352
x
7
2015
Fernberg, Mark
7/9/2007
08-4276
x
7
2015
Fernberg, Mark
10/02/2009
09-5080
X
n/a
2018
Fernberg, Mark
08/26/2002
03-2391
X
n/a
2018
Fix, Alfred
6/29/2001
01-1876
x
7
2015
Fleet, Michael
09/04/2007
97PDS0420
X
n/a
2018
Flores, Caesar
4/21/2007
07-4205
x
7
2015
Flores, Jesse
5/10/2004
043129
X
n/a
2012
Flores, Jesse
8/21/2003
042826
X
n/a
2012
Flores, Jesse
2/15/2005
05-3419
x
7
2015
Flores, Jesse
4/2/2008
08-4530
x
7
2015
Flores, Jesse
1/12/2006
06-3764
x
7
2015
Flores, Jesse
7/12/2010
10-0167
X
n/a
2017
Flores, Jesse
12/1/2010
10-0296
X
n/a
2017
Flores, Jose
8/20/2000
011506
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Flores, Jose
6/30/2003
042768
X
n/a
2012
Flores, Jose
10/14/2002
032446
X
n/a
2012
Flores, Jose
5/12/2005
05-3514
x
7
2015
Flores, Jose
1/8/2006
06-3749
x
15
2015
Flores, Lucy
05/17/1999
99-1006
X
n/a
2018
Flores, Mark
3/9/2004
043063
X
n/a
2012
Flores, Mark
5/20/2003
032732
X
n/a
2012
Flores, Mark
1/25/2002
022122
X
n/a
2012
Flores, Mark
10/15/2001
022006
X
n/a
2012
Flores, Mark
11/23/2000
011615
X
n/a
2012
Flores, Mark
2/7/2007
07-4146
x
15
2015
Flores, Mark
02/26/2006
06-3866
X
n/a
2018
Flores, Mark
02/24/2006
06-3807
X
n/a
2018
Flores, Mary
07/10/2009
09-4959
X
n/a
2018
Flores, Patricia
6/6/2008
08-4594
x
15
2015
Flores, Richard
10/17/2002
032444
X
n/a
2012
Flores, Richard
3/28/2002
022198
X
n/a
2012
Flores, Richard
9/22/2004
05-3283
x
15
2015
Flores, Richard
9/15/1997
97PDS0293
x
15
2015
Flores, Santiago
12/22/2003
042981
X
n/a
2012
Floyd, Monte
9/13/2004
053271
X
n/a
2012
Floyd, Monte
4/28/1999
991049
X
n/a
2012
Floyd, Monte
10/2/2006
07-4020
x
15
2015
Floye, Monte
11/23/2005
06-3708
x
15
2015
Flynn, Charles
1/13/2006
06-3775
x
15
2015
Follo, John
9/15/2004
053281
X
n/a
2012
Follo, John
6/18/2004
043174
X
n/a
2012
Follo, John
7/7/2007
08-4282
x
15
2015
Forrester, David
4/9/2003
032659
X
n/a
2012
Forrester, David
5/26/2006
06-3901
x
15
2015
Forrester, David
08/07/2011
11-0028
X
n/a
2018
Foster, Keith
2/24/2006
06-3816
x
15
2015
Foster, Keith
8/14/2006
07-3981
X
n/a
2017
Frainie, Jack
1/9/2004
043006
X
n/a
2012
Frainie, Jack
6/3/2003
032739
X
n/a
2012
Frainie, Jack
8/14/2000
011499
X
n/a
2012
Franco,Jose
8/27/2005
06-3607
x
15
2015
Franco,Jose
9/14/2001
02-1956
x
15
2015
Franco,Jose
6/3/2002
02-2275
x
15
2015
Franco,Jose
10/09/2010
10-0251
X
n/a
2018
Franco,Jose
08/30/2010
10-0211
X
n/a
2018
Franco,Jose
10/07/2011
11-0255
X
n/a
2018
Franco,Jose
08/25/2011
11-0221
X
n/a
2018
Franco, Jose L.
8/7/2004
053233
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Franco, Jose L.
4/7/2003
032662
X
n/a
2012
Franco, lose L.
3/19/2003
032635
X
n/a
2012
Franco, Raymond
2/10/2004
043029
X
n/a
2012
Franks, John
4/24/2003
032691
X
n/a
2012
Franks, John
3/16/2003
032626
X
n/a
2012
Franks, John
6/2/2002
032306
X
n/a
2012
Franks, John
3/1/2002
022184
X
n/a
2012
Fratus, Gary
2/20/2002
022293
X
n/a
2012
Frazee, Jacqueline
8/16/2001
021921
X
n/a
2012
Frazee, Jacqueline
3/1/2001
011722
X
n/a
2012
Fuller, Corene
7/25/2001
021931
X
n/a
2012
Fullerton, Carolyn
12/13/2004
053366
X
n/a
2012
Fullerton, Carolyn
5/20/2005
05-3512
x
18
2015
Gableman, John
11/18/2010
10-0287
X
n/a
2018
Gaelana, Luis
7/30/2010
10-0196
x
1
2016
Galarza, Gianni
12/13/2004
053361
X
n/a
2012
Galarza, Gianni
9/25/2004
053285
X
n/a
2012
Galarza, Gianni
11/8/2003
042914
X
n/a
2012
Galarza, Gianni
4/28/2003
032759
X
n/a
2012
Galarza, Gianni
11/23/2002
032489
X
n/a
2012
Galarza, Gianni
6/5/2005
05-3528
x
18
2015
Galaz, Vincent
2/13/2003
032591
X
n/a
2012
Galaz, Vincent
2/23/2005
05-3431
x
18
2015
Galaz, Vincent
11/19/2005
06-3700
x
18
2015
Galeana, Luis
12/4/2005
06-3710
x
15
2015
Galeana, Luis
2/27/2008
08-4497
x
18
2015
Galeana, Luis
2/24/2011
11-0055
X
n/a
2017
Galeana, Luis
10/29/2013
13-0165
X
n/a
2018
Galguera, Isidro
8/11/2004
053236
X
n/a
2012
Galguera, Isidro
1/31/2001
011695
X
n/a
2012
Galguera, Isidro
7/25/2007
08-4294
x
15
2015
Gallardo, Julio
10/29/2012
12-0207
X
n/a
2018
Gallardo, Julio
O1/27/2013
13-0010
X
n/a
2018
Gallardo, Maria
9/18/2007
08-4359
x
15
2015
Gallardo, Maria
08/26/2011
11-0227
X
n/a
2018
Gallardo, Maria G.
5/3/2003
032710
X
n/a
2012
Gallegos, Myra
11/26/2012
12-0222
X
n/a
2018
Gallegos, Sandra
2/14/2003
03-2592
x
1
2016
Gallegos, Sandra
9/23/2005
06-3658
x
1
2016
Gallegos, Sandra
7/31/2002
03-2342
x
1
2016
Galvan, Nicolas
4/26/2011
11-0123
X
n/a
2017
Galvez, Aura
8/26/2002
032382
X
n/a
2012
Garbutt, Joe
2/18/2000
001309
X
n/a
2012
Garbutt, Joe
12/16/1999
001240
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Garcia, Alejandra
6/24/2005
05-3553
x
4
2015
Garcia, Alma
1/31/2006
06-3785
x
15
2015
Garcia, Amparo
12/14/2000
011639
X
n/a
2012
Garcia, Amparo
3/13/2007
07-4189
x
4
2015
Garcia, Amparo
3/23/2005
05-3456
x
15
2015
Garcia, Carlos V.
9/26/2002
032426
X
n/a
2012
Garcia, Carlos V.
7/2/2002
032312
X
n/a
2012
Garcia, Carlos V.
2/13/2002
022151
X
n/a
2012
Garcia, Elizabeth
11/1/2001
022051
X
n/a
2012
Garcia, Elizabeth
4/21/2001
011798
X
n/a
2012
Garcia, Frank
3/18/2008
08-4521
x
4
2015
Garcia, Frank
7/2/2006
07-3941
x
4
2015
Garcia, Frank
2/27/2005
05-3433
x
4
2015
Garcia, Gonzalo
8/18/2007
08-4327
x
4
2015
Garcia, Guadalupe
10/30/2002
032474
X
n/a
2012
Garcia, Guadalupe
1/15/2002
022112
X
n/a
2012
Garcia, Israel
4/17/2003
032747
X
n/a
2012
Garcia, Israel
11/24/2002
032490
X
n/a
2012
Garcia, Israel
1/16/2001
011679
X
n/a
2012
Garcia, Jason
5/9/2011
11-0121
X
n/a
2017
Garcia, Jim
8/24/2004
053253
X
n/a
2012
Garcia, Jose
9/4/2004
053260
X
n/a
2012
Garcia, Jose
1/1/2001
04-2771
x
4
2015
Garcia, Jose A.
11/6/2003
042915
X
n/a
2012
Garcia, Jose A.
3/28/2003
032649
X
n/a
2012
Garcia, Jose A.
8/12/2002
032366
X
n/a
2012
Garcia, Juan
4/23/2002
022222
X
n/a
2012
Garcia, Juan
9/9/2006
07-4001
x
4
2015
Garcia, Juan
2/7/2008
08-4482
x
15
2015
Garcia, Juan
2/22/2007
07-4153
X
15
2015
Garcia, Juan
10/22/2010
10-0268
x
1
2016
Garcia, Manuel
4/2/2003
032657
X
n/a
2012
Garcia, Michael A.
11/4/2004
053339
X
n/a
2012
Garcia, Michael A.
8/29/2001
021938
X
n/a
2012
Garcia, Rosalba
2/4/2003
032599
X
n/a
2012
Garcia, Rosalba
11/9/2000
011598
X
n/a
2012
Garcia, Russell
1/28/2006
06-3784
x
1
2016
Garcia, Russell
11/15/2004
053334
X
n/a
2012
Garcia, Russell
2/1/1999
99FDS0053
X
n/a
2012
Garcia, Russell
1/20/2008
08-4467
x
4
2015
Garcia, Russell
8/1/2006
07-3973
x
4
2015
Garcia, Sonia
8/22/2003
042832
X
n/a
2012
Garcia, Zeke
10/03/2011
11-0250
X
n/a
2018
Garrova, Thomas
03/21/2011
11-0095
X
n/a
2018
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Gatt, Sandra
1/4/2002
022094
X
n/a
2012
Gatto, Richard
3/3/2003
032624
X
n/a
2012
Gatto, Richard
12/10/2007
08-4444
x
4
2015
Geist, Rosemary
9/5/2005
06-3628
x
4
2015
Ghizzi, Mario
7/26/2001
021909
X
n/a
2012
Gibbons, Michael
1/30/2006
06-3779
x
4
2015
Gielda, Norman
09/16/2011
11-0242
X
n/a
2018
Godinez, Victor
12/31/2000
04-3070
x
2
2016
Godinez, Victor
12/31/2000
04-3071
x
2
2016
Godinez, Victor
12/22/2003
042984
X
n/a
2012
Godinez, Victor
1/14/2002
022098
X
n/a
2012
Godinez, Victor
3/25/2005
05-3454
x
4
2015
Godinez, Victor
3/18/2005
05-3451
x
4
2015
Godinez, Victor
1/1/2005
05-3497
x
4
2015
Godinez, Victor
11/26/2001
02-2246
X
n/a
2018
Gomes, Robert
10/3/2003
042876
X
n/a
2012
Gomez, Angelina
12/14/2005
06-37290
x
18
2015
Gomez, Darrell
03/11/2003
03-2619
X
n/a
2018
Gomez, Darrell
10/13/2006
07-4039
X
n/a
2018
Gomez, Ernesto
10/24/2003
042897
X
n/a
2012
Gomez, Esmeralda M.
10/29/2003
042904
X
n/a
2012
Gomez, Francisco
4/17/2001
011789
X
n/a
2012
Gomez, Gabriel
10/24/2005
06-3674
x
5
2015
Gomez, Hector
5/10/2001
011821
X
n/a
2012
Gomez, Irene
5/18/2010
10-0129
x
2
2016
Gomez, Irene
3/21/2003
032647
X
n/a
2012
Gomez, Irene
3/14/2003
032661
X
n/a
2012
Gomez, Irene
12/17/2005
06-3756
x
5
2015
Gomez, Irene
4/22/2005
05-3482
x
5
2015
Gomez, Irene
07/23/2012
12-0146
X
n/a
2018
Gomez, Margarita
06/19/2012
12-0118
X
n/a
2018
Gominsky, Kenneth
1/23/2008
08-4464
x
2
2016
Gominsky, Kenneth
8/22/2001
021945
X
n/a
2012
Gominsky, Kenneth
09/01/1981
80002450
X
n/a
2018
Gonsalves, Paul
7/8/2005
06-3565
x
5
2015
Gonzales, Angel
6/20/2003
043114
X
n/a
2012
Gonzales, Angel
6/29/2002
032314
X
n/a
2012
Gonzales, Angel
5/19/2006
06-3892
x
5
2015
Gonzales, Angel
6/29/2004
04-3185
x
5
2015
Gonzales, Benito
7/15/2003
042804
X
n/a
2012
Gonzales, Benito
1/7/2003
032551
X
n/a
2012
Gonzales, Benito
2/19/2002
022153
X
n/a
2012
Gonzales, John
6/13/2006
06-3924
x
5
2015
Gonzalez, Alan
3/1/2008
08-4502
x
5
2015
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Gonzalez, Benito
01/28/2012
12-0032
X
n/a
2018
Gonzalez, Efrain
7/27/2004
053222
X
n/a
2012
Gonzalez, Emma
9/3/2003
042844
X
n/a
2012
Gonzalez, Emma
02/05/2004
04-3024
X
n/a
2018
Gonzalez, Gloria
8/1/2002
032396
X
n/a
2012
Gonzalez, Gloria
8/1/2002
032395
X
n/a
2012
Gonzalez, Gloria
4/30/2001
011811
X
n/a
2012
Gonzalez, Joel.
8/29/2002
032397
X
n/a
2012
Gonzalez, Joel.
8/8/2001
021914
X
n/a
2012
Gonzalez, Jose
8/11/2001
021942
X
n/a
2012
Gonzalez, Jose
8/1/2004
053228
X
n/a
2012
Gonzalez, Joseph
4/17/2003
032706
X
n/a
2012
Gonzalez, Joseph
11/21/2000
011619
X
n/a
2012
Gonzalez, Joseph
11/15/2006
07-4149
x
5
2015
Gonzalez, Juan
5/25/2003
032734
X
n/a
2012
Gonzalez, Juan
2/10/2002
022134
X
n/a
2012
Gonzalez, Luis
11/8/2004
053330
X
n/a
2012
Gonzalez, Mary G.
5/12/2003
032721
X
n/a
2012
Gonzalez, Michael
7/20/2000
011468
X
n/a
2012
Gonzalez, Michael
9/14/2007
08-4350
x
4
2015
Gonzalez, Miguel
6/5/2006
06-3912
x
2
2016
Gonzalez, Miguel
12/27/1995
95WOM0448
x
2
2016
Gonzalez, Miguel
10/03/2003
04-2899
X
n/a
2018
Gonzalez, Philip
5/29/2007
07-4246
x
2
2016
Gonzalez, Ulysses
7/20/2004
053207
X
n/a
2012
Gonzlez, Joe "John"
05/12/2011
11-0124
X
n/a
2018
Gonzlez, Michael
12/02/2002
03-2612
X
n/a
2018
Goosby, Johanna
6/23/2006
07-3939
x
4
2015
Gorajewski, Michael R.
1/16/2002
022101
X
n/a
2012
Goss, Kurt
07/25/2011
11-0195
X
n/a
2018
Graber, Timothy
8/4/2004
053256
X
n/a
2012
Graber, Timothy
7/13/2004
053213
X
n/a
2012
Graber, Timothy
1/8/2004
043001
X
n/a
2012
Graber, Timothy
4/13/2002
022215
X
n/a
2012
Graber, Timothy
7/21/2003
042812
X
n/a
2012
Graber, Timothy
7/4/2001
021896
X
n/a
2012
Graber, Timothy
1/31/2001
011706
X
n/a
2012
Graber, Timothy
10/18/1999
001204
X
n/a
2012
Gragg, George
6/1/1988
96PBS0124
x
14
2015
Graham, Antonio
11/20/2005
06-3705
x
4
2015
Graham, Kevin
4/14/2003
032670
X
n/a
2012
Graham, Kevin
3/14/2002
022278
X
n/a
2012
Graham, Kevin
1/24/2005
05-3395
x
4
2015
Graham, Kevin
2/1/2011
11-0031
X
n/a
2017
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Granados, Elizabeth
2/1/2009
09-4825
x
2
2016
Granados, Elizabeth
1/15/2008
08-4465
x
4
2015
Granados, Elizabeth
12/18/2010
10-0311
X
n/a
2017
Granieri, Chris
3/19/2009
09-4856
x
2
2016
Granieri, Christopher
11/7/2002
032475
X
n/a
2012
Granieri, Christopher
4/27/2006
06-3864
x
4
2015
Granieri, Christopher
7/15/2005
06-3575
x
4
2015
Granieri, Christopher
5/11/2005
05-3505
x
4
2015
Grant, Connie
2/24/2004
043040
X
n/a
2012
Grant, Connie
3/30/2003
032641
X
n/a
2012
Grant, Connie
7/23/2002
032333
X
n/a
2012
Grant, Connie
7/21/2002
032332
X
n/a
2012
Grant, Kirk
8/29/2010
10-0216
x
2
2016
Grant, Kirk
1/9/2002
022087
X
n/a
2012
Grant, Kirk
11/22/2011
11-0288
X
n/a
2018
Grant, Oliver
5/24/2011
11-0132
X
n/a
2017
Graves, Mitch
6/22/2007
07-4257
x
4
2015
Graves, Mitchell
3/2/2001
011724
X
n/a
2012
Graves, Mitchell
8/21/1999
001132
X
n/a
2012
Graves, Mitchell
6/15/2011
11-0157
X
n/a
2017
Graves, Monica
11/12/2005
06-3697
x
4
2015
Greaver, Duane
3/19/2008
08-4551
x
4
2015
Greaver, Duane
09/08/2011
11-0238
X
n/a
2018
Greaver, Duane
03/11/2011
11-0064
X
n/a
2018
Greene, Eileen
9/4/2006
07-3999
x
4
2015
Grindle, Guy
4/19/2002
022221
X
n/a
2012
Grindle, Guy
7/25/2001
021903
X
n/a
2012
Grindle, Guy
2/27/2008
08-4496
x
4
2015
Grindle, Guy
9/21/2005
06-3634
x
4
2015
Grindle, Guy
04/19/2011
11-0103
X
n/a
2018
Gripentrog, Joshua
04/05/2009
09-4877
X
n/a
2018
Gross, Michael
6/17/2002
022303
X
n/a
2012
Guadan,Ruben M.
5/6/2002
022242
X
n/a
2012
Guadan,Ruben M.
4/2/1978
80001182
X
n/a
2012
Guerrero, Alma
3/6/2003
032621
X
n/a
2012
Guerrero, Alma
6/20/2005
06-3564
x
4
2015
Guerrero, Heliodoro
8/13/2007
08-4313
x
4
2015
Guidry, Bob
06/21/2012
12-0120
X
n/a
2018
Guidry, Troy
3/2/2011
11-0062
X
n/a
2017
Gutierrez, Ed
9/7/2010
10-0237
x
2
2016
Gutierrez, Edward
11/14/2005
06-3701
x
4
2015
Gutierrez, Edward
4/8/2005
05-3463
x
4
2015
Gutierrez, Edward
12/22/2005
06-3738
x
4
2015
Gutierrez, Edward R.
9/5/2004
053263
X
n/a
2012
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Gutierrez, Edward R.
6/26/2004
043181
X
n/a
2012
Gutierrez, Edward R.
5/8/2003
032724
X
n/a
2012
Gutierrez, Fatima
4/26/2011
11-0118
X
n/a
2017
Gutierrez, Frank
1/8/2011
11-0013
X
n/a
2017
Gutierrez, Nick
8/28/2003
042835
X
n/a
2012
Gutierrez, Nick
7/17/2003
042795
X
n/a
2012
Gutierrez, Roberto
12/22/2003
042979
X
n/a
2012
Gutierrez, Roberto
5/7/2003
032715
X
n/a
2012
Gutierrez, Sergio
7/22/2007
08-4290
x
4
2015
Gutierrez, Sergio
04/10/2012
12-0069
X
n/a
2018
Gutmann, Steve
8/20/2007
08-4317
x
4
2015
Guy, Bruce
3/24/2005
05-3455
x
4
2015
Guy, Bruce
9/22/2006
07-4023
X
n/a
2017
Guy, Bruce
10/01/2005
06-3666
X
n/a
2018
Guy, Bruce
09/22/2005
06-3653
X
n/a
2018
Guy, Bruce
12/31/2004
07-4072
X
n/a
2018
Guy, Bruce D.
11/14/2001
022034
X
n/a
2012
Hadley, Brad
8/20/2002
032431
X
n/a
2012
Hadley, Brad
3/16/2000
001367
X
n/a
2012
Hadley, Weston
5/9/2001
011818
X
n/a
2012
Hagen, Kim
7/17/2001
021893
X
n/a
2012
Hahm, Stephen
10/31/2002
032615
X
n/a
2012
Hahm, Stephen
11/22/2006
07-4083
x
4
2015
Hall, Albert
1/1/2004
042993
X
n/a
2012
Hall, Albert
3/22/2002
202186
X
n/a
2012
Hand, Bryan
10/1/2001
021986
X
n/a
2012
Hanks, Linda J.
1/3/2003
032522
X
n/a
2012
Hannon-Audette, Mercy
11/9/2010
10-0279
x
2
2016
Harrison, Joe
12/2/2003
042956
X
n/a
2012
Hart, Howard
3/29/1999
99PBS0127
X
n/a
2012
Harvey, Sondra
6/9/2004
043167
X
n/a
2012
Harvey, Sondra
3/29/2003
032644
X
n/a
2012
Harvey, Sondra
4/17/2002
022219
X
n/a
2012
Harvey, Sondra
2/24/2005
05-3432
x
4
2015
Harvey, Sondra
10/3/2007
08-4371
x
4
2015
Harvey, Sondra
3/15/2007
07-4179
x
6
2015
Hashempour, Farshid
5/17/2001
011822
X
n/a
2012
Hawkins, Cassandra
5/12/2008
08-4575
x
6
2015
Hawkins, Stephen
6/29/2004
043183
X
n/a
2012
Hawkins, Stephen
7/23/2002
032337
X
n/a
2012
Hawkins, Stephen
12/26/2000
011648
X
n/a
2012
Hawley, Ronald
11/5/2003
042910
X
n/a
2012
Hawley, Ronald
3/26/2007
07-4182
x
6
2015
Hay, Brian
2/16/2006
06-3801
x
6
2015
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Hayes, Jimmy
4/2/2008
08-4526
x
6
2015
Hayes, Jimmy
12/21/2010
10-0312
X
n/a
2017
Hayes,Paul
9/20/2000
011602
X
n/a
2012
Hayes,Paul
6/5/1995
95PDS0217
x
6
2015
Haynes, Henry
10/16/2001
032525
X
n/a
2012
Haynes, Henry
5/16/1994
94PDS0154
X
n/a
2012
Haynes, Henry
9/26/2000
01-1559
X
n/a
2017
Hebert Scott, Tanya
6/13/2001
011860
X
n/a
2012
Heidari, Fred
8/20/2007
08-4318
x
6
2015
Heider, Heather E.
