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US Mail Correspondence
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County of Santa ClaraOffice of the SheriffInternal Affairs Unit - Custody Bureau
55 WestYoungerAvenueSan Jose, Califomia 95110-1721PH: (408) 808-4930 Fx: (408) 279-3s96
Laurie SmithSheriff
December 1,201,5
Main Jail South- 345E885 N. San Pedro StreetSanJose, CA 95110
Dear :
Internal Affairs received your Inmate Request Form, requesting a copy of complaint 2015-5401,
regarding I.A. complaint filed on10/2011'5.
Internal Affairs does not have any complaint number 2015-5401, additionally we do not have a complaint
from you filed on October 20,2015.
The most recent complaint we have from you was filed on Septernbt 23,2015:
"On 09/23/15 at brealcfast, C-Team fficers stationed around cage, threatened me and several other
inmates with physical harm. One fficer stated, 'You guys don't lm.ow us.' Other fficer {(ed,,'\eah, C-
Teamfucked up -*"'ll beat your ass.' I was in líne causing no trouble, gettíng my brealcfast. Ifelt my
lifewas threatened."
Complaint was closed Unfounded. Sheriffls Office Adminishation reviewed this and concurs with these
findings.
Sincerely,
SMITH, SHERIFFBy Lieutenant N. Valenzuela #lS4t,Internal Affairs(408) 808-4930
cc: Case File
California St¿te penal Code Section 832.7 states that all disciplinary action taken against a Deputy Sheriff in the State of California is
confidential. The Attorney General ofthe State ofCalifornia has declared that the release ofany confidential information relating to either an
intemal investigation or the related disciplinary action would constitute a criminal offense punishable by up to six months in county jail.
Based upon thJconfidential nature of this intemal investigation under Sectión 832.5, you are only being provided with the outcome of the
investigation.
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tv I Jt ,*"t-ï i::tlaín Jail ' tllain Jait Sout[ t i4úÞ SANTA CTARA COUNTY DEPARTMENT OF CORRECTION
, ÍNI,IâTE ,GRISSA¡TCE FORII
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DETAILS OF GRIEVANCE. PRIIÛIT AE SPFCIFICT: ç- 3
!{HAT SOTUTION 2o
Your SUse
(lû¿J¡
Pl.f
L- L Tea¡ns A!e
/o t&t
Received from Inmate^ on:;;i;AølAtr,x ratez Ç l-ç4 l-is rirne: ¡, 3: ofricer:
RESPONDING O!'FICER'S STATEMENT (Pleaee print) :
äiii* 3 Yl îÅ87iffiäåiï¡INüATE'SNAI{E¡
officer'E Nane!******* *********
IL¿.L,t,A //07/7 .,,,,
= =.,,.,TÎarn: .,,Ç..21\?:JL*I"L-,****************..iiiFFffi*******FTT********************************
Supervisor's Name:!r** * * * !¡ * ***********
st¡pERvrsoR'Ç ACTTON:
c-ofta4Ll1J^¡l' bøf QA6 Llntáue L wrro ìrt¿ Ðr4"rl
Ío rr.Ot/*. Hr I YPan lH{. CUaw l'1
tl
SI¡IFT LIEUTENAI{T REVIEÍ{: Concur t I Reversed
SIGNATTIRE:********** *
Unit Assigned:
ev.i3 1r1,LÆ€/,t(t- \-O. llL Sa¡0 f!á0^,¡T bo¡,13 Af.V\ trr/{6L
¿Ì <1.1 Vútr ç,1áL" tt SaTp
Time:*
Da.Ë.
SUPPORT SERVICE F.ESPONS-EDare Due:IfVgl tS
Date:* *
Responèe by:************ ******FACILITY COMTÍANDER/DESrGNEE
SIGNATURE:******** **RESPONSE RETURNED TO IN!{ATE:
D i stribut i on: tJh i te-Adni ni strat i onñlosss REv z/ez
Cohcur t I Reversed
Date:****Time:
litle:***** *:Ê***Date: _/ _/********* *
Time:EF* * ** *i[ñffiF* * ** ********
Time:****
:I
Date¡Cana
*
D ispos t?