12/15/2003
042973
X
n/a
2012
Heider, Heather E.
9/28/2001
021976
X
n/a
2012
Helton, Robert T.
5/17/1999
991012
X
n/a
2012
Hencke, William
10/10/2001
021998
X
n/a
2012
Hencke, William
10/3/2006
07-4037
x
6
2015
Henry, Tod
11/8/2005
06-3695
x
6
2015
Heredia, Joseph
10/28/2010
10-0292
X
n/a
2017
Hermans, Matthew D.
5/3/2003
032711
X
n/a
2012
Hernandez, Andres
3/30/2004
043077
X
n/a
2012
Hernandez, Andres
1/7/2003
032552
X
n/a
2012
Hernandez, Andres
6/8/2001
011874
X
n/a
2012
Hernandez, Arturo
10/11/2007
08-4377
x
6
2015
Hernandez, Edward
12/17/2003
042962
X
n/a
2012
Hernandez, Edward
10/24/2001
022004
X
n/a
2012
Hernandez, Elvia
11/13/2001
022035
X
n/a
2012
Hernandez, Eva
4/2/2003
032654
X
n/a
2012
Hernandez, Gilbert
12/20/2006
07/4109
x
6
2015
Hernandez, Hector
1/3/2003
032528
X
n/a
2012
Hernandez, Hector
4/17/2001
011786
X
n/a
2012
Hernandez, Hector
11/7/2000
011597
X
n/a
2012
Hernandez, Johnny
8/31/2010
10-0214
x
2
2016
Hernandez, Johnny V.
1/30/2003
032569
X
n/a
2012
Hernandez, Jose
6/2/1990
90140288
X
n/a
2012
Hernandez, Jose
12/31/1989
91140018
X
n/a
2012
Hernandez, Jose
10/15/1985
85002627
X
n/a
2012
Hernandez, Liz
2/18/2009
09-4840
x
2
2016
Hernandez, Liz
1/31/2005
053403
X
n/a
2012
Hernandez, Maria
6/16/2006
06-3935
x
6
2015
Hernandez, Mary
6/5/2001
011843
X
n/a
2012
Hernandez, Pariet
2/20/2003
032594
X
n/a
2012
Hernandez, Pariet
6/25/2002
032308
X
n/a
2012
Hernandez, Pariet
4/17/2006
06-3850
x
6
2015
Hernandez, Pariet
11/29/2006
07-4089
x
6
2015
Hernandez, Pariet
5/22/2011
11-0128
X
n/a
2017
Hernandez, Renee
8/15/2003
042825
X
n/a
2012
25 of 71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Hernandez,Renee
3/11/2002
022173
X
n/a
2012
Hernandez,Renee
6/19/2001
011856
X
n/a
2012
Hernandez, Robert
9/14/2005
06-3624
x
6
2015
Hernandez, Robert
9/29/2009
09-5041
X
17
2016
Hernandez, Robert Y.
11/25/2003
042944
X
n/a
2012
Hernandez, Robert Y.
7/17/2003
042790
X
n/a
2012
Hernandez, Robert Y.
5/20/2002
022256
X
n/a
2012
Hernandez, Robert Y.
2/26/2002
022155
X
n/a
2012
Hernandez, Robert Y.
10/4/2000
011562
X
n/a
2012
Hernandez, Rodolfo
6/25/2003
032764
X
n/a
2012
Hernandez, Rosa M.
6/14/2001
021887
X
n/a
2012
Hernandez, Teresa
9/7/2010
10-0221
x
2
2016
Hernandez, Teresa
3/9/2008
08-4506
x
6
2015
Herrera, Andrew
11/20/2004
053371
X
n/a
2012
Herrera, Andrew
3/31/2003
032640
X
n/a
2012
Herrera, Andrew
1/31/2011
11-0029
X
n/a
2017
Herschleb, Daniel
10/1/2009
10-0070
x
2
2016
Hiatt, Kristen
9/21/2006
07-4015
X
6
2015
Hill, Ricky
6/14/2001
011890
X
n/a
2012
Hinkle, Carol
4/25/2000
001372
X
n/a
2012
Hinojosa, Rehel
2/6/2005
05-3409
X
6
2015
Hittle, Nathan
7/29/2003
042807
X
n/a
2012
Hittle, Nathan
3/4/2003
032622
X
n/a
2012
Hittle, Nathan
8/7/2006
07-3972
x
6
2015
Hittle, Nathan
6/4/2006
06-3909
x
6
2015
Hodowanec, Leslie
8/21/2004
053258
X
n/a
2012
Hodowanec, Leslie
5/13/2004
043134
X
n/a
2012
Hodowanec, Leslie
9/24/2007
08-4382
X
6
2015
Hodowanec, Leslie
3/12/2011
11-0067
X
n/a
2017
Hoffer, Dennis E.
12/20/2003
042975
X
n/a
2012
Hoffer, Dennis E.
11/9/2001
022029
X
n/a
2012
Holcomb, James
7/23/2006
07-3953
x
6
2015
Holderman, Michael
5/26/2009
09-4923
x
2
2016
Holderman, Michael
7/8/2003
043152
X
n/a
2012
Holderman, Michael
10/2/2002
032443
X
n/a
2012
Holderman, Michael
4/25/2001
011800
X
n/a
2012
Holderman, Michael
10/10/2000
011570
X
n/a
2012
Holderman, Mike
7/17/2007
08-4338
x
6
2015
Holland, Ravel
10/2/2001
021983
X
n/a
2012
Holmes, Kimberly
7/31/2000
011484
X
n/a
2012
Holquin, Dora
6/9/2005
05-3534
x
6
2015
Holt, Willard
1/31/1996
96FIN0020
x
2
2016
Holt, William
12/7/2006
07-4099
x
6
2015
Hopp, Brian
4/19/2002
022226
X
n/a
2012
26 of 71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Howard, Andre
1/31/1997
97PDS0115
X
n/a
2012
Hoyos, Oscar
12/23/2004
053378
X
n/a
2012
Hoyos, Oscar
5/9/2003
032719
X
n/a
2012
Hoyos, Oscar
3/14/2002
022216
X
n/a
2012
Hoyos, Oscar
12/13/2000
011631
X
n/a
2012
Huerta, Carlos
7/25/2006
07-3958
x
6
2015
Huerta, Carlos
12/23/2006
07-4107
x
6
2015
Hughes, John
9/24/1998
98PDS0321
X
n/a
2017
Huizar, Louie
2/25/2002
022154
X
n/a
2012
Huizar, Louie
7/11/2001
021900
X
n/a
2012
Hummel, Kathryn
12/9/2003
042961
X
n/a
2012
Hummel, Kathryn
5/8/2003
032730
X
n/a
2012
Humphrey, Donald
6/24/2001
011875
X
n/a
2012
Humphrey, Ryan
9/3/2005
06-3626
x
6
2015
Humphrey, Ryan D.
11/3/2004
053325
X
n/a
2012
Humphrey, Ryan D.
1/7/2003
032556
X
n/a
2012
Humphrey, Ryan D.
12/23/2002
032539
X
n/a
2012
Humphrey, Ryan D.
3/21/2002
022192
X
n/a
2012
Humphrey, Ryan D.
1/22/2001
022045
X
n/a
2012
Hunt, George
9/21/2006
07-4014
x
6
2015
Ibarra, Henry
5/25/2011
11-0136
X
n/a
2017
Ibarra,lssac
2/22/2008
08-4495
x
6
2015
Ibarra, Issac
12/31/2007
08-4447
x
6
2015
Ingram, Michael
9/10/2002
032408
X
n/a
2012
Irmscher, Bruce
8/5/2003
042805
X
n/a
2012
Irmscher, Bruce
4/12/2006
06-3848
x
6
2015
Irwin, Rex
12/16/2003
042966
X
n/a
2012
Irwin, Rex
3/29/2002
022191
X
n/a
2012
Irwin, Rex
3/4/2005
05-3436
x
6
2015
Irwin, Rex
2/26/2007
07-4158
x
6
2015
Irwin, Rex
6/11/2007
07-4260
x
6
2015
Izac, David
4/22/1997
97FDS0105
x
12
2015
Jackson,Joe
7/7/2004
053194
X
n/a
2012
Jansen, David
2/27/2007
07-4176
x
5
2015
Jansen, David
3/30/2005
05-3460
x
5
2015
Janzen,Jake
7/30/1984
85002094
X
n/a
2012
Jaramillo, Julio
10/3/2002
011584
X
n/a
2012
Jaramillo, Vivian
6/9/2003
032751
X
n/a
2012
Jarusek, Charles
9/14/1999
001171
X
n/a
2012
Jarusek, Charles
3/10/1999
99PDS0081
X
n/a
2012
Jarusek, Charles
3/10/1999
99PDS0081
X
n/a
2012
Jason,John
6/1/2002
022271
X
n/a
2012
Jason, John
1/3/2000
001263
X
n/a
2012
Jason, John
9/5/2006
07-3997
x
5
2015
27 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Jason, John
9/5/2007
08-4339
x
5
2015
Jason, John
4/19/2004
04-3106
x
14
2016
Jason, John
2/4/2000
00-1300
x
14
2016
Jason, John
2/6/2008
08-4480
x
5
2015
Jilek, Gabriela
5/3/2011
11-0112
X
n/a
2017
Jimenez, Rodrigo
5/31/2010
10-0117
x
2
2016
Jimenez, Rodrigo
6/1/2011
11-0138
X
n/a
2017
Jiron, Pedro
11/2/2001
022025
X
n/a
2012
Jiron, Pedro
11/1/2007
08-4404
x
5
2015
Aron, Pedro
10/25/2007
08-4405
x
5
2015
Johannessen,Oddsverre
5/12/2004
043131
X
n/a
2012
Johannessen,Oddsverre
4/30/2008
08-4565
x
5
2015
Johnson, Dean
5/20/2003
032727
X
n/a
2012
Johnson, Dean
4/18/2003
032688
X
n/a
2012
Johnson, Dean
4/16/2001
011802
X
n/a
2012
Johnson, Dean
12/24/2005
06-3728
x
5
2015
Johnson, Dean
1/31/2006
06-3786
x
5
2015
Johnson, Dean
11/22/2006
07-4084
x
5
2015
Johnson, John
11/29/2000
011729
X
n/a
2012
Johnson, John
12/1/1986
87003511
X
n/a
2012
Johnson, John
10/20/1982
82001058
X
n/a
2012
Johnson, Laura
10/4/2000
011564
X
n/a
2012
Jones, David
12/12/1990
90140495
X
n/a
2017
Jones, Irene
11/3/2003
042938
X
n/a
2012
Jones, Irene
10/10/2002
032439
X
n/a
2012
Jones, Teresa
1/25/2004
043014
X
n/a
2012
Jones, Teresa
2/5/2001
011717
X
n/a
2012
Jones, Teresa
10/3/1998
98PBS0330
X
n/a
2012
Jones, Teresa
12/3/2006
07-4090
x
5
2015
Jones, Vera
8/19/2004
053248
X
n/a
2012
Jones, Vera
4/18/2001
011788
X
n/a
2012
Jones, Vera
9/15/1999
001160
X
n/a
2012
Jones, Vera
5/7/1998
98PDN0157
X
n/a
2012
Juarez,Frank
6/6/2004
043158
X
n/a
2012
Juarez, Katherine
5/25/2005
05-3516
x
5
2015
Juarez,Teresa
12/6/2004
053358
X
n/a
2012
Judson, Michael
7/12/1998
98PDS0243
X
n/a
2012
Jurado, Jennie
7/20/2001
021923
X
n/a
2012
Jurado, Jennie
2/5/2005
05-3140
x
5
2015
Jurado, Rogelio
6/5/2001
011844
X
n/a
2012
Kabia, Amadu
12/14/2007
08-4443
x
5
2015
Kagle, David
12/6/1999
001301
X
n/a
2012
Keating, Kenneth
3/26/2007
07-4184
x
5
2015
Keaton, Edward
9/24/2004
053289
X
n/a
2012
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7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Keaton, Edward
6/3/2003
032745
X
n/a
2012
Kennedy, Donald
5/5/2001
011816
X
n/a
2012
Kennedy, Donald
9/25/2005
06-3654
x
5
2015
Kennedy, Donald
4/13/2004
04-3099
x
5
2015
Khoury, Naiim S.
3/13/2003
032627
X
n/a
2012
Kilgore, Bruce D.
10/18/2001
022002
X
n/a
2012
Kim, Camillo
5/5/2008
08-4568
x
5
2015
Kim, Camillo
1/23/2011
11-0019
X
n/a
2017
Kim, Eugene
12/16/2002
032512
X
n/a
2012
Kim, Sandy
2/12/2011
11-0040
X
n/a
2017
Kirkpatrick, Caprice
11/17/2004
053397
X
n/a
2012
Kirkpatrick, Caprice
8/14/2003
042833
X
n/a
2012
Kirkpatrick, Caprice
11/28/2002
032499
X
n/a
2012
Kirkpatrick, Caprice
11/3/2006
07-4135
x
5
2015
Klein, Lynnette
9/2/2001
021952
X
n/a
2012
Klein, Lynnette
7/1/1997
98PDN00ll
X
n/a
2012
Kloss, Eli
8/18/2005
06-3600
x
11
2015
Kozakowski, Don
9/3/2006
07-3992
x
11
2015
Kozakowski, Donald
2/20/2004
043037
X
n/a
2012
Kozakowski, Donald
8/27/2000
011514
X
n/a
2012
Kozakowski, Donald
6/30/2000
011441
X
n/a
2012
Kozakowski, Mark
3/8/2001
011812
X
n/a
2012
Kramer, Paul
1/15/2002
022105
X
n/a
2012
Kron, Kevin
8/23/2007
08-4328
x
it
2015
Krutsinger, Jeff
3/4/2010
10-0052
X
n/a
2017
Krutsinger, Jeffrey
10/13/2010
10-0247
X
n/a
2017
Kuplast, Michael
12/16/2004
053367
X
n/a
2012
Kuplast, Michael
11/3/2006
07-4065
x
5
2015
Lackey, William
11/30/2002
032509
X
n/a
2012
Lacy, Robert
5/5/2005
05-3498
x
11
2015
Lacy, Robert J.
5/22/2002
022259
X
n/a
2012
Laguna, Enrique
9/24/2004
053294
X
n/a
2012
Laguna, Enrique
9/15/2003
042857
X
n/a
2012
Laguna, Enrique
9/19/2002
032420
X
n/a
2012
Laguna, Enrique
4/19/2006
06-3863
x
11
2015
Laguna, Henry
1/17/2007
07-4138
x
11
2015
Lai, Anthony
4/29/2004
043124
X
n/a
2012
Lambert, Doris
10/13/2004
053306
X
n/a
2012
Lambert, Doris
2/27/2006
06-3881
x
11
2015
Lam phear,Joseph
7/13/1984
84002250
X
n/a
2012
Lampman, David
4/21/2010
10-0084
x
2
2016
Lampman, David
11/7/2003
042918
X
n/a
2012
Lampman, David
8/21/2002
032378
X
n/a
2012
Lampman, David
1/12/2006
06-3759
x
11
2015
29of71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Lampman, David
9/14/2005
Lampman, David
8/24/2006
Lampman, Debbie
3/17/2009
Lampman, Debbie
2/17/2011
Landeros,Lupe
2/11/2003
Lanzner, Lewis
8/6/2004
Lanzner, Lewis
6/20/2002
Lanzner, Lewis
9/20/2006
Lanzner, Lewis
2/12/2008
Lappin, Olgvanna P.
12/19/2001
Lappin, Olgvanna P.
10/5/2000
Lara, Jose Luis
12/1/2004
Lara, Patricia
3/4/2002
Lara, Patricia
8/20/1998
Lara, Ron
1/20/2002
Lara, Ron
8/18/2000
Lara, Ron
12/9/2006
Lares, Jessica
6/19/2001
Larry, Leotis
6/16/2003
Larry, Leotis
11/27/2002
Larry, Leotis
4/9/2002
Larsen, James
9/11/2004
Larsen, James
1/18/2007
Larsen, James
11/5/2003
Larsen, James
7/9/2007
Larsen, James
8/3/2008
Larsen, James
3/23/2005
Larsen, James
3/9/2007
Larsen, James
3/5/2006
Laser, Amanda
12/16/2005
Lassiter, Maureen
7/19/2000
Latos, Robert
10/15/2005
Launi, Jeff
1/8/2004
Laura, Rommel
7/25/2010
Laura, Rommel
4/25/2008
Lazarine-Mccarty, Lorraine
10/21/2004
Lazarine-Mccarty, Lorraine
7/14/2003
Le Geyt, Kelvin
5/29/2005
Leach, Stephanie
3/20/2003
Leach, Stephanie
7/14/2005
Learner, Bruce
3/9/2005
Learner, Bruce
1/20/2004
Lechuga, Gerardo S.
1/6/2003
Lecours, Philip
3/6/2006
Claim #:
Medical Indemnity
Box #
Purge Year
06-3641
x
11
2015
07-4040
x
11
2015
09-4851
x
17
2016
11-0046
X
n/a
2017
032583
X
n/a
2012
053232
X
n/a
2012
022294
X
n/a
2012
07-4013
x
11
2015
08-4483
x
11
2015
022068
X
n/a
2012
011563
X
n/a
2012
053406
X
n/a
2012
022163
X
n/a
2012
98LIB0280
X
n/a
2012
022103
X
n/a
2012
011513
X
n/a
2012
07-4100
x
it
2015
011859
X
n/a
2012
032752
X
n/a
2012
032494
X
n/a
2012
022204
X
n/a
2012
05-3269
x
11
2015
07/4133
x
11
2015
04-2927
x
it
2015
08-4283
x
it
2015
09-4665
x
11
2015
05-3458
x
11
2015
07-4170
x
11
2015
06-3830
x
11
2015
06-3721
x
11
2015
01-1469
x
11
2015
06-3799
x
11
2015
04-3015
x
11
2015
10-0179
x
2
2016
08-4559
x
11
2015
05-3309
x
11
2015
04-2784
x
11
2015
05-3519
x
19
2015
032639
X
n/a
2012
06-3572
x
11
2015
05-3556
x
16
2016
043011
X
n/a
2012
032538
X
n/a
2012
06-3813
x
11
2015
30 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Lecours, Philip
11/9/2005
06-3692
x
11
2015
Lecours, Philip
7/11/2006
07-3946
x
11
2015
Lee, Dianna
2/8/2003
032589
X
n/a
2012
Lee, Dianna
8/23/2002
032379
X
n/a
2012
Lee,Tony
4/8/2004
043096
X
n/a
2012
Lee,Tony
12/31/2003
042999
X
n/a
2012
Lee,Tony
1/6/2011
11-0007
X
n/a
2017
Lee, Zandra
5/1/2002
022235
X
n/a
2012
Leftige, Ronald
5/14/2010
10-0114
x
3
2016
Leftige, Ronald
11/6/2004
053328
X
n/a
2012
Leftige, Ronald
2/26/2008
08-4492
x
11
2015
Leftige, Ronald
11/4/2006
07-4067
x
11
2015
Leftige, Ronald
6/3/2005
05-3527
x
19
2015
Leftige, Ronald
8/18/2006
07-3979
x
19
2015
Leifkes, Rebecca
9/26/2002
032428
X
n/a
2012
Leiva, Carol
8/4/2005
06-3584
x
19
2015
Lenz, Evelyn
9/26/2007
08-4365
x
3
2016
Leos, Joseph
9/21/2006
07-4017
x
19
2015
Leos, JosephL.
12/9/2002
032510
X
n/a
2012
Leos, JosephL.
11/25/2002
032497
X
n/a
2012
Leos, Joseph L.
11/8/2002
032486
X
n/a
2012
Levatino, Anthony
12/2/2004
053353
X
n/a
2012
Lewellen, Melvin
7/18/2002
032334
X
n/a
2012
Lewellen, Melvin
4/16/2002
022213
X
n/a
2012
Lewis, Brenda E.
7/4/2002
032310
X
n/a
2012
Lim, Sonny
5/5/2007
07-4218
x
19
2015
Lima, David
7/12/2000
011453
X
n/a
2012
Linares, Katherine
3/26/2011
11-0077
X
n/a
2017
Little, Brian
10/24/2007
08-4398
x
19
2015
Livingston, James
12/11/2003
042974
X
n/a
2012
Livingston, James
1/17/2001
011752
X
n/a
2012
Livingston, James
1/25/2007
07-4143
x
19
2015
Lizardi, Oscar
9/10/2000
011531
X
n/a
2012
Lizardi, Oscar
12/29/2005
06-3739
x
19
2015
Lockwood, Michael
3/8/2004
043064
X
n/a
2012
Lockwood, Michael
3/19/2003
032636
X
n/a
2012
Lockwood, Michael
11/27/2001
022048
X
n/a
2012
Loepz, Vincent
3/30/2006
06-3842
x
19
2015
Lofton, Oliver
2/23/2002
022149
X
n/a
2012
Lofton, Oliver
12/19/2001
022071
X
n/a
2012
Lomeli, Paula
1/6/2004
043133
X
n/a
2012
Lopez, Alejandro
4/20/2004
043113
X
n/a
2012
Lopez, Alejandro
2/23/2004
043038
X
n/a
2012
Lopez, Alejandro
6/26/2002
032315
X
n/a
2012
31 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Lopez, Alejandro
4/4/2002
022195
X
n/a
2012
Lopez, Alejandro
12/1/2000
011630
X
n/a
2012
Lopez, Alejandro
2/16/2005
05-3422
x
19
2015
Lopez, Alejandro
5/18/2005
05-3509
x
19
2015
Lopez, Christina
1/17/2001
011713
X
n/a
2012
Lopez, David
1/7/2003
032554
X
n/a
2012
Lopez, David
3/1/2007
07-4164
x
19
2015
Lopez, Diego
2/18/2005
05-3427
x
19
2015
Lopez,Eva
4/3/2002
022230
X
n/a
2012
Lopez, Jaime
12/4/2003
042955
X
n/a
2012
Lopez, Jaime
2/18/2005
05-3426
x
19
2015
Lopez, Jaime
10/21/2005
06-3683
x
19
2015
Lopez, Jesse
9/8/2004
053265
X
n/a
2012
Lopez, Jesse
11/3/2005
06-3688
x
19
2015
Lopez, Jorge
9/26/2002
032434
X
n/a
2012
Lopez, Jorge
5/20/2008
08-4579
x
19
2015
Lopez, Jorge
12/5/2006
07-4093
x
19
2015
Lopez, Jorge
2/23/2011
11-0058
X
n/a
2017
Lopez, Juan
5/29/2001
011839
X
n/a
2012
Lopez, Mario
7/22/2011
11-0200
X
n/a
2017
Lopez, Patricia
8/15/2011
11-0216
X
n/a
2017
Lopez, Sandra
9/21/2005
06-3638
x
19
2015
Lopez, Sandra
1/30/2008
08-4473
x
19
2015
Lopez, SandraL.
1/16/2003
032541
X
n/a
2012
Lopez, SandraL.
10/31/2000
011587
X
n/a
2012
Lopez, Valerie
4/13/2005
05-3472
x
19
2015
Lopez, Vincent
2/14/2011
11-0044
X
n/a
2017
Lopez, Vincent A.
11/6/2002
032477
X
n/a
2012
Lopez, Vincent A.
2/4/2002
022128
X
n/a
2012
Lopez, Vincent A.
12/8/2000
011627
X
n/a
2012
Lopez -Hidalgo, Arthur
5/21/2004
043147
X
n/a
2012
Lopez -Hidalgo, Arthur
6/2/2006
06-3906
x
9
2015
Lozano, Efren
1/15/2002
022118
X
n/a
2012
Lucas, Charmaine
12/2/2003
89140191
X
n/a
2012
Lucas, Charmaine
8/1/2003
042830
X
n/a
2012
Lucas, Charmaine
8/1/2003
042829
X
n/a
2012
Lucas, Charmaine
8/24/1994
94PDN0270
X
n/a
2012
Lucas, Ted
11/13/2004
053335
X
n/a
2012
Lucas,Ted
11/28/2003
042942
X
n/a
2012
Luis, Alfonso
4/18/2003
032690
X
n/a
2012
Lujan, Mario
8/19/2003
042824
X
n/a
2012
Lujan, Mario
1/26/2001
022011
X
n/a
2012
Lujan, Mario
12/18/2000
011644
X
n/a
2012
Lujan, Mario
12/17/2001
02-2065
x
19
2015
32 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Luna, Elisa
10/18/2004
053386
X
n/a
2012
Luna, Frank
1/9/2001
011777
X
n/a
2012
Luna, Frank
1/9/2001
011776
X
n/a
2012
Luna, Frank
1/9/2001
011774
X
n/a
2012
Luna, Frank
1/8/2001
011715
X
n/a
2012
Luna, Frank
6/1/1998
011775
X
n/a
2012
Luna,Pedro
3/1/2001
011720
X
n/a
2012
Luna,Pedro
8/4/2009
09-4991
x
14
2016
Luna,Pedro
9/1/2005
06-3610
x
19
2015
Luna,Ray
10/11/2004
053313
X
n/a
2012
Luclue,Nymia
4/30/2002
022231
X
n/a
2012
Lynwood, Jesse
8/3/2010
10-0198
X
n/a
2017
Lynwood, Jesse
1/5/2011
11-0015
X
n/a
2017
Lynwood, Jesse
5/12/2011
11-0153
X
n/a
2017
Macchiaroli, Michelle
6/20/2004
043173
X
n/a
2012
Macchiaroli, Michelle
3/1/2007
07-4166
x
9
2015
Macchiaroli, Michelle
9/21/2005
06-3647
x
9
2015
Macias, Javier
2/26/2001
011718
X
n/a
2012
Macias, Manuel
8/17/2004
053245
X
n/a
2012
Macias, Manuel
10/22/2002
032456
X
n/a
2012
Macias, Manuel
4/30/2006
06-3885
x
12
2015
Macias, Miguel
5/31/2006
063904
X
n/a
2012
Macias, Miguel
4/9/2003
032674
X
n/a
2012
Macias, Miguel
9/7/2002
032409
X
n/a
2012
Macias, Miguel
4/10/2001
011785
X
n/a
2012
Macias, Miguel
3/23/2000
001341
X
n/a
2012
Macias, Miguel
3/6/1990
90140099
X
n/a
2012
Maciha, Greg
12/4/2006
07-4092
x
12
2015
Maciha, Gregory
1/30/2005
053398
X
n/a
2012
Mack, Margaret
5/23/2001
011847
X
n/a
2012
Maculsay, Hilary
5/16/2008
08-4578
x
12
2015
Maddox, Carmen
8/13/2003
043022
X
n/a
2012
Maddox, Carmen
3/1/2000
001347
X
n/a
2012
Maddox, Carmen
1/1/1991
91140012
X
n/a
2012
Maddox, James
8/24/1997
97PDS0264
X
n/a
2012
Maddox, James
9/2/1991
91140290
X
n/a
2012
Maddox, Madeleine
8/20/2002
032374
X
n/a
2012
Madrigal, Osiel
5/11/2004
043132
X
n/a
2012
Maffey, Ricardo
9/16/2004
053292
X
n/a
2012
Magana, Rigo
1/12/2007
07-4129
x
12
2015
Magana, Rigo
7/15/2006
07-4006
x
12
2015
Magana, Rigo
4/26/2006
06-3869
x
12
2015
Magee, Albert
12/10/2001
022091
X
n/a
2012
Magee, Albert
8/24/2001
021936
X
n/a
2012
33of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Mahany, Donald
3/7/1998
98FD50073
x
3
2016
Mahany, Donald
9/15/2004
053273
X
n/a
2012
Mahany, Donald
6/22/2004
043176
X
n/a
2012
Mahany, Donald
4/23/2006
06-3872
x
19
2015
Maiocco, Michael
9/23/2001
021979
X
n/a
2012
Maiocco, Michael
2/1/2005
05-3418
x
12
2015
Maiocco, Michael
7/4/2011
11-0173
X
n/a
2017
Majors, Eric
6/19/2007
07-4255
x
12
2015
Maldonado, Miguel
10/1/2006
07-4021
x
12
2015
Manning, John
8/24/2009
09-5097
x
19
2015
Manzo, Alexander
4/9/2003
032665
X
n/a
2012
Manzo, Alexander
2/15/2001
011702
X
n/a
2012
Manzo, Alexander
12/21/2011
12-0006
X
n/a
2018
Manzo, Victor
11/21/2006
07-4082
x
12
2015
Marban, Enrique
7/8/2002
032321
X
n/a
2012
Marckstadt, Richard
2/24/2004
043047
X
n/a
2012
Marckstadt, Richard
10/15/2002
032473
X
n/a
2012
Marckstadt, Richard
4/30/2001
011832
X
n/a
2012
Marckstadt, Richard
1/12/2006
06-3754
x
12
2015
Marckstadt, Richard
9/16/2005
06-3632
x
12
2015
Marckstadt, Richard
9/4/2006
07-3991
x
12
2015
Marckstadt, Richard
6/14/2005
05-3549
x
12
2015
Marckstadt, Richard
08/02/2012
12-0150
X
n/a
2018
Marckstadt, Rick
12/20/2005
03-2724
x
3
2016
Marek, Carl
08/13/2012
12-0155
X
n/a
2018
Mariani, Hector
9/22/1999
001162
X
n/a
2012
Marinello, Dennis
8/16/2004
053240
X
n/a
2012
Marinello, Dennis
12/14/2000
011714
X
n/a
2012
Marinello, Dennis
7/31/2008
09-4653
x
9
2015
Marinello, Dennis
5/28/2006
06-3902
x
9
2015
Marinello, Dennis
9/8/2006
07-4002
x
9
2015
Marinello, Dennis
7/30/2006
07-3967
x
12
2015
Marinello, Dennis
O1/31/2011
11-0027
X
n/a
2018
Maroyoqui, Gus
11/21/2007
08-4422
x
21
2015
Marquez, Gilbert
10/30/2000
011589
X
n/a
2012
Marquez, Grady
8/9/2001
021935
X
n/a
2012
Marquez, Grady
11/19/2006
07-4079
x
9
2015
Marquez, Grady
08/19/2009
09-5008
X
n/a
2018
Martinez, Carlos
10/15/2003
042893
X
n/a
2012
Martinez, John
12/30/2005
06-3737
x
26
2015
Martinez, John
03/10/2006
06-3807
X
n/a
2018
Martinez, Jose
7/23/2004
053219
X
n/a
2012
Martinez, Jose
2/27/2002
022157
X
n/a
2012
Martinez, Jose
7/15/2001
021894
X
n/a
2012
34 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Martinez, Jose
4/16/2001
011783
X
n/a
2012
Martinez, Jose
9/19/2000
011551
X
n/a
2012
Martinez, Jose
8/27/2008
09-4687
x
26
2015
Martinez, Jose
6/30/2011
11-0163
X
n/a
2017
Martinez, Jose
1/19/2005
05-3405
X
n/a
2017
Martinez, Jose
01/20/2005
06-3808
X
n/a
2018
Martinez, Jose
04/29/2003
03-2700
X
n/a
2018
Martinez, Jose
07/02/2004
05-3191
X
n/a
2018
Martinez, Julia
08/05/2012
12-0152
X
n/a
2018
Martinez,Leobardo
03/12/2012
12-0056
X
n/a
2018
Martinez, Louie
06/26/2004
04-3180
X
n/a
2018
Martinez, Maria Esther
2/25/2005
05-3434
x
14
2015
Martinez, Nancy
12/29/2003
042988
X
n/a
2012
Martinez, Obet
4/7/2011
11-0093
X
n/a
2017
Martinez, Sal
3/7/2005
05-3438
x
26
2015
Martinez, Sal 0.
7/11/2003
042778
X
n/a
2012
Marty, Joseph
2/6/2008
08-4487
x
26
2015
Marty, Joseph
12/24/2005
06-3748
x
26
2015
Marty, Joseph
2/15/2011
11-0045
X
n/a
2017
Masip, Daniel
3/2/2004
043051
X
n/a
2012
Masip, Daniel
1/12/2004
043003
X
n/a
2012
Masip, Daniel
12/8/2003
042960
X
n/a
2012
Masip, Daniel
8/8/2006
07-3974
x
26
2015
Masip, Daniel
1/9/2006
06-3751
x
26
2015
Masip, Daniel
12/6/2010
10-0297
X
n/a
2017
Masip, Daniel
12/31/2006
09-4846
X
n/a
2018
Mason, David W.
2/14/2002
022144
X
n/a
2012
Mason, Deanna M.
2/25/2004
043044
X
n/a
2012
Mason, Deanna M.
12/9/2000
011628
X
n/a
2012
Mathers, John
2/16/2002
022152
X
n/a
2012
Mathers, John
9/11/2007
08-4349
x
26
2015
Mathews, Brian J.
7/31/2002
032392
X
n/a
2012
Matlock, Kyle D.
8/30/2001
021950
X
n/a
2012
Mattke, Eric
2/7/2001
011696
X
n/a
2012
Matulin, Ann
5/2/2001
011810
X
n/a
2012
May, Robert
4/16/2003
032675
X
n/a
2012
Mayo, Brad
5/29/2008
08-4590
x
26
2015
Mayo, Brad
10/3/2007
08-4389
x
26
2015
Mayo, Brad
12/15/2004
05-3365
x
26
2015
Mayo, Brad
7/22/2008
09-4650
x
26
2015
Mayo, Brad
06/06/2011
11-0176
X
n/a
2018
Mayorga, Raul
4/15/2008
08-4542
x
26
2015
Mayorga, Raul
8/20/2007
08-4316
x
26
2015
Mccarthy, Michael
3/1/2007
07-4165
x
26
2015
35of71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
McCarthy, Michael
2/16/2003
03-2597
x
26
2015
McCarthy, Michael
8/20/2001
02-1925
x
26
2015
McCarthy, Michael
8/9/2003
04-2851
x
26
2015
McCarthy, Michael
12/6/2000
01-1626
x
26
2015
McCarthy, Michael
9/18/2003
04-2863
x
26
2015
McCarthy, Michael
8/4/2004
05-3235
x
26
2015
McCarthy, Michael
6/27/2005
05-3554
x
26
2015
McCarthy, Mike
O1/15/2009
09-4814
X
n/a
2018
Mcclary
11/30/2000
01-1604
x
28
2015
Mcclaskey, Paul
7/18/2009
09-4978
X
n/a
2017
McClelland, Tracy
7/23/2004
05-3215
x
26
2015
McCoy, Daniel
8/25/2001
02-1978
x
28
2015
McCoy, William
2/5/2002
02-2299
x
14
2015
McCoy, William
8/11/2001
02-1930
x
26
2015
McCoy, William
9/28/1998
98FDS0349
x
26
2015
McCoy, William
7/26/1997
97FDS0263
x
28
2015
McCoy, William
9/3/2001
02-1981
x
28
2015
McCoy, William
7/22/1991
91140256
x
28
2015
Mcdaniel, James A.
4/22/1998
98PDS0139
X
n/a
2012
Mcdaniel, James A.
2/11/1998
98PDS0057
X
n/a
2012
Mcdaniel, James A.
6/13/1997
97PDS0186
X
n/a
2012
Mcdaniel, James A.
5/7/1997
97PDS0129
X
n/a
2012
Mcdaniel, James A.
9/14/1996
96PDS0250
X
n/a
2012
Mcdaniel, James A.
12/25/1989
89140354
X
n/a
2012
Mcdermott, Daniel
5/6/2001
011819
X
n/a
2012
Mcdermott, Daniel
5/13/2000
001389
X
n/a
2012
Mcdermott, Daniel
9/17/1998
98PDS0317
X
n/a
2012
Mcdermott, Daniel
11/30/2007
08-4430
x
26
2015
Mcdermott, Daniel
9/14/2006
07-4004
x
26
2015
Mcdermott, Daniel
5/16/2005
06-3757
x
26
2015
Mcdermott, Mark J.
7/29/2003
042815
X
n/a
2012
Mcewan, James
3/5/2004
043054
X
n/a
2012
Mcewan, James
7/21/2003
042792
X
n/a
2012
Mcewen, James
2/23/2005
05-3430
x
26
2015
Mcgeachy, Douglas
8/8/2001
021912
X
n/a
2012
Mchugh, Patrick
1/11/1999
99FDS0025
X
n/a
2012
Mchugh, Patrick
11/26/1998
99FDS0027
X
n/a
2012
Mchugh, Patrick
8/18/2007
08-4319
x
26
2015
Mchugh, Patrick
7/3/2005
06-3582
x
26
2015
Mchugh, Steven
5/21/1999
991048
X
n/a
2012
Mcleod, Matthew L.
6/29/2003
042769
X
n/a
2012
Mcmanus, Eugene
9/30/2003
042870
X
n/a
2012
Mcmanus, Eugene
2/19/2002
022160
X
n/a
2012
Mcmanus, Eugene
3/22/1992
92240079
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Mcnatt, Victer
12/15/2003
042964
X
n/a
2012
Mcnatt, Victer
4/9/2002
022199
X
n/a
2012
Mcpeck, Kim
12/10/2009
09-5120
x
3
2016
Meacham, Mike D.
6/3/1999
991036
X
n/a
2012
Medibles, Carmen
2/8/2006
06-3790
x
26
2015
Medina, Eveniser
11/9/2010
10-0281
x
3
2016
Medina, Octavio
6/7/2006
06-3915
x
26
2015
Medina, Octavio
4/24/2005
05-3480
x
26
2015
Medina, Octavio
12/8/2006
07-4101
x
26
2015
Medina, Octavio
9/1/2006
07-3994
x
26
2015
Medina, Octavio
12/10/2010
10-0306
X
n/a
2017
Medina, Octavio A.
1/10/2003
032549
X
n/a
2012
Medina, Octavio A.
6/11/2002
022287
X
n/a
2012
Medina, Octavio A.
10/10/2000
011571
X
n/a
2012
Medina, Yvonne
6/2/2001
011846
X
n/a
2012
Medina, Yvonne
2/19/2000
011878
X
n/a
2012
Medrano, Eddie
5/6/2009
09-4968
x
3
2016
Medrano, Edward
9/16/2007
08-4359
x
26
2015
Mejia, Jerry
9/24/2007
08-4362
x
26
2015
Mejia, Nancy
1/22/2011
11-0022
X
n/a
2017
Melendez, Carlos
4/26/2011
11-0117
X
n/a
2017
Melendez, Jose
6/10/2002
022280
X
n/a
2012
Melendez, Lisa
4/22/2002
022241
X
n/a
2012
Melgar, Armandina
4/22/1998
98FIN0182
X
n/a
2012
Melgoza, Tirzo
9/9/1991
022109
X
n/a
2012
Melton, James
4/30/2002
022228
X
n/a
2012
Melton, James
3/5/2001
011742
X
n/a
2012
Melton, James
8/2/2000
001490
X
n/a
2012
Melton, James
8/26/2005
06-3606
x
26
2015
Melton, James
10/17/2005
06-3677
x
26
2015
Mendez, Edward
8/9/1999
011515
X
n/a
2012
Mendez, Edward
4/1/1999
99PWM0112
X
n/a
2012
Mendez, Edward
8/4/1997
97PWM0247
x
14
2015
Mendoza, Ben
2/11/2010
10-0034
x
3
2016
Mendoza, Benjamin
2/18/2004
043034
X
n/a
2012
Mendoza, Benjamin
8/1/2001
021915
X
n/a
2012
Mendoza, Benjamin
9/27/2007
08-4363
x
26
2015
Mendoza, Eddie
2/6/2007
07-4140
x
21
2015
Mendoza, Edward
2/27/2004
043045
X
n/a
2012
Mendoza, Edward
2/21/2011
11-0050
X
n/a
2017
Mendoza, Francisco
8/6/2007
08-4303
x
14
2015
Mendoza, Jaime
5/28/2008
08-4583
x
3
2016
Mendoza, Jose
12/29/2008
09-4800
x
3
2016
Mendoza, Jose
2/18/2007
07-4156
x
21
2015
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Mendoza, Jose
7/15/2007
08-4285
x
21
2015
Mendoza, Roberto
3/24/2004
043075
X
n/a
2012
Mendoza, Roberto
4/8/2003
032682
X
n/a
2012
Mendoza, Rosalinda
8/28/2007
08-4329
x
21
2015
Menendez, Nelson
6/13/2000
011569
X
n/a
2012
Menendez, Nelson
4/5/2005
05-3466
x
21
2015
Menendez, Nelson
5/15/2011
11-0119
X
n/a
2017
Menendez, Nelson
11/28/2010
11-0004
X
n/a
2017
Mercer, Brian
12/5/2009
'09-5115
x
3
2016
Mercer, Brian
10/14/2007
08-4378
x
21
2015
Mercer, Brian
5/10/2007
07-4226
x
21
2015
Mercer, Brian
7/10/2009
09-4967
X
n/a
2017
Merner, Suzanne
3/4/2009
09-4841
x
3
2016
Merner, Suzanne
7/6/2009
09-4960
x
3
2016
Merner, Suzanne
4/12/2009
09-4871
X
n/a
2017
Merner, Suzanne
1/13/2010
10-0043
X
n/a
2017
Merritt, William
7/7/2004
053193
X
n/a
2012
Merritt, William
4/14/2003
032680
X
n/a
2012
Merritt, William
1/26/1999
99WOM0035
X
n/a
2012
Meza, Evelyn
8/19/2002
032377
X
n/a
2012
Meza,Socorro
6/9/2008
08-4602
x
21
2015
Miller, Jay
11/28/2008
09-4784
x
3
2016
Miller, Jay
10/20/2010
10-0260
x
3
2016
Miller, Jay
8/3/2010
10-0182
x
3
2016
Miller, lay
8/1/2006
07-3969
x
21
2015
Miramontes, Norma
4/19/2004
043109
X
n/a
2012
Miramontes, Norma
11/4/2002
032495
X
n/a
2012
Miranda, Erik
10/26/2008
09-4751
x
3
2016
Miranda, Erik
4/14/2007
07-4206
x
21
2015
Miranda, Gary
1/7/2010
10-0004
x
3
2016
Miranda, Gary J.
9/9/2004
053268
X
n/a
2012
Miranda, Gary J.
11/11/2001
022036
X
n/a
2012
Miranda, Gary J.
6/21/2000
001434
X
n/a
2012
Miranda, Tony
11/10/2008
09-4771
x
3
2016
Mochizuki, Kyle W.
4/5/2001
Rsry Firefighter
X
n/a
2012
Moeller, Blaine
6/14/2001
011863
X
n/a
2012
Molina, Gilbert
11/4/2008
09-4764
x
3
2016
Molina, Gilbert
6/6/2004
043159
X
n/a
2012
Molina, Gilbert
11/19/2003
042928
X
n/a
2012
Molina, Gilbert
11/4/2002
032466
X
n/a
2012
Molina, Gilbert
7/10/2001
021892
X
n/a
2012
Molina, Gilbert
5/28/2001
011835
X
n/a
2012
Monreal, Manual
7/1/2008
09-4618
x
21
2015
Monreal, Manual
2/12/2008
08-4484
x
21
2015
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Monreal, Manuel
10/19/2008
09-4745
x
3
2016
Monreal, Manuel
2/21/2011
11-0053
X
n/a
2017
Monreal, Manuel
9/6/2009
09-5022
X
n/a
2017
Montalvo, Jessica
10/19/2009
09-5061
X
n/a
2017
Montiel, Juan
4/16/2007
07-4197
x
21
2015
Monville, Sean
4/27/2008
08-4584
x
3
2016
Monville, Sean
1/5/2007
07-4130
x
21
2015
Mooney, Hugh
5/10/2001
022021
X
n/a
2012
Moore, Franklin Terry
10/17/2001
022010
X
n/a
2012
Moorhouse, Danny D.
8/7/2000
011503
X
n/a
2012
Morales, Arthur
12/17/2003
042967
X
n/a
2012
Morales, Arthur
1/31/2001
011692
X
n/a
2012
Morales, Janet
11/17/2003
042935
X
n/a
2012
Morales, Janet
7/31/2002
032348
X
n/a
2012
Morales, Janet
7/28/1998
98PBPO266
X
n/a
2012
Morales, Javier
5/15/2007
07-4230
x
21
2015
Moran, George
4/6/2009
09-4870
x
3
2016
Moran, George
9/18/2003
042859
X
n/a
2012
Moran, George
5/25/2006
06-3899
x
21
2015
Moran, George
1/17/2006
06-3763
x
21
2015
Moreno, Damian
3/24/2009
09-4857
x
3
2016
Moreno, Damian
4/10/2008
08-4541
x
21
2015
Moreno, Daniel E.
2/19/2003
032593
X
n/a
2012
Moreno, Eddie
9/10/2004
053274
X
n/a
2012
Moreno, Eddie
8/18/2004
053244
X
n/a
2012
Moreno, Jessica
6/20/2001
011868
X
n/a
2012
Moreno, Jorge E.
6/11/2002
022289
X
n/a
2012
Moreno, Manuel
2/21/2008
08-4494
x
3
2016
Moreno, Manuel
5/6/2004
043127
X
n/a
2012
Moreno, Manuel
1/15/2004
043009
X
n/a
2012
Moreno, Manuel
12/6/2003
042959
X
n/a
2012
Moreno, Manuel
3/4/2003
032614
X
n/a
2012
Moreno, Manuel
9/23/2002
032417
X
n/a
2012
Moreno, Manuel
4/8/2005
05-3465
x
21
2015
Moreno, Stephen
5/26/2007
07-4247
x
21
2015
Moreno, Stephen L.
5/11/2003
032716
X
n/a
2012
Moreno, Stephen L.
7/11/2002
032320
X
n/a
2012
Moreno, Stephen L.
12/12/2000
011632
X
n/a
2012
Morgan, Jeffrey
5/27/2001
011837
X
n/a
2012
Moriel, Oscar
2/8/2003
032588
X
n/a
2012
Moriel, Oscar
3/7/2002
022165
X
n/a
2012
Moriel, Oscar
7/26/2007
08-4295
x
21
2015
Moroyoqui, Diana
8/23/2001
021928
X
n/a
2012
Moroyoqui, Gus
12/14/2006
07-4103
x
21
2015
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Moroyoqui, Gustavo
4/28/2003
032697
X
n/a
2012
Moroyoqui, Gustavo
2/25/2003
032617
X
n/a
2012
Mosqueda, Edward
9/20/2006
07-4011
x
3
2016
Mosqueda, Edward
7/15/2009
09-4974
x
3
2016
Mosqueda, Edward
6/6/2011
11-0140
x
3
2016
Mosqueda, Edward
3/11/2010
10-0057
x
4
2016
Mosqueda, Edward
12/29/2009
09-5133
x
4
2016
Mosqueda, Edward
9/19/2006
07-4008
x
4
2016
Mosqueda, Edward
6/27/2010
10-0152
x
4
2016
Mosqueda, Edward
8/12/2007
08-4311
x
4
2016
Moyer, Loren
6/7/1984
85001486
x
4
2016
Moyer, Loren
6/9/2004
043175
X
n/a
2012
Moyer, Loren
2/6/2003
032610
X
n/a
2012
Moyer, Loren
5/19/1998
98FDS0172
X
n/a
2012
Moyer, Loren
6/7/1984
85ANA0157220
X
n/a
2012
Moyer, Loren
2/28/2005
05-3435
x
21
2015
Moyer, Tyler
12/8/2007
08-4433
x
21
2015
Muir, John
10/12/2001
022003
X
n/a
2012
Muir, John
6/28/2001
011879
X
n/a
2012
Muir, John
11/29/2007
08-4428
x
21
2015
Muir, John
12/5/2006
07-4104
x
21
2015
Muir, Jon
12/1/2008
09-4789
x
4
2016
Muir, Jon
6/8/2005
05-3531
x
4
2016
Muir, Jon
7/19/2010
10-0168
X
n/a
2017
Munguia, Vianey
8/4/2004
053229
X
n/a
2012
Muniz, Jose
8/31/2009
09-5026
x
4
2016
Muniz, Jose
2/18/2010
10-0040
x
4
2016
Muniz, Jose
12/10/2003
042968
X
n/a
2012
Muniz, Jose
6/10/2002
022277
X
n/a
2012
Muniz, Jose
4/26/2001
011799
X
n/a
2012
Muniz, Jose
10/31/2005
06-3680
x
21
2015
Muniz, Jose
3/7/2005
05-3437
x
21
2015
Munoz, Patricia
5/4/2009
09-4894
x
4
2016
Munoz, Patricia
1/1/2002
022079
X
n/a
2012
Munoz, Patricia
10/10/2005
06-3656
x
21
2015
Muro, Netzher
6/23/2009
09-4946
x
4
2016
Muro, Netzher
12/15/2009
09-5123
x
4
2016
Muro, Netzher
12/10/2008
09-4792
x
4
2016
Muro, Netzher
10/22/2010
10-0264
x
4
2016
Muro, Netzher
10/29/2001
022017
X
n/a
2012
Muro, Netzher
12/13/2005
06-3720
x
21
2015
Muro, Netzher
4/19/2006
06-3856
x
21
2015
Muro, Netzher
7/14/2007
08-4292
x
21
2015
Murray, Marianne
10/26/2005
06-3679
x
4
2016
40 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Murray, Marianne
2/27/2008
09-4657
x
4
2016
Murray, Marianne
11/4/2003
042919
X
n/a
2012
Murray, Marianne
1/9/2003
032542
X
n/a
2012
Murray, Marianne
9/14/2002
032412
X
n/a
2012
Murray, Marianne
1/15/2001
011671
X
n/a
2012
Murrietta, Mike
7/17/2008
09-4642
x
4
2016
Murtough, Katie
9/6/2007
08-4347
x
21
2015
Napolitano, James
12/23/2004
053376
X
n/a
2012
Napolitano, James
12/2/2003
042954
x
n/a
2012
Napolitano, James
9/19/2002
032478
x
n/a
2012
Napolitano, James
1/21/2006
06-3769
x
21
2015
Nava, Margarita
10/1/2004
053301
x
n/a
2012
Nava, Margarita
9/19/2002
032664
x
n/a
2012
Nava, Martha
8/31/2001
021946
X
n/a
2012
Nava, Martha
3/17/2005
05-3446
x
21
2015
Navarro, Adam
4/22/2005
05-3477
x
21
2015
Navarro, Adan
9/3/2002
032394
X
n/a
2012
Navarro, Adan
1/5/2006
06-3746
x
21
2015
Navarro, Antonio
6/11/1998
98PAR0188
x
n/a
2012
Navarro, Bernardina
8/12/2009
09-4993
x
4
2016
Navarro, Bernardina
4/29/2002
022232
X
n/a
2012
Navarro, Bernardina
7/17/2006
07-3954
x
21
2015
Navarro, Juan M.
2/21/2002
022148
X
n/a
2012
Navarro, Rogelio
5/22/2008
08-4580
x
21
2015
Nellesen, James
6/29/2004
053188
X
n/a
2012
Nellesen, James
7/17/2002
032326
X
n/a
2012
Nelson, Brent
11/19/2007
08-4423
x
21
2015
Nelson, Brent
7/29/2006
07-3964
x
21
2015
Nelson, Brent
1/12/2006
06-3760
x
21
2015
Nelson, Brett
11/22/2009
09-51003
x
4
2016
Nelson, Brett
12/29/2004
053383
X
n/a
2012
Nelson, Brett
5/16/2002
022249
X
n/a
2012
Nelson, Brett
12/21/2000
011649
X
n/a
2012
Nelson, Brett
07/17/2012
12-0138
X
n/a
2018
Nelson, Brett
03/29/2012
12-0070
x
n/a
2018
Nelson, Brett
08/21/2013
13-0129
X
n/a
2018
Neri,Yovany
6/14/2008
08-4609
x
25
2015
Newton, Arlene
9/29/2007
08-4369
x
25
2015
Ngo,Bang
5/12/2007
07-4222
x
25
2015
Ngo,Sonny
11/8/2003
042923
X
n/a
2012
Ngo,Sonny
1/29/2003
032568
X
n/a
2012
Ngo,Sonny
6/11/2002
032307
X
n/a
2012
Ngo,Sonny
3/2/2001
011727
X
n/a
2012
Ngo,Sonny
6/14/2000
001427
x
n/a
2012
41 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Ngo,Sonny
12/25/1999
001277
X
n/a
2012
Nguyen, Angie
7/21/2004
053209
X
n/a
2012
Nguyen,Anthony
6/17/2006
06-3926
x
25
2015
Nguyen,Anthony
9/15/2006
07-4005
x
25
2015
Nguyen,Cong
10/6/1998
98PDS0329
X
n/a
2012
Nguyen, Dinh
10/14/2003
04-2917
x
15
2016
Nguyen, Dinh
10/4/2003
042917
X
n/a
2012
Nguyen, Francois
8/2/2008
09-4661
x
4
2016
Nguyen, Francois
12/5/2009
09-5113
x
4
2016
Nguyen,Paul
12/9/1999
01-1568
x
4
2016
Nguyen,Paul
4/25/1996
96CDH0112
X
n/a
2012
Nguyen,Thone
9/4/2008
09-4697
x
4
2016
Nguyen,Thone
7/21/2010
10-0174
x
4
2016
Nguyen,Thone
9/12/2010
10-0232
X
n/a
2017
Nguyen,Thone
01/17/2007
07-4125
X
n/a
2018
Nguyen, Victoria
3/17/2008
08-4510
x
25
2015
Nguyen, Vinh
5/8/2000
001386
X
n/a
2012
Nguyen,Phuong
9/27/2006
07-4018
x
4
2016
Nicely, Christopher
2/12/2002
022130
X
n/a
2012
Nichols, Gary
04/18/1977
80000756
X
n/a
2018
Nichols, Mary
4/12/2002
022201
X
n/a
2012
Nichols, Mary
12/20/2000
011646
X
n/a
2012
Nick, David
5/31/2002
032570
X
n/a
2012
Nick, David
11/O1/1995
95PDS0404
X
n/a
2018
Niemeyer, Thomas
7/13/2004
053198
X
n/a
2012
Niemeyer, Thomas
6/9/2004
043161
X
n/a
2012
Niemeyer, Thomas
4/25/2004
043117
X
n/a
2012
Niemeyer, Thomas
12/19/2003
042983
X
n/a
2012
Nino, Mary
10/27/2006
07-4060
x
25
2015
Nino, Mary
3/15/2006
06-3833
x
25
2015
Novak, Michael
10/2/2001
021997
X
n/a
2012
Novak, Michael
09/12/2010
10-0225
X
n/a
2018
Novak, Michael
05/22/2011
12-0058
X
n/a
2018
Novak, Michael
11/22/2008
09-4781
X
n/a
2018
Novak, Michael
02/23/2011
11-0082
X
n/a
2018
Novella, Manuel
7/8/2004
053196
X
n/a
2012
Novella, Manuel
09/05/2012
12-0185
X
n/a
2018
Novella, Manuel
05/10/2005
05-3500
X
n/a
2018
Novella, Manuel
07/18/2012
12-0144
X
n/a
2018
Novella, Manuel
04/14/1995
95PWM0144
X
n/a
2018
Nunez, Alvaro
7/14/2004
053203
X
n/a
2012
Nunez, Amelia
05/08/1996
96PWA0354
X
n/a
2018
Nunez, Amelia
05/08/1996
96PWA0354
X
n/a
2018
Nunez, Jimmy
6/01/09
09-4924
x
4
2016
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Nunez, Jimmy
11/18/2004
053341
X
n/a
2012
Nunez, Jimmy
12/14/2002
032521
X
n/a
2012
Nunez, Jimmy
02/06/2009
09-4823
X
n/a
2018
Nunez, Jimmy
02/06/2009
09-4823
X
n/a
2018
Nunez, Lorenzo
8/30/2008
09-4691
x
4
2016
Nunez, Lorenzo
6/24/2004
053186
X
n/a
2012
Nunez, Lorenzo
3/23/2001
011778
X
n/a
2012
Nunez, Lorenzo
6/21/2006
06-3934
x
25
2015
Nunez, Martha
6/13/2006
07-3966
x
21
2015
Nunez, Martha
8/30/2006
07-4029
x
25
2015
Nungaray, Julie A.
9/19/2002
032423
X
n/a
2012
Ochoa, Adolfo
1/20/2006
06-3768
x
25
2015
Ochoa, Francisco
4/17/2001
011803
X
n/a
2012
Ochoa, Francisco
2/27/2007
07-4202
x
25
2015
Ochoa, Francisco
3/13/2006
06-3821
x
25
2015
O'Conner,Todd
12/20/2004
053373
X
n/a
2012
O'Conner,Todd
9/18/2007
08-4357
x
25
2015
Ogren, Andrew
12/29/2005
06-3733
x
5
2016
Ogren, Andrew
4/16/1995
95FDS0189
x
5
2016
Ogren, Andrew
10/15/2002
032462
X
n/a
2012
Ojedo,Ramiro
7/3/1984
84002462
x
28
2015
Olea, Vince
9/17/2003
042865
X
n/a
2012
O'Leary, Virginia A.
2/15/2002
022145
X
n/a
2012
Olivares, Tanya
2/24/2010
10-0047
x
5
2016
Oliver, John
11/15/2005
06-3698
x
5
2016
Oliver, John
1/20/2009
09-4816
x
5
2016
Oliver, John
11/15/2005
06-3698
x
5
2016
Oliver, John
1/29/2001
011693
X
n/a
2012
Olivo, Elizabeth
6/26/2003
032762
X
n/a
2012
Olivo, Xavier
7/31/2001
021916
X
n/a
2012
Ontiveros, Joe R.
12/17/2002
032513
X
n/a
2012
Ontiveros, Joe R.
10/4/2001
022014
X
n/a
2012
Oregel, Eileen
12/17/2001
022072
X
n/a
2012
Oregel, Eileen
1/7/2005
05-3390
x
25
2015
Ornelas, Larry
5/4/2010
10-0126
x
5
2016
Ornelas, Philip
2/3/2003
032574
X
n/a
2012
Ornelas, Philip
1/7/2003
032557
X
n/a
2012
Oropeza, Abel
7/3/2006
07-3943
x
25
2015
Oropeza, Abelardo
8/4/2005
06-3583
x
5
2016
Oropeza,Abelardo
10/28/2010
10-0273
x
5
2016
Oropeza,Abelardo
11/12/2008
09-4768
x
5
2016
Oropeza,Abelardo
3/26/2004
043078
X
n/a
2012
Oropeza,Abelardo
1/17/2004
043007
X
n/a
2012
Oropeza, Thomas
2/4/2002
022120
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Oropeza, Thomas
1/9/2006
06-3747
x
25
2015
Oropeza, Thomas
7/21/2009
09-4975
x
5
2016
Orozco, Herminia
7/23/1992
92FIN0247
X
n/a
2012
Orozco, Ignacio
8/18/2010
10-0217
x
5
2016
Orozco, Ignacio
5/15/2003
032740
X
n/a
2012
Orozco, Ignacio
8/22/2007
08-4323
x
25
2015
Orozco, Ignacio
6/8/2005
05-3547
x
25
2015
Orozco, Ignacio
1/9/2011
11-0010
X
n/a
2017
Orozco, Yvonne
6/2/2000
001417
X
n/a
2012
Ortiz, Gregory
7/27/2010
10-0172
x
5
2016
Ortiz, Leslie
1/13/2006
06-3755
x
25
2015
Ortiz, Pedro
3/20/2010
10-0065
x
5
2016
Ortiz, Pedro
11/14/2006
07-4087
x
25
2015
Ortiz, Richard
6/28/2004
043184
X
n/a
2012
Ortiz, Richard
3/20/2007
07-4178
x
25
2015
Ortiz, Richard
4/15/2005
05-3496
x
25
2015
Ortiz, Richard
5/15/2007
07-4227
x
25
2015
Ortiz -Rodriguez, Lorraine
5/10/2002
022248
X
n/a
2012
Ortiz -Rodriguez, Lorraine
7/30/2003
042803
X
n/a
2012
Osorio, Juan
7/30/2009
09-4983
x
5
2016
Osorio, Juan
4/15/2010
10-0078
x
5
2016
Osuna, Felix
5/26/2004
043153
X
n/a
2012
Osuna, Felix
4/24/2003
032811
X
n/a
2012
Osuna, Felix
7/5/2000
011445
X
n/a
2012
Osuna, Felix
5/4/2000
001403
X
n/a
2012
Overn, Michael
4/21/2001
011804
X
n/a
2012
Overn, Tom
9/10/2002
032406
X
n/a
2012
Overn, Tom
2/4/1983
83000918
X
n/a
2012
Oviedo, Aurora
9/6/2007
08-4340
x
5
2016
Oviedo, Henry
7/17/1998
98PDS0088
X
n/a
2012
Oviedo, Henry
02/29/98
98PDS0088
X
n/a
2012
Owen, Dave
4/15/2010
10-0091
x
5
2016
Owen, David
5/6/2006
06-3878
x
31
2015
Owen, David A.
1/9/2002
022100
X
n/a
2012
Padilla, Annette
8/23/2003
04-2836
x
17
2016
Padilla, Annette
11/O1/1994
94PDN0451
X
n/a
2018
Padilla, Consuelo
5/5/2000
001379
X
n/a
2012
Padilla, Dominick
02/09/2012
12-0034
X
n/a
2018
Padilla, Dominick
11/02/2011
11-0274
X
n/a
2018
Padilla, Manuel
4/2/2008
08-4534
x
31
2015
Padron, Daniel
11/3/2006
07-4066
x
5
2016
Padron, Daniel
1/28/2004
043013
X
n/a
2012
Padron, Daniel
7/9/2006
07-3948
x
31
2015
Padron, Daniel
12/6/2010
10-0301
X
n/a
2017
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Padron, Daniel
09/02/2012
12-0177
X
n/a
2018
Pagan, Luis
11/21/2002
032567
X
n/a
2012
Pagan, Luis
5/6/2002
022237
X
n/a
2012
Page,Joni
12/11/2002
032504
X
n/a
2012
Page,Joni
6/17/2002
022283
X
n/a
2012
Page,Joni
6/27/2005
05-3555
x
31
2015
Pahed, Brian
7/10/2007
08-4334
x
31
2015
Pahissa,Johnathan
12/15/2009
09-5128
x
5
2016
Pahrissa, Jonathan
03/14/2012
12-0059
X
n/a
2018
Palacios, Gloria
4/28/2004
043121
X
n/a
2012
Palacios,Jeniffer
11/17/2007
08-4420
x
31
2015
Palomino, Helen
10/11/2002
032438
X
n/a
2012
Pando, Laura
3/16/2001
011734
X
n/a
2012
Panzica, Anthony
12/16/2008
09-4804
x
5
2016
Panzica, Anthony
1/4/2002
022085
X
n/a
2012
Panzica, Anthony
3/24/2001
011754
X
n/a
2012
Paquin, Rene
10/16/2009
09-5062
x
5
2016
Paquin, Rene
10/17/2004
053308
X
n/a
2012
Paquin, Rene
1/11/2004
042996
X
n/a
2012
Paquin, Rene
03/23/2008
08-4519
X
n/a
2018
Parent, Theresa
3/13/2007
07-4171
x
31
2015
Parga, Frank
11/01/2004
05-3322
X
n/a
2018
Park, Daniel
2/15/2004
043090
X
n/a
2012
Park, Daniel
4/19/2003
032684
X
n/a
2012
Park,Jae
4/24/2008
08-4555
x
5
2016
Park, Jae
1/23/2008
08-4468
x
5
2016
Park, Jae
07/06/2011
11-0175
X
n/a
2018
Park, Jae
01/01/2009
09-4810
X
n/a
2018
Park, Jae
04/25/2007
07-4212
X
n/a
2018
Parks, Sarah
1/13/2011
11-0017
x
5
2016
Parmenter, Wayne
1/25/2010
10-0020
x
5
2016
Parmenter, Wayne
08/19/2006
07-3980
X
n/a
2018
Parmenter, Wayne A.
10/30/2003
042931
X
n/a
2012
Parmenter, Wayne A.
2/14/2002
022140
X
n/a
2012
Parmenter, Wayne A.
10/9/2001
021994
X
n/a
2012
Parmenter, Wayne A.
8/20/2001
021944
X
n/a
2012
Parmenter, Wayne A.
3/9/2001
011755
X
n/a
2012
Partida, Alejandro
06/14/2012
12-0116
X
n/a
2018
Partida, Alejandro
O1/04/2013
13-0007
X
n/a
2018
Partida, Micaela
3/16/2001
011750
X
n/a
2012
Paschoal, Stacy
1/14/2010
10-0015
x
5
2016
Paschoal, Stacy
11/15/2012
12-0212
X
n/a
2018
Pearson, Dennis A.
4/26/2002
022229
X
n/a
2012
Pearson, Dennis A.
11/23/2001
022044
X
n/a
2012
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Pena,Jose
5/5/2007
07-4253
x
31
2015
Pena, Yolanda
6/24/2002
022288
X
n/a
2012
Pena, Yolanda
1/28/2002
022114
X
n/a
2012
Pena, Yolanda
3/15/2006
06-3826
x
31
2015
Pena, Yolanda
11/16/2010
10-0291
X
n/a
2018
Pendergraft, Robert
08/13/2011
11-0214
X
n/a
2018
Pennell, Rhonda R.
7/19/2001
022088
X
n/a
2012
Perales, Dan
1/21/2009
09-4815
X
n/a
2017
Perales, Daniel
8/7/2003
042810
X
n/a
2012
Perales, Daniel
1/23/2003
032558
X
n/a
2012
Perales, Daniel
8/16/2002
032381
X
n/a
2012
Perez, Edgar
9/20/2002
032427
X
n/a
2012
Perez, Edgar
11/21/2007
08-4425
x
31
2015
Perez, Edgar
7/2/2006
07-3944
x
31
2015
Perez, Edgar
10/24/2012
12-0199
X
n/a
2018
Perez, Edgar
08/15/2012
12-0162
X
n/a
2018
Perez, German
11/25/2002
032492
X
n/a
2012
Perez, German
11/30/2001
022057
X
n/a
2012
Perez, German
6/26/2001
021883
X
n/a
2012
Perez, German
2/2/2001
011691
X
n/a
2012
Perez, German
12/12/2000
011643
X
n/a
2012
Perez, German
7/19/2005
06-3580
x
31
2015
Perez, Gloria
7/27/2004
053221
X
n/a
2012
Perez, Henry
9/30/2003
042874
X
n/a
2012
Perez, Johanna
7/17/2010
10-0166
X
n/a
2017
Perez, Johanna
06/27/2009
09-4964
X
n/a
2018
Perez, John
1/2/2004
043030
X
n/a
2012
Perez, John
9/17/2003
042861
X
n/a
2012
Perez, John
4/18/2003
032694
X
n/a
2012
Perez, John
1/2/2004
043030
X
n/a
2012
Perez, John
1/2/2004
043030
X
n/a
2012
Perez, John
3/19/1994
94PDS0082
X
n/a
2012
Perez, Juan A.
1/7/2003
032532
X
n/a
2012
Perez, Juventino
12/31/2001
032351
X
n/a
2012
Perez, Juventino
5/10/2001
011817
X
n/a
2012
Perez, Luis
6/6/2008
08-4599
X
n/a
2017
Perez, Magda
7/1/2004
053189
X
n/a
2012
Perez, Magda
3/8/2001
011733
X
n/a
2012
Perez, Magda
4/5/2011
11-0096
X
n/a
2017
Perez, Magda
4/7/2011
11-0089
X
n/a
2017
Perez, Magda
04/05/2011
11-0096
X
n/a
2018
Perez, Mark
6/22/2009
09-4943
X
n/a
2017
Perez, Miriam
5/4/2004
043126
X
n/a
2012
Perez, Raymundo
1/11/2006
06-3753
x
31
2015
46 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Perez, Raymundo L.
6/25/2003
032763
X
n/a
2012
Perez, Richard
5/27/1999
001288
X
n/a
2012
Perez, Robert
2/16/2008
08-4489
x
31
2015
Perez, Robert
12/26/2006
07-4111
x
31
2015
Perez, Robert
11/23/2008
09-4788
X
n/a
2017
Perez, Rosalva
5/18/2003
032729
X
n/a
2012
Perez, Rosalva
12/17/2002
032511
X
n/a
2012
Perez, Rosalva
5/26/2002
022260
X
n/a
2012
Perez, Rosalva
11/18/2000
011611
X
n/a
2012
Perrigoue, Vanessa
5/6/2008
08-4569
x
31
2015
Perrigoue, Vanessa
1/21/2006
06-3776
x
31
2015
Perrigoue, Vanessa
12/6/2006
07-4094
x
31
2015
Perrigoue, Vanessa
6/28/2009
09-4950
X
n/a
2017
Perrigoue, Vanessa M.
8/23/2003
042831
X
n/a
2012
Perrigoue, Vanessa M.
5/21/2003
032728
X
n/a
2012
Perry, Lynnette
8/29/2003
042843
X
n/a
2012
Perry, Michelle L.
9/13/2003
042855
X
n/a
2012
Perry, Michelle L.
5/26/2003
032725
X
n/a
2012
Perry, Michelle L.
12/22/2002
032514
X
n/a
2012
Perry, Michelle L.
12/3/2001
022054
X
n/a
2012
Petko, David
3/18/2003
032631
X
n/a
2012
Petko, David
11/29/99
00-1229
X
n/a
2018
Petz, Mark
8/2/2009
09-4990
X
n/a
2017
Pham, Dung John
10/28/2004
053319
X
n/a
2012
Pham, Dung John
7/28/2003
042799
X
n/a
2012
Pham, Katrina
9/26/2007
08-4366
X
n/a
2017
Pham,Loi
12/11/2008
09-4793
X
n/a
2017
Pheonix, Brad
10/5/2006
07-4054
x
31
2015
Phoenix, Brad
06/03/2011
11-0137
X
n/a
2018
Phoenix, Brad
07/17/2011
11-0181
X
n/a
2018
Phoenix, Brad -Allen
2/9/2004
043026
X
n/a
2012
Piampiano, Philip
11/21/2000
011614
X
n/a
2012
Picone, Peter
8/9/2009
09-4663
X
n/a
2017
Picone, Peter
08/31/2012
12-0182
X
n/a
2018
Picone, Peter
11/29/2011
11-0291
X
n/a
2018
Pineda, Isidro
9/13/2007
08-3452
x
31
2015
Pineda, Isidro
3/26/2010
10-0068
X
n/a
2017
Pingree, Brian
10/4/2006
07-4038
x
31
2015
Pingree, Brian
7/7/2008
09-4622
X
n/a
2017
Pingree, Brian
10/26/2008
09-4749
X
n/a
2017
Pingree, Brian
8/2/2010
10-0180
X
n/a
2017
Pingree, Brian
11/9/2009
09-5099
X
n/a
2017
Pingree, Brian
04/06/2011
11-0086
X
n/a
2018
Pingree, Michael
3/23/2004
043156
X
n/a
2012
47 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Pingree, Michael
10/2/2003
042977
X
n/a
2012
Pingree, Michael
2/4/2003
042995
X
n/a
2012
Pingree, Michael
12/02/2003
04-2948
X
n/a
2018
Pitzer, Lawrence
8/16/1988
88140137
x
14
2015
Placinta, Paul
10/11/2004
053305
X
n/a
2012
Placinta, Paul
11/13/2003
042930
X
n/a
2012
Placinta, Paul
1/24/2003
032566
X
n/a
2012
Placinta, Paul
10/14/2002
032445
X
n/a
2012
Placinta, Paul
2/2/2002
022127
X
n/a
2012
Placinta, Paul
11/6/2001
022037
X
n/a
2012
Placinta, Paul
1/3/2001
011653
X
n/a
2012
Pletl, Greg
6/30/2008
08-4617
X
n/a
2017
Pletl, Greg
12/28/2012
13-0002
X
n/a
2018
Pletl, Greg
08/01/2007
10-0286
X
n/a
2018
Pletl, Gregory
5/31/2010
10-0128
X
n/a
2017
Pletl, Gregory
8/28/2006
07-3987
X
n/a
2017
Pletl, Gregory W.
4/28/2003
032708
X
n/a
2012
Pletl, Gregory W.
1/27/2003
032559
X
n/a
2012
Pletl, Gregory W.
6/3/2002
022266
X
n/a
2012
Pletl, Gregory W.
4/16/2001
011779
X
n/a
2012
Pletl, Gregory W.
11/27/2000
011617
X
n/a
2012
Poe, Stephen
1/4/2005
053387
X
n/a
2012
Poe, Stephen
06/07/1988
88140111
X
n/a
2018
Poe, Stephen
08/04/1995
95FLT0308
X
n/a
2018
Poissant, Timothy
9/15/2011
11-0239
X
n/a
2017
Poissant, Timothy
11/O1/2005
06-3684
X
n/a
2018
Poli, Ethan
2/22/2009
09-4853
X
n/a
2017
Poli, Ethan
04/27/2010
10-0088
X
n/a
2018
Poli, Ethan
08/27/2007
08-4326
X
n/a
2018
Ponce De Leon, Rosa
12/12/2007
08-4439
x
31
2015
Ponce De Leon, Rosa
7/29/2006
07-3970
x
31
2015
Ponce De Leon, Rosa
9/6/2008
09-4706
X
n/a
2017
Ponce, Elizabeth
3/14/2006
06-3823
x
31
2015
Ponce, Elizabeth
8/26/2005
06-3603
x
31
2015
Preciado, Albert
7/17/2003
042789
X
n/a
2012
Preciado, Albert
7/4/2007
08-4272
x
31
2015
Preciado, Albert
9/7/2006
07-4000
x
31
2015
Preciado, Albert
7/25/2006
07-3960
x
31
2015
Preciado, Albert
7/23/2007
08-4289
x
31
2015
Preciado, Jiovanny
12/12/2007
08-4440
X
n/a
2018
Prewett, Dave
04/25/2010
10-0085
X
n/a
2018
Prewett, David
2/19/2008
08-4490
x
31
2015
Prewett, David
12/29/2007
08-4448
x
31
2015
Prewett, David
7/31/2006
07-3968
x
31
2015
48 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Price, Cameron
8/7/2009
09-4996
X
n/a
2017
Price, Cameron
6/11/2011
11-0148
X
n/a
2017
Price, Daniel
6/7/2002
022298
X
n/a
2012
Price, Patricia
4/2/1997
97PDN0120
X
n/a
2012
Price, Terrill
11/9/1998
98FLT0398
X
n/a
2012
Provence, Collie
10/30/2003
042902
X
n/a
2012
Provence, Collie
7/14/1994
94PDS0240
X
n/a
2012
Provence, Collie
1/26/1995
95PDS0012
X
n/a
2012
Provence, Collie
10/16/1987
87005676
X
n/a
2012
Provence, Collie
11/14/1979
80001910
X
n/a
2012
Quach, Jason
10/22/2010
10-0259
X
n/a
2017
Queller, Phillip
6/26/2001
011870
X
n/a
2012
Queller, Phillip
7/1/2004
053287
X
n/a
2012
Queller, Phillip
4/19/2006
06-3875
x
31
2015
Queller, Phillip
7/15/2005
06-3571
x
31
2015
Quezada, Louis
05/22/2013
13-0075
X
n/a
2018
Quick, Richard
3/28/2001
011769
X
n/a
2012
Quijas, Johnny
2/10/2004
043046
X
n/a
2012
Quijas, Johnny
11/3/2001
022020
X
n/a
2012
Quijas, Johnny
12/16/2000
011651
X
n/a
2012
Quijas, Johnny
8/22/1997
97PDS0277
X
n/a
2012
Quijas, Nicole
04/27/2011
11-0110
X
n/a
2018
Quinn, Josephine
7/5/2002
03-2318
x
31
2015
Quintana, Jessica
10/13/2010
10-0248
X
n/a
2017
Qureshi, Naseer
9/30/2003
042869
X
n/a
2012
Qureshi, Naseer
4/25/2007
07-4207
X
n/a
2017
Qureshi, Naseer-Ahmad
7/24/2006
07-3961
x
31
2015
Radic, Milanka
10/8/2001
021996
X
n/a
2012
Ramirez, Angelica
12/1/2001
022261
X
n/a
2012
Ramirez, Catalina
10/16/2003
042885
X
n/a
2012
Ramirez, Daniel
8/18/2005
06-3600
x
31
2015
Ramirez, Gema
7/26/2002
032343
X
n/a
2012
Ramirez, Jessie
8/18/2004
053249
X
n/a
2012
Ramirez, Jessie
3/8/2001
011740
X
n/a
2012
Ramirez, Karina
4/3/2003
032653
X
n/a
2012
Ramirez, Karina
2/11/2006
06-3792
x
31
2015
Ramirez, Manuel
1/20/1999
99RPT0436
X
n/a
2012
Ramirez, Ramiro
10/30/1978
80001490
X
n/a
2012
Ramirez, Richard
10/23/2003
042903
X
n/a
2012
Ramirez, Richard
10/5/2000
011565
X
n/a
2012
Ramirez, Victor
11/28/2011
11-0290
X
n/a
2018
Ramos, Debra
06/28/1994
94PDN0209
X
n/a
2018
Ramos, George
01/26/2012
12-0028
X
n/a
2018
Ramos, George (Jorge)
2/25/2003
032605
X
n/a
2012
49 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Ramos, George (Jorge)
4/22/2001
011791
X
n/a
2012
Ramos, Maria Dolores
5/26/2004
043151
X
n/a
2012
Ramos, Robert
1/12/2002
022096
X
n/a
2012
Ramos, Robert
10/6/2009
09-5055
X
n/a
2017
Ramos, Robert
07/13/2009
09-4969
X
n/a
2018
Ramos-Amador, Rosalva
02/28/2008
08-4501
X
n/a
2018
Rangel, Osvaldo
11/12/2004
053336
X
n/a
2012
Rangel, Osvaldo
10/17/2002
032451
X
n/a
2012
Rangel, Osvaldo
10/17/2009
09-5065
X
n/a
2017
Rangel, Osvaldo
10/19/2009
09-5066
X
n/a
2017
Raphael, Kathleen
3/8/2006
06-3818
x
31
2015
Rawson, Michael
4/11/1998
98PD50126
X
n/a
2012
Raya,Pearl
11/5/2004
053326
X
n/a
2012
Raya,Pearl
4/20/2011
11-0106
X
n/a
2017
Raygoza,5al
10/22/2009
09-5067
x
5
2016
Raygoza,Sal
5/12/2009
09-4912
x
5
2016
Record, Randall
5/20/2009
09-4908
x
5
2016
Record, Randall
4/13/2006
06-3849
x
31
2015
Record, Randall
4/19/2006
06-3855
x
31
2015
Record, Randy
4/8/2004
043103
X
n/a
2012
Record, Randy
9/18/2002
032413
X
n/a
2012
Record, Randy
2/25/2002
022150
X
n/a
2012
Reed,Aron
2/23/2003
032604
X
n/a
2012
Reed, Greg
3/18/2000
Denied -Not EE
Not EE
n/a
2012
Reed,Theron
1/25/2010
10-0018
x
5
2016
Reed,Theron
1/13/2007
07-4123
x
31
2015
Reeves, James
6/29/2007
08-4273
x
31
2015
Renck, Jeff
8/7/2002
032356
X
n/a
2012
Renck, Jeffrey
9/6/2007
08-4342
x
5
2016
Renck, Jeffrey
3/30/2005
05-3459
x
5
2016
Renck, Jeffrey
1/21/2000
00-1273
x
6
2016
Renck, Jeffrey
1/7/2010
10-0002
x
6
2016
Renck, Jeffrey
7/28/2007
08-4299
x
31
2015
Revere, Chris
5/5/2005
05-3499
x
25
2015
Revere, Christopher
5/24/2004
043142
X
n/a
2012
Revere, Christopher
6/19/2001
011854
X
n/a
2012
Reyes, Alejandro
4/18/2006
06-3851
x
6
2016
Reyes, Kathia
10/20/2008
09-4754
x
6
2016
Reynaga, Margarita
5/11/2009
09-4900
x
6
2016
Reynoso, Nancy
4/4/2006
06-3843
x
25
2015
Reynoso,Rodolfo
7/14/2002
032325
X
n/a
2012
Reynoso,Rodolfo
12/22/2000
011647
X
n/a
2012
Reynoso,Rudy
1/30/2008
08-4470
x
6
2016
Reynoso,Rudy
7/7/2005
06-3567
x
25
2015
50 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Ribble, Jon A.
6/15/2002
022285
X
n/a
2012
Riebe, Harold
9/17/2009
09-5034
x
6
2016
Rife, Jack
3/29/2001
011763
X
n/a
2012
Rife, lack
7/19/2000
011461
X
n/a
2012
Rife, Jack
10/31/1987
87005922
X
n/a
2012
Riggin, Chris
3/13/2001
011745
X
n/a
2012
Riles, Johnnie
3/30/2004
04-3082
x
25
2015
Rimat, Eric
7/16/2004
05-3251
x
6
2016
Rimat, Eric
4/2/2003
032655
X
n/a
2012
Rimat, Eric
8/25/1991
91140284
X
n/a
2012
Rios, Catalina
3/30/2001
011760
X
n/a
2012
Riquier, Edgar
10/18/2005
06-3672
x
25
2015
Rivas, Eric
12/13/2000
011637
X
n/a
2012
Rivas, Thomas
12/2/2010
10-0294
x
6
2016
Rivas, Thomas
9/19/2009
09-5036
x
6
2016
Rivas, Thomas
5/23/2007
07-4245
x
6
2016
Rivas, Thomas
3/9/2004
043065
X
n/a
2012
Rivas, Thomas
10/10/2003
042891
X
n/a
2012
Rivas, Thomas
5/13/2002
022258
X
n/a
2012
Rivas, Thomas
2/14/2006
06-3800
x
22
2015
Rivas, Thomas
12/3/2006
07-4097
x
22
2015
Rivera, Christina
1/31/2001
022018
X
n/a
2012
Rivera, Christina
1/28/2001
011709
X
n/a
2012
Rivera, Javier
3/26/2004
043076
X
n/a
2012
Rivera, Javier
8/29/2001
021933
X
n/a
2012
Rivera, Javier
1/30/1997
97PDS0040
X
n/a
2012
Rivera, Raymond
3/31/2003
032645
X
n/a
2012
Rivera, Samuel
5/29/2004
043171
X
n/a
2012
Rivera, Samuel
3/6/2002
022164
X
n/a
2012
Rivero, Richard
4/24/2002
022224
X
n/a
2012
Rivero, Richard
10/20/2000
011580
X
n/a
2012
Rizk, Nasser
1/3/2000
001253
X
n/a
2012
Robertson, James
8/30/2004
053264
X
n/a
2012
Robertson, Larry
10/12/2001
021993
X
n/a
2012
Robinson, Aaron
6/6/2011
11-0139
x
6
2016
Robles, George
5/8/2002
022250
X
n/a
2012
Robles, Jorge
3/16/2008
08-4511
x
22
2015
Robles, Jorge
9/21/2007
08-4360
x
22
2015
Robles, Jorge
12/7/2010
10-0307
X
n/a
2017
Robles, Sylvia
4/28/2008
08-4582
x
6
2016
Rocca, Al
11/1/2010
10-0274
x
6
2016
Rocca, Al
2/2/2008
08-4476
x
22
2015
Rocha, Frank
4/23/2009
09-4885
x
6
2016
Rodarte, Estella
5/14/2003
032720
X
n/a
2012
51 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Rodarte, Gerardo
3/19/2002
022180
X
n/a
2012
Rodarte, Gerardo
3/13/2002
022174
X
n/a
2012
Rodgers, Terrance
9/24/2007
08-4358
x
6
2016
Rodgers, Terrance
2/5/1992
92240032
N
x
6
2016
Rodgers, Terrance
2/20/2007
07-4159
x
22
2015
Rodriguez, Ben
12/21/2004
05-3375
X
n/a
2017
Rodriguez, Benny
3/13/2007
07-4172
x
22
2015
Rodriguez, Benny
12/12/1996
96PDS0330
X
n/a
2017
Rodriguez, Benny
8/4/1997
97PDS0262
X
n/a
2017
Rodriguez, Danny
4/26/2002
022227
X
n/a
2012
Rodriguez, David J.
7/6/2001
021886
X
n/a
2012
Rodriguez, David J.
11/3/2000
011593
X
n/a
2012
Rodriguez, Ernie
6/3/2003
032744
X
n/a
2012
Rodriguez, Gabriela
10/21/2004
053310
X
n/a
2012
Rodriguez, Gabriela
10/31/2001
022016
X
n/a
2012
Rodriguez, Gilbert
9/14/2004
053278
X
n/a
2012
Rodriguez, Gilbert
12/13/2001
022063
X
n/a
2012
Rodriguez, Gilbert
11/2/2001
022022
X
n/a
2012
Rodriguez, Gilbert
1/26/1999
99WOM0034
X
n/a
2012
Rodriguez, Gilbert
6/4/2008
08-4600
x
22
2015
Rodriguez, Jesus
9/20/2005
06-3633
x
22
2015
Rodriguez, Jesus David
4/15/2004
043112
X
n/a
2012
Rodriguez, Jesus David
9/30/2003
042875
X
n/a
2012
Rodriguez, Jesus David
10/17/2002
032450
X
n/a
2012
Rodriguez, Jesus David
9/12/2001
021953
X
n/a
2012
Rodriguez, John
6/9/2006
06-3917
x
22
2015
Rodriguez, John
4/30/2007
07-4211
x
22
2015
Rodriguez, Joseph
2/21/2006
06-3812
x
6
2016
Rodriguez, Joseph
5/27/2010
10-0122
x
6
2016
Rodriguez, Joseph
2/21/2006
06-3812
x
22
2015
Rodriguez, Joseph
5/21/2005
05-3515
x
22
2015
Rodriguez, Julian
12/6/2003
042969
X
n/a
2012
Rodriguez, Julian
4/2/2003
032656
X
n/a
2012
Rodriguez, Julian
11/7/2002
032472
X
n/a
2012
Rodriguez, Julian
4/8/2005
05-3464
x
22
2015
Rodriguez, Julian
9/2/2007
08-4336
x
22
2015
Rodriguez, Magdaleno
6/21/2010
10-0157
x
6
2016
Rodriguez, Magdaleno
7/1/2002
032311
X
n/a
2012
Rodriguez, Magdaleno
5/20/2001
011830
X
n/a
2012
Rodriguez, Magdaleno
7/2/2006
07-3942
x
22
2015
Rodriguez, Mary
4/30/2010
10-0103
x
6
2016
Rodriguez, Mary
4/19/2003
032679
X
n/a
2012
Rodriguez, Mary
9/21/2002
032580
X
n/a
2012
Rodriguez, Mary
6/10/2011
11-0158
X
n/a
2017
52of71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Rodriguez, Robert
9/16/2003
042856
X
n/a
2012
Rodriguez, Robert
1/5/2006
06-3743
x
22
2015
Rodriguez, Victor
11/6/2007
08-4407
x
22
2015
Rodriguez, Vincent
9/4/2006
07-3995
x
22
2015
Rodriguez -Zamora, Leticia
6/10/2002
032304
X
n/a
2012
Rodriguez -Zamora, Leticia
4/6/2001
011773
X
n/a
2012
Roel, Erick
6/8/2009
09-4931
x
6
2016
Roelle, Christopher
1/7/2003
032553
X
n/a
2012
Rohan,Ruby
4/1/2010
10-0076
x
6
2016
Rohan,Ruby
10/21/2009
09-5063
x
6
2016
Roman, Luis
10/1/2009
09-5077
x
6
2016
Roman, Luis S.
12/14/2002
032506
X
n/a
2012
Roman, Martha
12/20/2001
022070
X
n/a
2012
Romero, Aide
3/29/2004
043086
X
n/a
2012
Romero, Antonio
11/2/2009
09-5083
x
6
2016
Romero, Antonio C.
3/13/2002
022178
X
n/a
2012
Romero, Aurora
7/20/2004
053210
X
n/a
2012
Romero, Aurora
4/18/2006
06-3853
x
22
2015
Romero, Ben
11/11/2007
08-4409
x
6
2016
Romero, Ben
11/23/2008
09-4779
x
6
2016
Romero, Ben
11/16/2009
09-5093
x
6
2016
Romero, Benjamin
12/23/2005
06-3729
x
22
2015
Romero, Benjamin
4/29/2007
07-4208
x
22
2015
Romero, Benjamin
6/3/2007
07-4241
x
22
2015
Romero, Robert
6/14/2003
032754
X
n/a
2012
Romero, Robert
11/16/1992
92PD50409
X
n/a
2012
Romero, Robert
1/25/2011
11-0028
X
n/a
2017
Romo, Victor
1/20/2008
08-4463
x
22
2015
Rondou,David
10/6/2003
042877
X
n/a
2012
Root, Elouise
9/5/2006
07-4016
x
9
2015
Rosales, Monique
6/28/2008
08-4616
x
9
2015
Rosario, Lourdes
4/12/2001
011793
X
n/a
2012
Rosario, Lourdes
7/9/2006
07-3951
x
9
2015
Rosas, Luis
9/15/2007
08-4354
x
22
2015
Rosas, Maria
2/20/2002
022147
X
n/a
2012
Rosas, Maria
5/22/2008
08-4595
x
22
2015
Rose, James
3/14/2012
10-0059
x
13
2016
Rose, Melody
6/1/2005
05-3522
x
22
2015
Rosen, William
4/30/1997
97PWM0155
x
17
2016
Rosselle, Pedro
12/22/2004
053379
X
n/a
2012
Rosselle, Pedro
2/20/2003
032611
X
n/a
2012
Rosselle, Pedro
1/8/2001
011656
X
n/a
2012
Rosselle, Pedro
9/7/2000
011544
X
n/a
2012
Rosselle, Pedro
6/26/2007
07-4270
x
22
2015
53 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Rosselle, Pedro
3/28/2008
08-4523
x
22
2015
Rosselle, Pedro
9/24/2009
09-5040
X
n/a
2017
Rossman, Cameron
9/27/2001
021984
X
n/a
2012
Rossman, Cameron
7/29/2006
07-3965
x
9
2015
Rotter, Mary
6/9/2011
11-0144
X
n/a
2017
Rubalcaba, Maria
1/13/2009
09-4811
x
7
2016
Rubalcaba, Maria
9/17/2004
053280
X
n/a
2012
Rubalcaba, Maria
4/1/2011
11-0116
X
n/a
2017
Rubalcaba, Robert
8/17/2002
032368
X
n/a
2012
Rubio, Christopher
10/19/2002
032458
X
n/a
2012
Ruelas, Theresa
5/21/2004
043144
X
n/a
2012
Ruelas, Theresa
2/4/2004
043035
X
n/a
2012
Ruiz, Erin
6/16/2004
043179
X
n/a
2012
Ruiz, Erin
8/31/2003
042845
X
n/a
2012
Ruiz, Erin
1/12/2001
011674
X
n/a
2012
Ruiz, Erin
8/11/2006
07-3976
x
9
2015
Ruiz, Erin
11/8/2010
10-0278
X
n/a
2017
Ruiz, George
5/22/2011
11-0134
X
n/a
2017
Ruiz, Kevin
6/17/2004
043169
X
n/a
2012
Ruiz, Ramona
2/10/2006
06-3793
x
9
2015
Runnells, Bob
1/20/1997
97FDS0008
X
n/a
2012
Ruvalcaba, Brenda
5/26/2008
08-4596
x
7
2016
Ruvalcaba, Brenda
8/1/2001
022028
X
n/a
2012
Ruvalcaba, Enrique
10/1/2008
09-4773
x
7
2016
Ruvalcaba, Enrique
8/21/2003
042827
X
n/a
2012
Ruvalcaba, Enrique
2/26/2003
032606
X
n/a
2012
Saale, Charles
10/30/2004
053321
X
n/a
2012
Saale, Charles
11/15/2003
042937
X
n/a
2012
Saale, Charles
5/26/2006
06-3910
x
9
2015
Saale, Charles
12/03/2009
09-5110
X
n/a
2018
Saba, Nabil
3/21/2008
08-4518
x
9
2015
Saenz, Sixto
9/8/2008
09-4704
x
7
2016
Saenz, Sixto
4/12/2004
043100
X
n/a
2012
Saenz, Sixto
9/29/2005
06-3652
x
9
2015
Saenz, Sixto
10/01/2009
09-5043
X
n/a
2018
Sahm, John
6/19/2009
09-4939
x
7
2016
Sahm, John
8/22/2007
08-4332
x
9
2015
Sahm, John
10/29/2011
11-0302
X
n/a
2018
Sahm,John
03/05/2010
10-0049
X
n/a
2018
Sahm, John
01/25/2011
11-0020
X
n/a
2018
Salas, Adrian
7/27/2011
11-0194
X
n/a
2017
Salas, Mario
12/3/2005
06-3714
x
9
2015
Salas, Mario
7/8/2007
08-4296
x
9
2015
Salazar, Arthur
7/13/2004
053201
X
n/a
2012
54 of 71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Salazar, Arthur
10/25/2002
022116
X
n/a
2012
Salazar, Arthur
7/12/2001
021889
X
n/a
2012
Salazar, Arthur
2/8/2001
011699
X
n/a
2012
Salazar, Arthur
1/20/2000
001278
X
n/a
2012
Salazar, Gilbert
12/12/2002
032547
X
n/a
2012
Salazar, Juventino
12/18/2008
09-4797
x
7
2016
Salazar, Juventino
5/6/2010
10-0099
x
7
2016
Salazar, Juventino
8/5/2002
032353
X
n/a
2012
Salazar, Juventino
11/13/2006
07-4081
x
9
2015
Salazar, Juventino
1/25/2006
06-3773
x
9
2015
Salceda, David
3/17/1999
99PDS0102
X
n/a
2012
Salceda, David
2/25/1997
97PDS0155
X
n/a
2012
Salcedo, Leonard
12/1/2002
032496
X
n/a
2012
Salcedo, Leonard
11/1/2001
022269
X
n/a
2012
Salcedo, Leonard
5/21/2001
021897
X
n/a
2012
Salcedo, Leonard
2/18/2001
011707
X
n/a
2012
Salcedo, Leonard
2/20/1999
99PDS0064
X
n/a
2012
Salcido, Ronald
4/12/2004
043107
X
n/a
2012
Saldana, Carlos
2/1/2010
10-0026
x
7
2016
Saldana, Dion
5/13/2009
09-4906
x
7
2016
Saldana, Dion
7/23/2004
053216
X
n/a
2012
Saldana, Dion
6/3/2003
042794
X
n/a
2012
Saldana, Dion
3/17/2003
032628
X
n/a
2012
Saldana, Dion
2/23/2007
07-4161
x
9
2015
Saldana, Dion
4/26/2008
08-4563
x
9
2015
Saldana, Dion
5/12/2005
05-3506
x
9
2015
Saldana, Dion
6/14/2006
06-3923
x
9
2015
Saldana, Dion
8/9/2010
10-0188
X
n/a
2017
Saldana, Dion
12/13/2010
11-0008
X
n/a
2018
Saldana, Dion
11/28/2005
06-3709
X
n/a
2018
Saldana, Dion
04/18/2011
11-0097
X
n/a
2018
Saldana, Dion
05/02/2006
06-3874
X
n/a
2018
Saldana, Dion
O1/29/2010
10-0027
X
n/a
2018
Saldana, Dion
12/02/2009
09-5116
X
n/a
2018
Saldivar, Arabela
6/1/2004
043162
X
n/a
2012
Saldivar, Arabela
8/5/2003
042809
X
n/a
2012
Saldivar, Arabela
2/23/1999
99CDH0071
X
n/a
2012
Salerno, Anthony
3/31/2010
10-0071
x
7
2016
Salerno, Anthony
11/5/2010
10-0127
x
7
2016
Salerno, Anthony
6/26/2004
043182
X
n/a
2012
Salerno, Anthony
7/9/2007
08-4284
x
9
2015
Salerno, Anthony
7/29/2008
09-4652
x
9
2015
Salinas, Miguel
7/27/2001
021904
X
n/a
2012
Salinas, Miguel
7/4/2001
021895
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Salo, Tyler
10/29/2009
09-5075
x
7
2016
Salo, Tyler
10/27/2003
042929
X
n/a
2012
Salo, Tyler
5/21/2007
07-4232
x
9
2015
Salo, Tyler
10/28/2010
10-0270
X
n/a
2017
Samora, Julian
3/30/2001
011758
X
n/a
2012
Samuel, Michael
9/10/2009
09-5028
x
7
2016
Samuel, Michael
5/17/2009
09-4916
x
7
2016
Samuel, Michael
4/24/2001
011808
X
n/a
2012
Samuel, Michael
11/16/2006
07-4076
x
9
2015
Sanchez, Elma
2/6/2003
032579
X
n/a
2012
Sanchez, Elma
6/15/2002
022291
X
n/a
2012
Sanchez, Eugenio
6/23/2005
05-3552
x
7
2016
Sanchez, Eugenio
7/2/2008
09-4615
x
7
2016
Sanchez, Eugenio
5/14/2007
07-4264
x
9
2015
Sanchez, Eugenio
11/17/2005
06-3702
x
22
2015
Sanchez, Eugenio
10/30/2008
09-4759
x
22
2015
Sanchez, Eugenio
4/0/08
08-4539
x
22
2015
Sanchez, Eugenio
03/25/2011
11-0076
X
n/a
2018
Sanchez, Oscar
11/8/1998
98PDN0387
X
n/a
2012
Sanchez, Otilio
6/23/2004
043178
X
n/a
2012
Sanchez, Otillio
7/29/2005
06-3581
x
22
2015
Sanchez, Otillio
11/10/2006
07-4088
x
22
2015
Sanchez, Otillio
2/5/2008
08-4498
x
22
2015
Sanchez, Veronica
2/3/2001
011697
X
n/a
2012
Sanchez, Victor
12/1/2003
042952
X
n/a
2012
Sandford, Richard
9/5/2005
06-3612
x
7
2016
Sandlin, Brian
7/23/2004
053214
X
n/a
2012
Sandlin, Brian
4/18/2004
043118
X
n/a
2012
Sandlin, Brian
5/26/2006
06-3903
x
22
2015
Sandlin, Brian
2/17/2011
11-0047
X
n/a
2017
Sandlin, Brian
9/12/2010
10-0234
X
n/a
2017
Sandlin, Brian
10/05/2011
11-0254
X
n/a
2018
Sandlin, William G.
11/4/2004
053324
X
n/a
2012
Sandlin, William G.
9/15/2004
053272
X
n/a
2012
Sandlin, William G.
3/31/2004
043081
X
n/a
2012
Sandlin, William G.
2/11/2004
043080
X
n/a
2012
Sandlin, William G.
12/22/2003
042980
X
n/a
2012
Sandlin, William G.
2/12/2002
022136
X
n/a
2012
Sandlin, William G.
4/15/2001
011790
X
n/a
2012
Sandoval, David
4/19/2006
06-3858
x
22
2015
Sandoval, Dora
06/29/2010
10-0155
X
n/a
2018
Sandoval, Rachel
5/22/2006
06-3895
x
22
2015
Sandoval, Silviano
11/26/2007
08-4426
x
22
2015
Santa Ana, William
10/11/2007
08-4379
x
22
2015
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7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Santa Ana, William
04/09/2013
13-0057
X
n/a
2018
Santana, Maria
11/19/2002
032488
X
n/a
2012
Santana, Maria
6/22/2001
011873
X
n/a
2012
Santiano,Editha
10/12/2000
011577
X
n/a
2012
Santos,Laura
4/5/2009
09-4865
x
7
2016
Santos, Nubia
1/3/2007
08-4380
x
22
2015
Sarabia, Mel
7/31/2008
09-4730
x
7
2016
Sarabia, Pablo
9/12/2005
06-3622
x
22
2015
Sarabia, Pablo
10/10/2011
11-0259
X
n/a
2018
Sarinana, Arthur V.
9/24/2002
032419
X
n/a
2012
Sato, Randy
7/20/2006
074003
X
n/a
2012
Saucedo, Roberto
9/21/2005
06-3640
x
22
2015
Saunder, Randy
04/29/2012
12-0090
X
n/a
2018
Saunders, Amelia
1/13/2010
10-0008
x
7
2016
Saunders, Amelia
9/12/2002
053538
X
n/a
2012
Saunders, Randy
7/22/2004
053218
X
n/a
2012
Saunders, Randy
7/25/2003
042798
X
n/a
2012
Saunders, Randy
7/24/2002
032361
X
n/a
2012
Sayne, Robert
07/24/1995
96PD50014
X
n/a
2018
Scanlon, Michael
12/27/2004
053377
X
n/a
2012
Scanlon, Michael
10/5/2004
053299
X
n/a
2012
Scanlon, Michael
4/18/2003
032687
X
n/a
2012
Scanlon, Michael
08/28/2001
02-2126
X
n/a
2018
Schanderl, Wolfgang
1/10/2001
011664
X
n/a
2012
Scharf, Roger
3/7/1990
90140101
x
7
2016
Scheer, William
10/30/1997
97PDSO417
X
n/a
2017
Scheer, Williams
6/7/2005
05-3529
x
22
2015
Schiebe, George
8/28/2003
042837
X
n/a
2012
Schiebe, George
7/23/2003
042796
X
n/a
2012
Schnabl, James
3/27/2004
043079
X
n/a
2012
Schnabl, James
7/14/2000
011458
X
n/a
2012
Schnabl, James
7/05/06'
07-3949
x
29
2015
Schreckler, Brian
12/13/1999
00-1247
x
17
2016
Schreckler, Brian
4/17/2000
00-1368
x
17
2016
Schreckler, Brian
10/11/1999
00-1192
x
17
2016
Schultze, Donna
5/6/2009
09-4903
x
7
2016
Schultze, Donna
5/1/1999
99RECO148
X
n/a
2012
Schultze, Donna
06/03/2013
13-0084
X
n/a
2018
Schultze, Donna
07/19/2011
11-0199
X
n/a
2018
Schwacher, David
5/23/2005
05-3513
x
29
2015
Scoggins, James
12/13/2003
042989
X
n/a
2012
Scotti, Joseph
10/4/2000
042889
X
n/a
2012
Sedivec, Jeffery
3/13/1998
02-2119
x
24
2015
Seehr,Ross
5/3/1991
91140156
x
7
2016
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Seleno, George J.
1/5/2000
001375
X
n/a
2012
Sepeda, Gilbert
12/5/1992
92PSS0432
x
29
2015
Sepeda, Gilbert
9/14/1994
94PWS0304
x
29
2015
Sepeda, Gilbert
4/20/1987
87002150
x
29
2015
Sepulveda, Marylou
11/1/2006
07-4062
x
29
2015
Sera, Dymphno
12/17/2007
08-4441
x
8
2016
Serafin, Thomas
6/17/2004
04-3170
x
8
2016
Serafin, Thomas
9/20/2000
011547
X
n/a
2012
Serafin, Thomas
8/1/2007
08-4307
x
29
2015
Serafin, Thomas
9/21/2006
07-4012
x
29
2015
Seran,Janet
6/8/2005
05-3545
x
8
2016
Serna, Dymphno M.
9/15/2010
10-0227
x
17
2016
Serna, Dymphno M.
7/17/2002
032331
X
n/a
2012
Serna, Dymphno M.
6/21/2002
022295
X
n/a
2012
Serrano, Ada
10/12/2010
10-0252
X
n/a
2018
Serrano, Gerry
7/10/2006
07-3950
x
29
2015
Serrato, Richard
6/29/2006
06-3938
x
8
2016
Serrato, Richard
4/23/2008
08-4571
x
8
2016
Server, Gail
1/8/2007
07-4118
x
29
2015
Shin, Curtis
6/19/2008
08-4611
x
8
2016
Shin, Curtis
10/30/2007
08-4400
x
29
2015
Shirey, Martha
7/3/2008
09-4623
x
8
2016
Shirey, Martha
4/21/1998
02-2205
x
8
2016
Shirey, Martha
8/24/1997
97PDS0412
X
n/a
2012
Shirey, Martha
12/16/1982
82001163
X
n/a
2012
Shorthouse, Mark
4/27/2004
043120
X
n/a
2012
Shuck, Larry
10/22/2002
03-2465
X
n/a
2017
Sianez, Lydia
12/17/2001
022062
X
n/a
2012
Sierra, John
7/14/1992
92FDCO243
X
n/a
2012
Silva, Adrian
7/2/2008
09-4625
x
8
2016
Silva, Adrian
6/8/2005
05-3533
x
29
2015
Silva, Celia
8/14/2010
10-200
x
8
2016
Silva, Celia
8/23/2008
09-4683
x
29
2015
Silva, Celia Z.
11/3/2001
022019
X
n/a
2012
Silva, Celia Z.
10/25/2003
042895
X
n/a
2012
Silva, Elizabeth
8/5/2003
042806
X
n/a
2012
Sisk, Earl
4/23/2003
032731
X
n/a
2012
Sisk, Earl
4/8/2003
032673
X
n/a
2012
Skelly, Thomas
10/06/1997
97FDA0331
X
n/a
2018
Slayton, Corey
7/18/2009
09-4972
x
8
2016
Slayton, Corey
12/24/2008
09-4799
x
8
2016
Slayton, Corey
2/22/2006
06-3810
x
29
2015
Slayton, Corey
09/13/2011
11-0237
X
n/a
2018
Slayton, Corey
10/30/2011
11-0266
X
n/a
2018
58 of 71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Small, Robert
10/11/2003
042887
X
n/a
2012
Smith, Doyle
8/10/2002
032357
X
n/a
2012
Smith, Gregory
7/12/2000
011450
X
n/a
2012
Smith, Gregory
9/8/2005
06-3618
x
30
2015
Smith, Gregory
5/16/2003
03-2722
X
n/a
2017
Smith, Janice
3/3/2004
043055
X
n/a
2012
Smith, Jeff
1/17/2001
011672
X
n/a
2012
Smith, Mildred
6/21/2004
043172
X
n/a
2012
Smith, Mildred
11/20/1989
89140357
X
n/a
2012
Smith, Robert
3/12/2009
09-4848
x
8
2016
Smith, Robert
11/14/2003
042926
X
n/a
2012
Smith, Robert
11/4/2007
08-4415
x
30
2015
Smith, Robert
06/09/2011
11-0145
X
n/a
2018
Smith, Ruth
8/20/2001
022197
X
n/a
2012
Smith, Stewart
8/19/2002
032398
X
n/a
2012
Smith, Stewart
1/20/2002
022146
X
n/a
2012
Smith, Stewart
12/19/1999
001244
X
n/a
2012
Smith, Stewart
7/5/1998
98PDS0245
X
n/a
2012
Smith, Stewart
6/18/2008
09-4640
x
30
2015
Smith, Wayne
7/13/2009
09-4970
x
8
2016
Smith, Wayne
9/10/2003
042854
X
n/a
2012
Smith, Wayne
2/4/2003
302575
X
n/a
2012
Smith, Wayne
10/24/2001
022009
X
n/a
2012
Smith, Wayne
4/8/2008
08-4540
x
30
2015
Smtih, Robert
3/19/2008
08-4515
x
30
2015
Soderman, Lidia
12/29/2011
12-0007
X
n/a
2017
Solideo, Maybelline
7/23/2007
08-4297
x
30
2015
Solideo, Maybelline
08/13/2011
11-0213
X
n/a
2018
Solis, Liza
5/21/2001
011825
X
n/a
2012
Solis, Luis
01/20/2012
12-0023
X
n/a
2018
Solomon, Steven
9/10/2008
09-4708
x
8
2016
Solomon, Steven
5/15/2004
043135
X
n/a
2012
Solomon, Steven
2/19/2004
043036
X
n/a
2012
Solomon, Steven
11/3/2003
042912
X
n/a
2012
Solomon, Steven
5/28/2003
032735
X
n/a
2012
Solomon, Steven
11/4/2002
032469
X
n/a
2012
Solomon, Steven
8/1/2001
021910
X
n/a
2012
Solomon, Steven
3/23/2005
05-3453
x
30
2015
Solomon, Steven
7/14/2006
07-3977
x
30
2015
Solomon, Steven
11/10/2011
11-0278
X
n/a
2018
Solomon, Steven
07/29/2011
11-0211
X
n/a
2018
Solorio, Ernesto
11/30/2012
12-0228
X
n/a
2018
Solorio, Sandra
3/19/2002
022177
X
n/a
2012
Sontag, Brandon
2/18/2010
10-0039
x
8
2016
59 of 71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Sontag, Brandon
8/2/2008
09-4660
x
8
2016
Sontag, Brandon
6/28/2008
08-4613
x
8
2016
Sontag, Brandon
09/22/2010
10-0236
X
n/a
2018
Sorenson, Mathew
11/26/2008
09-4787
x
8
2016
Sorenson, Mathew
3/13/2004
043068
X
n/a
2012
Soria, Gaspar
7/17/2004
053205
X
n/a
2012
Soria, Gaspar
2/21/2003
032602
X
n/a
2012
Soria, Gaspar
6/22/2005
05-3550
x
30
2015
Soria, Gaspar
09/07/2011
11-0235
X
n/a
2018
Soria, Gaspar
12/O1/2008
09-4783
X
n/a
2018
Soria, Robert
6/27/2002
03-2313
x
8
2016
Soria, Robert
10/19/2005
06-3670
x
30
2015
Soto Jr., Jesus (Jesse)
9/22/2004
053282
X
n/a
2012
Soto,Jesus
08/10/2000
01-1489
X
n/a
2018
Sovine, Nancy
1/1/2002
032683
X
n/a
2012
Sowder, Mark
7/9/2004
053195
X
n/a
2012
Sowder, Mark
3/7/2002
022171
X
n/a
2012
Sowder, Mark
12/16/2001
022067
X
n/a
2012
Sowder, Mark
9/15/2001
021961
X
n/a
2012
Sowder, Mark
1/8/2001
011661
X
n/a
2012
Sowder, Mark
09/17/2004
05-3279
X
n/a
2018
Spiker, Chad
12/17/2004
053370
X
n/a
2012
Spitler, Richard
9/21/2000
011553
X
n/a
2012
Spitler, Richard
3/20/2007
07-4185
x
30
2015
Standke, Eugene
12/17/2009
09-5131
x
8
2016
Standke, Eugene (Victor)
4/18/2008
08-4550
x
30
2015
Standke, Eugene (Victor)
1/4/2007
07-4120
x
30
2015
Standke, Victor
9/12/2004
053270
X
n/a
2012
Standke, Victor Eugene
4/12/2004
043093
X
n/a
2012
Starling, Nellie
6/21/2001
011871
X
n/a
2012
Starling, Nelly
9/8/2010
10-0192
x
8
2016
Steaffens, Elaine
8/16/2005
06-3590
x
30
2015
Steaffens, Elaine
8/27/2003
04-2840
x
30
2015
Steen, Mark
6/5/2003
032743
X
n/a
2012
Sterling, William
8/19/2008
09-4673
x
8
2016
Sterling, William
12/12/2008
09-4796
x
8
2016
Sterling, William
4/24/2008
08-4558
x
30
2015
Sterling, William
2/19/2008
08-4491
x
30
2015
Sterling, William Jr
12/21/2001
022074
X
n/a
2012
Sterling, William Jr
8/27/2001
021934
X
n/a
2012
Stevens, Jeff
10/1/2009
09-5042
x
8
2016
Stiles, Ken
9/25/2008
09-4722
x
8
2016
Stiles, Ken
1/7/2008
08-4449
x
30
2015
Stiles, Kenneth
7/10/2003
042779
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Stiles, Kenneth
6/2/2003
032733
X
n/a
2012
Stiles, Kenneth
10/3/2001
021987
X
n/a
2012
Stiles, Kenneth
4/17/2001
011792
X
n/a
2012
Stiller, Scott
3/22/2001
011833
X
n/a
2012
Stills, Kenneth
4/1/2005
05-3462
x
30
2015
Stills, Kenneth
6/19/2005
05-3541
x
30
2015
Stills, Kenneth
10/2/2005
06-3648
x
30
2015
Stills, Kenneth
1/1/2006
06-3918
x
30
2015
Stills, Nedka
4/30/2010
10-0092
x
8
2016
Stires, Ronald
1/25/2005
05-3414
x
9
2016
Stires, Ronald
1/26/2011
11-0024
X
n/a
2017
Stong, Kattie
5/20/2010
10-0113
x
9
2016
Stong, Kattie
11/18/2010
10-0285
X
n/a
2017
Stow, Donald
2/8/2005
053412
X
n/a
2012
Stow, Donald
6/22/2005
05-3548
x
30
2015
Strohman, Mark
12/16/2003
042971
X
n/a
2012
Stuck, James
2/3/2007
07-4141
x
30
2015
Stuck, James
5/7/2008
08-4572
x
30
2015
Stuck, James
7/15/2011
11-0183
X
n/a
2017
Stueland, Dennis
11/26/2004
053508
X
n/a
2012
Stueland, Dennis
10/24/2001
022110
X
n/a
2012
Stuhl, Michael
4/17/2003
032681
X
n/a
2012
Suarez, Antonio
7/6/2008
09-4647
x
9
2016
Suarez, Antonio
12/26/2001
022077
X
n/a
2012
Suarez, Antonio
4/17/2005
05-3532
x
29
2015
Suarez, Antonio
9/2/2005
06-3613
x
29
2015
Suarez, Antonio
12/13/2005
06-3725
x
30
2015
Suarez, Antonio
1/16/2006
06-3778
x
30
2015
Suarez, Antonio
1/13/2007
07-4122
x
30
2015
Suarez, Antonio
12/29/2005
06-3732
x
30
2015
Sullivan, Danny
8/1/2007
08-4304
x
29
2015
Summers, Michael
10/14/2005
06-3669
x
29
2015
Summers, Michael A.
11/17/2002
032550
X
n/a
2012
Summers, Michael A.
11/17/2000
011610
X
n/a
2012
Summres, Michael
5/4/2009
09-4899
x
9
2016
Swaim, Robert
9/23/1993
93PDS0306
X
n/a
2012
Swanson, Joann
9/1/2008
09-4699
x
9
2016
Sweet, William
7/20/2005
06-3574
x
9
2016
Sweet, William
9/4/2007
08-4388
x
29
2015
Tabako,Leon
3/26/2003
032634
X
n/a
2012
Tabako,Leon
1/9/2003
032537
X
n/a
2012
Tabako,Leon
1/11/2002
022095
X
n/a
2012
Talmage, Jeff
3/8/2010
10-0054
x
9
2016
Talmage, Jeff
3/16/2009
09-4849
x
9
2016
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Talmage, Jeffrey
10/12/2010
10-0249
X
n/a
2018
Talmage, Jeffrey
05/16/1988
86000829
X
n/a
2018
Talmage, Jeffry
3/28/2001
011767
X
n/a
2012
Talmage, Jeffry
5/12/2005
05-3507
x
29
2015
Talmage, Jeffry
6/9/2008
08-4598
X
n/a
2017
Tanksley, Rufus
5/1/2003
042777
X
n/a
2012
Tanksley, Rufus
3/23/2005
05-3452
x
29
2015
Tapawan, Elenita
12/5/2003
042953
X
n/a
2012
Tarbutton, Ken
4/3/2007
07-4192
x
29
2015
Tarbutton, Kenneth
8/15/2004
053241
X
n/a
2012
Tarbutton, Scott
10/19/2010
10-0257
X
n/a
2018
Tavenner, James
6/1/2010
10-0121
x
9
2016
Tavenner, James
12/3/1999
001235
X
n/a
2012
Taylor, Coleen
6/22/2007
07-4262
x
20
2015
Taylor, Coleen
6/3/2006
06-3907
x
20
2015
Taylor, Coleen
3/8/2008
08-4504
x
20
2015
Taylor, Colleen
11/7/2002
03-2476
x
9
2016
Taylor, Colleen
11/17/2011
11-0285
X
n/a
2018
Taylor, Ryan
7/1/2003
042770
X
n/a
2012
Taylor, Ryan
10/18/2011
11-0261
X
n/a
2018
Te, David
5/31/2007
07-4242
x
20
2015
Teed, Chris
8/17/2008
09-4676
x
9
2016
Teed,Chris
10/18/2006
07-4045
x
20
2015
Teed,Chris
1/11/2006
06-3789
x
20
2015
Teed,Chris
03/10/2008
08-4514
X
n/a
2018
Teed,Chris
02/21/2009
09-4831
X
n/a
2018
Teed, Chris K.
3/26/2003
032648
X
n/a
2012
Theilman, William
4/29/2005
05-3491
x
20
2015
Theilman, William
1/30/2007
07-4136
x
20
2015
Theilman, William
12/7/2006
07-4095
x
20
2015
Theilman, William
6/3/2007
07-4250
x
20
2015
Theilman, William
5/27/2005
05-3518
x
20
2015
Thielman, William
10/17/2004
05101704
X
n/a
2012
Thielman, William
9/5/2004
053267
X
n/a
2012
Thielman, William
8/19/2005
06-3601
x
20
2015
Thielman, William
5/14/2011
11-0125
X
n/a
2017
Thomas, David
9/4/2005
06-3860
x
20
2015
Thomas, Suzanne
11/21/1998
98PDNO404
X
n/a
2012
Thomas, Suzanne
2/11/2005
05-3417
x
20
2015
Thomas -Reed, Suzanne
8/31/2009
09-5000
x
9
2016
Thompson, Aaron
3/26/2008
08-4533
x
20
2015
Thompson, Kathleen
7/7/2009
09-4956
x
9
2016
Thompson, Kathleen
3/4/2008
08-4513
x
20
2015
Thyr, Robert
7/25/2000
011478
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Tilson, Michael
10/24/2004
053314
X
n/a
2012
Timoti, John
8/29/2007
08-4333
x
9
2016
Timoti, John
12/21/2004
053374
X
n/a
2012
Timoti, John
6/8/2006
06-3914
x
20
2015
Titel, Daniel
3/8/2007
07-4175
x
20
2015
Tolosa, Roger
07/16/2013
13-0112
X
n/a
2018
Tong,Dung
11/25/2004
053343
X
n/a
2012
Tong,Dung
4/7/1999
99PDNO123
X
n/a
2012
Torres Sr., Larry
8/14/2002
032369
X
n/a
2012
Torres Sr., Larry
3/13/2002
022169
X
n/a
2012
Torres Sr., Larry
2/14/2002
022138
X
n/a
2012
Torres Sr., Larry
11/21/2001
022050
X
n/a
2012
Torres Sr., Larry
3/28/2001
011757
X
n/a
2012
Torres Sr., Larry
1/11/2001
011667
X
n/a
2012
Torres Sr., Larry
1/7/1999
99PWM0014
X
n/a
2012
Torres, Edward
6/21/2007
07-4256
x
20
2015
Torres, James
7/27/2005
063597
X
n/a
2012
Torres, James
1/9/1997
97FDS0005
X
n/a
2012
Torres, James
9/28/2005
06-3657
x
20
2015
Torres, James
11/30/2005
06-3713
x
20
2015
Torres, James
5/18/2000
00-1400
x
20
2015
Torres, James
8/16/2001
02-1922
x
20
2015
Torres, James
5/17/2003
03-2723
x
20
2015
Torres, James
7/28/2003
04-2797
x
20
2015
Torres, James
6/22/2005
05-3558
x
20
2015
Torres, Larry
02/13/1997
97PWM0028
X
n/a
2018
Torres, Larry
07/18/1996
96PWM0185
X
n/a
2018
Torres, Larry Sr.
4/16/2004
04-3154
x
20
2015
Torres, Luis
11/1/2002
032471
X
n/a
2012
Torres, Luis
6/15/2001
011855
X
n/a
2012
Torres, Luis
1/23/2001
011681
X
n/a
2012
Torrez, Linda
8/11/1999
001114
X
n/a
2012
Torrez, Nancy
02/27/2012
12-0052
X
n/a
2018
Tosh, Mary
9/17/2001
021971
X
n/a
2012
Townley, Thomas
12/25/2004
053380
X
n/a
2012
Townley, Thomas
2/4/2003
032576
X
n/a
2012
Townley, Thomas
4/25/1996
96FDS0103
X
n/a
2012
Townley, Thomas
9/12/2005
06-3621
x
20
2015
Townley, Thomas
09/15/2010
10-0229
X
n/a
2018
Townley, Thomas
03/04/2008
08-4500
X
n/a
2018
Tran, Hiep
7/10/2002
032347
X
n/a
2012
Tran, Marcel
10/27/2006
07-4058
x
20
2015
Tran, Michael C.
3/21/2002
022176
X
n/a
2012
Trattner, Harry
5/28/2004
043150
X
n/a
2012
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Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Trattner, Harry
2/22/2002
022158
X
n/a
2012
Trattner, Harry
8/28/2005
06-3609
x
20
2015
Trattner, Harry
8/23/2007
08-4330
x
20
2015
Trattner, Harry
4/6/2007
07-4193
x
20
2015
Trattner, Harry
01/29/1999
99MED0048
X
n/a
2018
Trattner, Harry
07/02/2011
11-0168
X
n/a
2018
Trattner, Harry
03/29/1998
98MED0116
X
n/a
2018
Trattner, Harry
07/08//2007
08-4286
X
n/a
2018
Trattner, Harry
08/11/2009
09-5002
X
n/a
2018
Trejo, Roberto
2/15/2001
011703
X
n/a
2012
Trenholm, Chris
5/14/2010
10-0173
X
n/a
2017
Trenholm, Chris
04/02/2004
04-3140
X
n/a
2018
Trenholm, Christopher
9/17/2000
011546
X
n/a
2012
Trevino, Thelma
5/6/2010
10-0094
x
9
2016
Trevino, Thelma
4/15/2010
10-0079
x
9
2016
Trevino, Thelma
9/6/2004
053262
X
n/a
2012
Trevino, Thelma
3/30/2007
04-4186
x
24
2015
Trinajstich, Chris
10/22/1991
91140362
X
n/a
2012
Trinajstich, Chris
2/10/1989
89140048
X
n/a
2012
Trinajstich, Chris
11/29/1988
88ANA212436
X
n/a
2012
Trinajstich, Chris
7/12/1988
88140162
X
n/a
2012
Trinajstich, Chris
5/1/1988
88140014
X
n/a
2012
Tripp, Timothy
4/23/2001
011797
X
n/a
2012
Tripp, Timothy
4/20/1999
99PAR0138
X
n/a
2012
Trujillo, Rose Ann
11/8/2002
032533
X
n/a
2012
Truong, Lien
5/5/2009
09-4897
x
9
2016
Truong, Lien
9/23/2009
09-5037
x
9
2016
Tucker, John
5/22/2004
053261
X
n/a
2012
Tucker, John
9/18/1998
98PDS0312
X
n/a
2012
Tucker, John
03/01/1997
97PDS0369
X
n/a
2018
Tuller, Wendy
1/11/2010
10-0006
x
9
2016
Turley, Doris
5/18/1998
98CDA0179
X
n/a
2012
Underwood, Larry
04/03/2010
10-0074
X
n/a
2018
Underwood, Lawrence
4/1/2003
032676
X
n/a
2012
Underwood, Lawrence
7/3/2000
011444
X
n/a
2012
Underwood, Lawrence
10/19/2005
06-3678
x
24
2015
Underwood, Lawrence
1/4/2007
07-4115
x
24
2015
Underwood, Lawrence
3/19/2008
08-4517
x
24
2015
Uribe, Hiram
9/22/2000
011555
X
n/a
2012
Uribe, Hiram
10/5/2008
09-4726
x
24
2015
Uribe, Hiram
04/10/2012
12-0068
X
n/a
2018
Urtez, Alex
9/28/2004
053291
X
n/a
2012
Urtez, Alex
9/8/2003
042848
X
n/a
2012
Urtez, Alex
12/11/2001
022059
X
n/a
2012
64 of 71
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Urtez, Alex
9/4/2006
07-3996
x
24
2015
Urtez, Belinda
09/26/1997
97PWA0317
X
n/a
2018
Uruza, Christian
10/14/2001
02-2013
x
9
2016
Urzua, Christian
5/23/2001
011826
X
n/a
2012
Urzua, Christian
4/19/2001
011801
X
n/a
2012
Urzua, Christian
2/24/2008
08-4503
x
24
2015
Valdez, Ana
6/7/2005
05-3539
x
24
2015
Valdez, Clemente
4/4/2006
06-3844
x
24
2015
Valdez, Elliott E.
4/24/2002
022225
X
n/a
2012
Valdez, John
3/26/09
09-4868
x
9
2016
Valdez, John
8/22/2003
042839
X
n/a
2012
Valdez, John
4/9/2002
022200
X
n/a
2012
Valdez, John
07/28/2010
10-0175
X
n/a
2018
Valdez, John
12/10/1998
99FLT0010
X
n/a
2018
Valdez, John
07/13/2004
05-3200
X
n/a
2018
Valdez, John
06/06/1997
97FLT0174
X
n/a
2018
Valdez, Joseph
07/23/2013
13-0109
X
n/a
2018
Valdez, Judith
12/7/2009
09-5121
x
9
2016
Valdez, Judith
09/09/2012
12-0179
X
n/a
2018
Valdez, Robert
11/7/2001
022026
X
n/a
2012
Valdez, Robert
5/2/2001
011813
X
n/a
2012
Valenzuela, Jaime
9/30/2008
09-4735
x
9
2016
Van Es, Jeff S.
11/1/2000
011585
X
n/a
2012
Van, Alex
5/3/2003
032705
X
n/a
2012
Van, Alex
2/14/2001
011704
X
n/a
2012
Van, Alex
11/01/1995
95MED0405
X
n/a
2018
Van, Alexander
9/21/2005
06-3635
x
10
2016
Van, Alexander
2/16/2009
09-4828
x
14
2015
Van, Alexander
12/20/2001
02-2073
x
24
2015
Varela, Andres
8/11/2008
09-4675
x
10
2016
Varela, Andres
3/8/2004
043056
X
n/a
2012
Varela, Andres
9/16/2002
032407
X
n/a
2012
Vargas, Fernando
10/9/2003
042898
X
n/a
2012
Vargas, Fernando
6/27/2003
042765
X
n/a
2012
Vargas, Fernando
4/11/2002
022202
X
n/a
2012
Vargas, Joe
10/28/2010
30-0272
X
n/a
2017
Vargas, JoeL.
2/11/2002
022139
X
n/a
2012
Vargas,Jorge
7/23/2004
053217
X
n/a
2012
Vargas,Jorge
5/5/2004
043125
X
n/a
2012
Vargas,Jorge
2/3/2003
032573
X
n/a
2012
Vargas,Jorge
5/4/2001
011815
X
n/a
2012
Vargas, Jorge
1/7/2007
07-4121
x
24
2015
Vargas, Martha
2/15/2005
05-3423
x
10
2016
Vargas, Michael
1/2/2004
042991
X
n/a
2012
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COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Vargas, Michael
2/12/2007
07-4148
x
24
2015
Vasquez, Andres
7/15/2011
11-0187
X
n/a
2017
Vasquez, Joe
07/01/2003
04-2789
X
n/a
2018
Vasquez, Joseph
1/28/2005
053401
X
n/a
2012
Vasquez, Joseph
4/2/2004
043089
X
n/a
2012
Vasquez, Joseph
10/29/2007
08-4394
x
13
2016
Vasquez, Joseph
3/21/2003
032401
X
n/a
2012
Vasquez, Joseph
2/14/2001
011723
X
n/a
2012
Vasquez, Joseph
05/19/2004
04-3136
X
n/a
2018
Vasquez, Joseph
09/12/2005
06-3673
X
n/a
2018
Vasquez, Melissa
5/6/2002
022244
X
n/a
2012
Vasquez, Veronica
5/9/2001
021985
X
n/a
2012
Vasquez, Veronica
2/5/2001
011712
X
n/a
2012
Vazquez. Andres
1/7/2008
08-4452
x
10
2016
Vega,Hugo
9/10/2002
032416
X
n/a
2012
Vega, Lupita
11/13/2007
08-4432
x
10
2016
Velasco, Monica
08/16/2012
12-0157
X
n/a
2018
Velasco, Robert
11/12/2013
13-0177
X
n/a
2018
Velasco, Teresa
1/15/2005
053392
X
n/a
2012
Velasco, Teresa
1/9/2002
022097
X
n/a
2012
Velasco, Teresa
11/23/2010
11-0003
X
n/a
2017
Velasquez, Ricardo
11/12/2012
12-0211
X
n/a
2018
Verdugo,Gegardo
10/7/2007
08-4376
x
10
2016
Verdugo,Gerardo
12/09/2010
10-0302
X
n/a
2018
Verduzco,Violetta
5/18/2004
043141
X
n/a
2012
Veres, Deborah
1/28/2004
043021
X
n/a
2012
Vergara, Ramiro
5/30/2010
10-0137
x
10
2016
Vergara, Ramiro
7/22/2006
07-3959
x
24
2015
Vergara, Ramiro
03/03/2012
12-0049
X
n/a
2018
Vergara, Ramiro
12/09/2012
12-0223
X
n/a
2018
Vergara, Ramiro
09/09/2013
13-0137
X
n/a
2018
Vergil, David
3/4/2003
032618
X
n/a
2012
Vergil, David
6/13/2001
011852
X
n/a
2012
Vergil, David
2/21/2001
011711
X
n/a
2012
Viar, David
1/14/2010
10-0013
x
10
2016
Viar, David
6/14/2010
10-0136
x
10
2016
Viar, David
11/3/2004
053327
X
n/a
2012
Viar, David
8/12/2004
053237
X
n/a
2012
Viar, David
6/5/2004
043160
X
n/a
2012
Viar, David
3/3/2004
043053
X
n/a
2012
Viar, David
3/14/2003
032630
X
n/a
2012
Viar, David
11/12/2002
032484
X
n/a
2012
Viar, David
3/7/2002
022170
X
n/a
2012
Viar, David
2/11/2001
011705
X
n/a
2012
66 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Viar, David
8/16/1998
98FDS0288
X
n/a
2012
Viar, David
O1/30/2008
08-4475
X
n/a
2018
Vidaurreta, Vince
8/16/2002
032390
X
n/a
2012
Vidaurreta, Vince
4/26/2006
06-3865
x
24
2015
Viescas, Elaine
2/2/2005
05-3408
x
10
2016
Vigil, Brian
8/10/2009
09-4999
x
10
2016
Villa, Eduardo
2/26/2004
043050
X
n/a
2012
Villa, Tony
02/18/2011
11-00479
X
n/a
2018
Villamar, Ruben
9/17/2003
042862
X
n/a
2012
Villamar, Ruben
9/24/2001
021982
X
n/a
2012
Villamar, Ruben
6/20/2001
011866
X
n/a
2012
Villamar, Ruben
5/30/2001
011840
X
n/a
2012
Villarreal, Antonio
12/6/2005
06-3717
x
24
2015
Villarreal, Antonio
2/13/2006
06-3798
x
24
2015
Villasenor, Daniel
4/26/2005
05-3486
x
24
2015
Villasenor, Daniel
8/24/2006
07-3982
x
24
2015
Villasenor, Jose
1/4/2002
022081
X
n/a
2012
Villasenor, Larry
3/23/2009
09-4863
x
10
2016
Villasenor, Marcella
5/16/2002
022268
X
n/a
2012
Villegas, Ernest
4/26/2014
10-0069
x
10
2016
Villegas, Ernest
11/15/2005
06-3696
x
24
2015
Villegas, Ernest
08/15/2012
12-0161
X
n/a
2018
Villela, Edmundo
9/29/2004
053307
X
n/a
2012
Villela, Edmundo
7/20/2001
021901
X
n/a
2012
Villela, Edmundo
3/23/2001
011753
X
n/a
2012
Villela, Edmundo
7/24/1999
001100
X
n/a
2012
Villela, Edmundo
10/30/2006
07-4086
x
24
2015
Villela, Edmundo
O1/22/2013
13-0025
X
n/a
2018
Viramontes, Evelia
3/19/2001
011749
X
n/a
2012
Viramontes, Jason
1/30/2009
09-4830
x
10
2016
Viramontes, Jason
1/10/2008
08-4456
x
10
2016
Viramontes, Jason
12/29/2005
06-3740
x
24
2015
Viramontes, Jason
4/12/2005
05-3471
x
24
2015
Viramontes, Jason
8/26/2003
04-2834
x
24
2015
Viramontes, Jason
3/3/2011
11-0066
X
n/a
2017
Viramontes, Jason
05/22/2012
12-0100
X
n/a
2018
Vlatkovich, Joseph
12/22/2006
07-4112
x
24
2015
Vlatkovich, Joseph
2/7/2004
04-3025
x
24
2015
Vlatkovich, Joseph
1/6/2006
06-3744
x
24
2015
Vlatkovich, Joseph
4/26/2011
11-0109
X
n/a
2017
Vo,Huong
12/13/2006
07-4102
x
10
2016
Vo,Huong
9/10/2009
09-5050
x
10
2016
Vo,Huong
7/27/2006
07-3971
x
24
2015
Vo,Huong
1/25/2006
06-3777
x
24
2015
67 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box # Purge Year
Vo,Huong
4/6/2001
01-1772
x
24
2015
Vo,Huong
06/08/2013
13-0085
X
n/a
2018
Vo,Huong
03/06/2013
13-0035
X
n/a
2018
Vo,Huong
10/25/2011
11-0271
X
n/a
2018
Vo, Huong (Margaret)
1/25/2006
06-3802
x
24
2015
Vo, Margaret
3/27/2008
08-4564
X
10
2016
Vu, Chieu T.
6/13/2002
022292
X
n/a
2012
Vu, Khoa
12/14/2009
09-5132
x
10
2016
Vu, Khoa
04/01/2010
10-0072
X
n/a
2018
Waelder, Kelly
7/1/2002
032319
X
n/a
2012
Wagner, Debera
8/24/1992
92CDA0312
X
n/a
2012
Wagner, Debera
5/25/1992
92CDA0402
X
n/a
2012
Waite, William
3/14/2008
08-4512
x
24
2015
Waldo, Mark
11/16/2008
09-4802
x
10
2016
Waldo, Mark
10/10/2002
032441
X
n/a
2012
Walker, James
10/4/2006
07-4022
x
11
2016
Walker, James
1/28/2005
05-3402
x
11
2016
Walker, Jennifer
3/14/2009
09-4847
x
11
2016
Walker, Jennifer
3/9/2006
06-3820
x
27
2015
Walker, Jennifer
10/23/2012
12-0198
X
n/a
2018
Wallace, Jason
8/11/2003
042817
X
n/a
2012
Wallace, Jason
6/18/2001
011865
X
n/a
2012
Waltermire, Salvador
3/16/2004
043067
X
n/a
2012
Waltermire, Salvador
1/8/2006
06-3821
x
27
2015
Walters, Paul
5/20/2005
03-2767
x
11
2016
Wangensteen, Elizabeth
07/05/2013
13-0098
X
n/a
2018
Ward, David
11/8/2008
09-4766
x
11
2016
Ware, Gregory
10/8/2009
09-5054
X
11
2016
Ware, Gregory
6/2/2010
10-0146
X
11
2016
Ware, Gregory
3/26/2010
09-4868
x
11
2016
Ware, Gregory
5/4/2004
043177
X
n/a
2012
Ware, Gregory
1/30/2002
022117
X
n/a
2012
Ware, Gregory
1/4/2001
011654
X
n/a
2012
Ware, Gregory
6/21/2006
06-3933
x
27
2015
Ware, Gregory
5/9/2005
05-3501
x
27
2015
Ware, Gregory
2/28/2007
07-416
x
27
2015
Ware, Gregory
09/13/1993
93FLT0278
X
n/a
2018
Washington, Samuel
4/5/2002
022193
X
n/a
2012
Watkins, Derrick
1/21/2002
022107
X
n/a
2012
Watkins, Derrick
8/13/2001
021918
X
n/a
2012
Watson, Michael
5/1/2009
09-4891
x
11
2016
Watson, Michael
1/1/2004
04-3102
x
11
2016
Watson, Mike
12/28/2002
032518
X
n/a
2012
Watson, Mike
9/7/2002
032399
X
n/a
2012
68 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Watson, Mike
8/11/2008
09-4664
X
27
2015
Watson, Zachary
9/30/1999
001181
X
n/a
2012
Welch, Yolanda
2/22/2006
06-3804
X
27
2015
West, Glen
10/25/2006
07-4053
X
27
2015
West, Glen
12/8/2005
06-3718
X
27
2015
West, Glen
04/30/2012
12-01114
X
n/a
2018
West, Glen R.
10/17/2001
022039
X
n/a
2012
Weston, Gregory
02/02/2010
10-0060
X
n/a
2018
Wharton, Matthew
3/2/2004
043049
X
n/a
2012
Wharton, Matthew
11/19/2006
07-4077
X
27
2015
Wharton, Matthew
10/9/2007
08-4375
X
27
2015
Wharton, Matthew
8/5/2007
08-4309
X
27
2015
Whitaker, Patricia
7/24/2001
021906
X
n/a
2012
Whitaker, Patricia
5/30/1996
96CDH0140
X
n/a
2012
White, Eric
8/2/2008
09-4659
X
11
2016
White, Eric
9/21/2005
06-3639
X
27
2015
Whitley, Brian
5/2/2005
05-3495
X
11
2016
Whitley, Brian
9/9/2003
042860
X
n/a
2012
Whitley, Brian
1/7/2002
022090
X
n/a
2012
Wiemann, Kurt
2/5/2007
07-4147
X
27
2015
Willard, Ken
2/14/2011
11-0041
X
n/a
2017
Willard, Kenneth
11/30/2005
06-3716
X
27
2015
Willard, Kenneth
7/26/2007
08-4310
X
27
2015
Williams, Charles
11/14/1985
85003073
X
n/a
2018
Williams, Charles E.
12/5/2000
042933
X
n/a
2012
Williams, Don
3/31/2009
09-4859
X
11
2016
Williams, Don
5/4/2009
09-4896
X
11
2016
Williams, Don
4/1/2008
08-4529
X
11
2016
Williams, Don
1/3/2006
06-3741
X
11
2016
Williams, Don
4/12/2004
043097
X
n/a
2012
Williams, Eric
4/18/2003
032686
X
n/a
2012
Williams, Hugh
06/06/1985
87005067
X
n/a
2018
Williams, Joseph
8/15/1991
93PDS0027
X
n/a
2012
Williams, Rayna
5/14/2009
09-4920
X
11
2016
Williams, Rayna
11/8/2009
09-5082
X
11
2016
Williams, Rayna
10/23/2008
09-4761
X
11
2016
Wilmorsky, Craig
06/13/2011
11-0154
X
n/a
2018
Wilson, Rashad
05/13/2010
10-0104
X
n/a
2018
Winston, Stephen
1/22/2002
022111
X
n/a
2012
Winston, Steve
2/15/2008
08-4486
X
27
2015
Witt, Kendall
9/2/2010
10-0218
X
12
2016
Witt, Kendall
8/4/2010
10-0222
X
n/a
2017
Wong, Alice
3/5/2001
011737
X
n/a
2012
Woods, Brian
6/2/2009
09-4929
X
12
2016
69 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury
Claim #:
Medical Indemnity
Box #
Purge Year
Woods, Brian
1/6/2007
07-4117
x
27
2015
Woods, Brian
10/09/2011
11-0262
X
n/a
2018
Woods, Gerardo
5/26/2006
06-3900
x
27
2015
Woods, Kendall
10/7/2006
07-4028
x
27
2015
Yamaguchi, Kent
9/28/2007
08-4367
x
27
2015
Yarbrough, Kenneth
07/31/2003
04-3039
X
n/a
2018
Yarnall, Cheryl
4/17/2007
07-4196
x
27
2015
Ybarra, James
6/15/2007
07-5254
x
27
2015
Ybarra, James
6/1/2005
05-3524
x
27
2015
Yettaw, David
1/23/2006
06-3770
x
27
2015
Yettaw, David
12/25/2007
08-4460
x
27
2015
Zambrano, Miguel
6/4/2001
011841
X
n/a
2012
Zamora, Jess
12/11/2002
032515
X
n/a
2012
Zamudio, Rocio
8/12/2008
09-4677
x
27
2015
Zanca, Lisa
8/25/2008
09-4688
x
27
2015
Zapien, Maria E.
8/22/2002
032375
X
n/a
2012
Zaragoza, Claudia
5/6/2010
10-0096
x
12
2016
Zaragoza, Claudia
7/2/2007
08-4271
x
27
2015
Zaragoza, Edward
2/21/2002
022166
X
n/a
2012
Zaragoza, Edward
04/11/2011
11-0100
X
n/a
2018
Zastrow, William
3/27/2007
07-4187
x
12
2016
Zastrow, William
7/7/2007
08-4630
x
12
2016
Zastrow, William
10/6/1999
98FDS0334
X
n/a
2012
Zastrow, William
6/21/2006
06-3932
x
27
2015
Zavala, Dave
12/27/2004
074258
X
n/a
2012
Zavala, Dave
12/8/2004
053357
X
n/a
2012
Zavala, Dave
5/19/2003
053385
X
n/a
2012
Zavala, Marco
1/6/2005
053439
X
n/a
2012
Zavala, Marco
7/25/2002
032339
X
n/a
2012
Zavala, Marco
3/2/2000
001316
X
n/a
2012
Zavala, Marco
5/8/1998
98PDS0159
X
n/a
2012
Zavala, Marco
7/7/2008
09-4629
x
27
2015
Zavala, Ricardo
3/11/2001
011739
X
n/a
2012
Zavala, Ricardo
1/7/2011
11-0012
X
n/a
2017
Zavala, Ricardo
10/31/2012
12-0205
X
n/a
2018
Zeigler, Brittany
4/21/2006
06-3859
x
27
2015
Zell, Brian
3/18/2010
10-0063
x
12
2016
Zell, Brian
08/02/2012
12-0148
X
n/a
2018
Zell, Brian
11/05/2013
13-0168
X
n/a
2018
Zembruzski, Richard
9/12/2000
01-1537
x
27
2015
Zembruzski, Richard
3/31/2004
06-3828
x
27
2015
Zroka, Darren
2/13/2011
11-0039
X
n/a
2017
Zul, Gregorio
10/8/2004
053303
X
n/a
2012
Zull, Gregorio
6/14/2009
09-4949
x
12
2016
70 of 71
7/10/2019
COSA Workers' Compensation Unit
Record Destruction List
Claimant
Date of Injury Claim #: Medical Indemnity
Box #
Purge Year
Zuniga, Gerardo
8/9/2010 10-0210 x
12
2016
Zuniga, Johnny
7/19/1999 00-1098 X
n/a
2012
Zuniga, Johnny
7/11/2007 08-4281 x
27
2015
Zurita, Bianca
2/3/2009 09-4821 x
12
2016
71 of 71
7/10/2019
Exhibit 3
MEMORANDUM
To: Sonia R. Carvalho
City Attorney
From: Jack Ciulla
Chief Technology Innovations Officer
Date: October 3, 2019
Re: REQUEST FOR DESTRUCTION OF RECORDS
Staff members of the Information Technology Department have reviewed and identified City
records that may be scheduled for destruction in accordance with the attached retention
schedule outline in City Council Resolution 2013-014. Staff is respectfully requesting your
approval.
WIl] Oty MiManam. Mwn Nw nui wades Mf Zyelf w�vip ]Ymn GG 3a090 Flrwn
l01]�
Thank you.
RECORDS DESTROYED:
All emails prior to October 1, 2017 and not flagged for legal hold, will be deleted from the City's
email archive server. Number of emails: Approximately 32 million
APPROVED BY:
Sonia R. Carvalho Date
City Attorney
Attachment
Exhibit 4
Memo
To: Sonia R. Carvalho, City Attorney
From: Robert Rodriguez, Commander
Date: September 25, 2019
Re: Request for Destruction of Records
The Internal Affairs Division requests your consent to destroy records, listed on
the attached request, in accordance with the records retention schedule outlined
in City Council Resolution 2013-014.
Respectfully submitted,
K. .
Internal Affairs
CITY OF SANTA ANA
OBSOLETE RECORDS DESTRUCTION SCHEDULE
POLICE DEPARTMENT
Division Name: Internal Affairs Division
Record
Record Series
Record Description
Record Dates
Category
Administrative
Employee
Accidents involving on -duty
01/01/2012-
Investigations
Accidents
department personnel.
12/31/2012
Administrative
K-9 Reports
Investigations of K-9 bite
01/01/2012-
Investigations
incidents. (Not to Include SB1421
12/31/2012
related files)
Administrative
Use of Force
Use of Force and in -custody
01/01/2012-
Investigations
injuries. (Not to Include SB1421
12/31/2012
related files)
Administrative
OIS
Officer Involved Shootings. (Not to
01/01/2009-
Investigations
Include SB 1421 related files)
12/31/2012
Citizen and
By Employee
Investigations of alleged
01/01/2012-
Internal
Name
employee misconduct. (Not to
12/31/2012
Complaints
include SB1421 files)
Prepared by:
Name: Saul Esquivel
Date: September 25,
Title: Corporal
2019
Number of boxes to be destroyed: 8
CONSENT BY:
C1h u'r, vftww,^�
avi lentin, Chief of Police
APPROVED BY:
,LS rQ �t uv R CSC
Sonia R. Carvalho, City Attorney
Page 1 of 2
ko
Date
l0/a (I
Date
CITY OF SANTA ANA
OBSOLETE RECORDS DESTRUCTION SCHEDULE
POLICE DEPARTMENT
Division Name: Internal Affairs Division
Records destroyed by:
Print Name & Badge # Signature
Date of destruction:
Once your records have been destroyed return this form to the Records Manager and keep
a copy of this form for your files.
Page 2 of 2
CITY OF SANTA ANA
OBSOLETE RECORDS DESTRUCTION SCHEDULE
POLICE DEPARTMENT
Division Name: Internal Affairs Division
Record
Record Series
Record Description
Record Dates
Category
Administrative
Employee
Accidents involving on -duty
01/01/2013-
Investigations
Accidents
department personnel.
12/31/2013
Administrative
K-9 Reports
Investigations of K-9 bite
01/01/2013-
Investigations
incidents. (Not to Include SB1421
12/31/2013
related files)
Administrative
Use of Force
Use of Force and in -custody
01/01/2013-
Investigations
injuries. (Not to Include SB1421
12/31/2013
related files)
Administrative
OIS
Officer Involved Shootings. (Not to
01/01/2013-
Investigations
Include SB 1421 related files)
12/31/2013
and
By Employee
Investigations of alleged
01/01/2012-
al
E
Name
employee misconduct. (Not to
12/31/2013
ints
include SB1421 files)
Prepared by:
Name: Saul Esquivel Title: Corporal
Date: September 25, 2019
Number of boxes to be destroyed: 8
CONSENT BY:
�t>= C6-%b4- Vlit_� to c
Davi alentin, Chief of Police Date
APPROVED BY:
R �&t1-P-t4A_ 10 L7 i
Sonia R. Carvalho, City Attorney Date
Page 1 of 2
CITY OF SANTA ANA
OBSOLETE RECORDS DESTRUCTION SCHEDULE
POLICE DEPARTMENT
Division Name: Internal Affairs Division
Records destroyed by:
Print Name & Badge # Signature
Date of destruction:
Once your records have been destroyed return this form to the Records Manager and keep
a copy of this form for your files.
Page 2 of 2
Exhibit 5
CITY OF SANTA ANA
OBSOLETE RECORDS DESTRUCTION SCHEDULE
Community Development Agency
2019
Record
Record
Record Description
Record Dates
Category
Series
Programs ARRA 102 & 103, Rapid Response 501
Workforce
and Adult 201 Participant Files, WIA & WIOA
FY
ECONOMIC
Investment Act
Forms. (Enrollment and various participant forms,
June - July
DEVELOPMENT
(WIA; WIOA)
supporting paperwork.)
pp g p p )
2009 -2013
July 2019 (18 Boxes)
Workforce
Wes Bosch -Vocational Assessment -Participant
FY
ECONOMIC
Investment Act
Files, Forms (supporting paperwork).
June - July
DEVELOPMENT
July 2019 (1 Box)
(LIMA)
2012 -2013
SSA/CaIWORKS and SSA/WEX Participant Files.
ECONOMIC
Workforce
(Enrollment and various participant forms
FY
DEVELOPMENT
Investment Act
supporting paperwork.)
June - Jul Y
(WIA)
July 2019 (9 Boxes)
2012 -2013
Youth Work Force Development Program and
Workforce
YSPN / STEM I NAPS / SAPL I CCOS I CTAC /
FY
ECONOMIC
Investment Act
TSJT Programs Participant Files (enrollment and
June -July
DEVELOPMENT
(WIA; WIOA)
various participant forms, supporting paperwork).
2011 -2013
July 2019 (5 Boxes)
Youth Procurement Documents (Proposals, RFPs,
ECONOMIC
Workforce
Rating Sheets) (including Admin files, supporting
FY
DEVELOPMENT
Investment Act
backup paperwork and training forms).
June - July
(WDB; WIA)
July 2019 (2 Boxes)
2011 -2013
Youth Monitoring / One -Stop I ETPL State
ECONOMIC
Workforce
Monitoring Reports (including supporting
FY
DEVELOPMENT
Investment Act
paperwork, forms) July 2019 (2 Boxes)
June - July
(WIA)
2008 - 2013
Original procurement documents (proposals,
RFPs, rating sheets). Contracts and other backup
Federal
data for processing invoices, oversight and
ECONOMIC
Empowerment
monitoring reports, including backup data and
Jan -Sept
DEVELOPMENT
Zone (FEZ)
program operation audit reports and miscellaneous
1999-2010
administration files.
Sept. 2019 (44 Boxes)
Santa Ana Procurement records and RFPs, subgrantee,
ECONOMIC Empowerment agreements, plans and miscellaneous
DEVELOPMENT Corporation administration files.
(SAEC) Sept. 2019 (5 Boxes)
PREPARED BY:
Terri Eggers Date
Senior Community I pment Analyst
Community Development Agency
RECORDS DESTROYED:
Number of boxes
CONSENT BY:
Jan - Sept
1999 - 2010
I l•64-zAt 1
Steven Mendoza Date
Executive Director
Community Development Agency
APPROVED BY:
Sonia R. Carvalho Date
City Attorney
CITY OF SANTA ANA
OBSOLETE RECORDS DESTRUCTION SCHEDULE
CITY MANAGER'S OFFICE
2019
RECORD
RECORD
RECORD
EXPIRATION
CATEGORY
SERIES
DESCRIPITION
DATES
Agency/Dept. Head
Contracts entered into by the City
October 1,
Agreements
Approved
relating to goods, services, legal
2015 and
settlements and programs
prior
Forms used by the Mayor and
October 1,
Correspondence
Council Requests
Councilmembers to request
2016 and
information and/or staff actions
prior
"Loose" correspondence that
Incoming and
cannot be legitimately attached
October 1,
Correspondence
Outgoing General
to some major record series such
2016 and
Correspondence
as AGREEMENT or PROJECT
prior
(City Council)
"Loose" correspondence that
Incoming and
cannot be legitimately attached
October 1,
Correspondence
Outgoing General
to some major record series such
2016 and
Correspondence
as AGREEMENT or PROJECT
prior
(City Manager's Office)
Exception Sheets,
Leave of Absence
Mayor and City Council
October 1,
Payroll
Forms, and related
City Manager Office Staff
2016 and
Payroll Reports
prior
October 1,
DPV forms, Petty Cash Receipts,
2016 and
Reports
Accounts Payable
Credit Card Statements
prior
October 1,
Travel Folders
Councilmembers and
Travel forms and related
2016 and
CMO Staff
documentation
prior
APPROVE:
Kristine Ridge Date
City Manager
CONSENT:
1 Wwg C aji
Sonia R. Carvalho Date
City Attorney
------------------------------------------------------
RECORDS DESTROYED: AUDITED BY:
Volume
In Cubic Feet
Weight
in Pounds
Rosa Flores Date
Secretary to the City Manager
CITY OF SANTA ANA
OBSOLETE RECORDS DESTRUCTION SCHEDULE
FINANCE 6 MANAGEMENT SERVICES AGENCY • TREASURY DIVISION 2019
RECORD CATEGORY
RECORD SERIES
RECORD DESCRIPTION
RECORD DATES
BANKS
Daily Bank Balance
Reports of daily banking activity.
01/01/2016
Report
and Prior
Treasurys copy of all City deposit
01/01/2016
Deposit Slips
slips sent to bank
and Prior
Copies of customer checks returned
Returned Checks
by bank, letters sent to customers
01/01/2016
other miscellaneous documents
and Prior
Statements
Statements relating to investment
01/012016
banking.
and Prior
Transfer Activity
Documents pertaining to the wiring of
01/01/2016
Records
funds to/front bank accounts
and Prior
BUSINESS
Miscellaneous Business License
LICENSE TAX
Monthly Register
Account Summery Information
Reports
reports.
and
and Prior
Deletion Records
Deleted and/or cancelled accounts.
01/01/2016
and Prior
Gross Receipts &
Business License Tax statements
01/01/2016
Variable Assessments
filed by business operators.
and Prior
Statements
Miscellaneous
Receipts for miscellaneous payments.
01/01/2016
Receipts
and Prior
Original business license tax
Original Applications
applications,
01/012016
amendments/correspondences for
and Prior
inactive accounts.
Statements relating to calculation and
O11012016
Payment Records
payment of business license tax.
and Prior
Renewal Registration
Statements relating to business
01/012016
Records
owner information
and Prior
Payments / Daily Cash
Business License Tax payments
01/01/2016
Receipts
received and processed via Treasury
and Prior
cashiers.
Page 1
RECORD
CATEGORY
RECORD SERIES
RECORD DESCRIPTION
RECORD DATES
ChECKS (con')
Transmission of all
List of all City checks issued to allow
checks issued by City
bank to Gear checks through
O'ew 7
to Bank.
account for Positive Pa purposes.
nd Fdw
and
DOG LICENSES
Application for Dog License and
amendments/corrections for inactive
0110112016
Original Applications
accounts.
and Prior
Including Rabies Vaccination
records.
Daily payment information;
01/01/2016
Reports
unpostables; renewals;
and Prior
noncompliance; tag list; penalties.
Payments / Daily
Dog License payments received and
01101/2016
Cash Receipts
processed via Treasury Cashiers.
and Prior
Cancellations
Dog Licenses cancelled
01101/2016
and Prior
HOTEL VISITORS
Original Registration and
TAX
Filing Records
amendmentslcorections for inactive
01101/2016
accounts.
and Prior
Monthly filings and remittances and
Payment Records
amendmentslcomi clams for inactive
0/101/2016
accounts.
and Prior
WATER
Original copies of applications for
ACCOUNTS
of new waterservice
water
Applications for
originated
originated by Public Works and
01/01/2016
Service
amendments/corrections or inactive
and Prior
accounts.
MUNICIPAL
UTILITY
Billing Register
Computerized reports detailing
01/0112016
ACCOUNTS
Reps
accounts billed g respective
and Prior
charges
Work Orders
Investigations of water meter
01/01/2016
notices and meter exchanges
and Prior
Miscellaneous information I
Customer files
corespondence regarding customer
01101/2016
accounts
and Prior
Deposit Reports
List of Municipal Utility Service
01/01/2016
accounts that have a deposit
and Prior
Lists daily receipts processed via
Treasury Cashiers to Municipal
01101/2016
Payment Report
Utility Service accounts by account
and Prior
number
Daily receipts processed to
Payments
Municipal Utility accounts by
01101/2016
Services account number
and Prior
Municipal Utility
Municipal Utility Service refunds
0110V2016
Services
requests and backup information
and Prior
Lists balances of all Municipal Utility
01/01/2016
Aging Report
Service accounts
and Prior
PARKING
CITATIONS
0emization of citation payments
Collections
collected by contract
01fi
0nd
service agency
and Prior
PARKING
CITATIONS
Register
Parking Citation Payments process
01/01/2016
by Treasury Staff
and Prior
Page 2
RECORD
CATEGORY
RECORD SERIES
RECORD DESCRIPTION
RECORD DATES
(Cont)
Amounts Wdttenaff
List of parking citations written -off by
O110112016
Report
DMV
and Prior
Citations Referred to
Itemization of citations referred to
01/012016
DMV
DMV for collection
and Prior
DMV Collections
DMV parking citation Collections
01/012016
and Prior
REFUND
REQUESTS
Business Tax Office
Treasury Refund requests to Tr
01/O112016
Division:includessupportingTreasury
8 Miac. Refunds
documentation
and Prior
TREASURY
Report of daily revenues received
Daily Treasurers
vnth detail a
payment information and
OV0
Reports
and Prior
related working papers
Treasury Investment
All documents pertaining to
01/012016
Activity Records
Investment Activity
and Prior
UTILITY USERS
TAX
Original Registration and
01/072016
1120
Filing Records
amendments/corrections for inactive
accounts.
and Prior
Monthly filings and remittances and
Payment Records
amendmentslconections for inactive
01/012016
ano Prioraccounts.
PREPARED BY:
�I
Aejarl(O Gutierrez Date
Management Analyst
CONSENT BY:
L/ //
thryn Do ns Date
Executive Director
Finance & Management Services
APPRO
$Onia R. Carvalho Date
City Attorney
Page 3
CITY OF SANTA ANA
OBSOLETE RECORDS DESTRUCTION SCHEDULE
CITY MANAGER'S OFFICE
2019
RECORD
RECORD
RECORD
EXPIRATION
CATEGORY
SERIES
DESCRIPITION
DATES
Agency/Dept. Head
Contracts entered into by the City
October 1,
Agreements
Approved
relating to goods, services, legal
2015 and
settlements and programs
prior
Forms used by the Mayor and
October 1,
Correspondence
Council Requests
Councilmembers to request
2016 and
information and/or staff actions
prior
"Loose" correspondence that
Incoming and
cannot be legitimately attached
October 1,
Correspondence
Outgoing General
to some major record series such
2016 and
Correspondence
as AGREEMENT or PROJECT
prior
(City Council)
"Loose" correspondence that
Incoming and
cannot be legitimately attached
October 1,
Correspondence
Outgoing General
to some major record series such
2016 and
Correspondence
as AGREEMENT or PROJECT
prior
(City Manager's Office)
Exception Sheets,
Leave of Absence
Mayor and City Council
October 1,
Payroll
Forms, and related
City Manager Office Staff
2016 and
Payroll Reports
prior
October 1,
DPV forms, Petty Cash Receipts,
2016 and
Reports
Accounts Payable
Credit Card Statements
prior
October 1,
Travel Folders
Councilmembers and
Travel forms and related
2016 and
CMO Staff
documentation
prior
APPROVE:
Kristine Ridge Date
City Manager
CONSENT:
1 Wwg C aji
Sonia R. Carvalho Date
City Attorney
------------------------------------------------------
RECORDS DESTROYED: AUDITED BY:
Volume
In Cubic Feet
Weight
in Pounds
Rosa Flores Date
Secretary to the City Manager