*
P
*
nnate a
l,lain Jai I tltain JaiI South t #'û SANTA CLARJA COUNTY DEPARTMENT OF CORRECTION
INI,IATE GRIEVAIICE FORI'! * 'iitltl
Ëiiii"J?f r¿sriffiäåiINMATE'SNAME:
¡torth Jai
DETATLS OF GRIEVANCE. PRIITf,t BE SPECIFICT:t\
/¿ Ár
7ñrn
-,...¿
//
*
Å
f*,V{HAT SOLUTTON ARE YOU
Your Signa tures Date:addi t i
lme¡s fìe.
Received from Inmate on:. -ffi;iõisöffi'i'Ëål irii-ts / rÇ rime, ltolD otricer: Z'{&Pr rt Team:
RESPOND ING oFFIcER's STATEMENT (Please print): Þ'. üIi:r¿er¿,T ?lÁv4 Nl VÉl- ¡¡'vìê4 ¿t¿¡¿J'a-¿7- *u;l/1 /^Jrr1A'r'€ /)C /:t- r'l.r 4_ 4t'¿/-1.. fë
-"'l¿4f,ì
a/t
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t/Æ.
i¿ 15 è'4/ i:¿â'r/;¡,11) ¿ 7rf:"/
t Leve tv) kÊ LL,
Off Lcet's NaÍte¡ '************* ***
SUPERVISOR'S ACTIONvtçooßl f}ts , E<-{1w\ At\(D W PUTI<6 vot v
e.Jlr I oí \c,
Supervisor's Nafnes********************SHIFT LIEUTENAI.TT REVIEW: Concur t I Reversed
SIGNATURE:********** *** *SUPPORT SERVICE : Unit Assigned:Date Due:
.î:il:.å.?î::i¿*-, (&(#* * * * * * * * * * * *
lri l: ^.7ß1Å.sr 2afl
,"Jlç ì3-r< é¿t¡ôtout c . ut+ l¡lr
Team****** i k.o.?lü&(&(Æ * * * ** * * * * * * *
Time:
Date :As
** ** * * ** t* * ****** **t.** *
"is,,"a, l0 tJL{tlÁDate:***
FACTLTTy CoM!,ÍANDER/DESI $t concur t I Reversed
Response bY: TitIe: Date:******** **** ********************** ********** *********
REVIEI{:
SIGNATURE¡ Date:********** * ** ****.*
Time:_/ -l
********** *********
Ï\ Time:***********7!
***RESPONSE RETURNED TO
Distribution: tJhite-Aclninistñloass nev z/ee
-/ \'T¡ Date: lü ton cãñãiFF ¡ D
imei fi \ By:ispos'íiiãîT- P
*
t
,,*i*
AG
1. Claimant's full name: E Minor
2. Claimanfs telephone number:
3. Claimant's mailing address:
4. Mailing address to which notlces are to be sent, if different from 3:
5. Date of the incident or loss: 1,â3-rSt li -f"Î'tg6. Location of the incident or loss: ( ;'¿ nn i), û,C fnA tü 5a, ¡*^j,,
T. Describe how the incident or loss happened and the neason why you believe the County of Santa
Clara is liable for your damages:
/,l(â flL
lçtJ
t¿¿t+^æ fr
ëbje-LJ ou
ts-ß'tl
C /¿¿egal'e'l F'løa/'tt'
r.i¡j*'¡j
8. Describe the iniury, damage, or loss: l.Íep¡ssn tspf {q!
,,,., l
I
g. lf a public employee is involved in the iniury, damage, or loss, provide name if known: %,
FOR CLERKS USE ONLY
completed fom to the Glerkof the Board of Superuisors,70 W. Hedding St"East Wing, lOft Floor, San Jose, CA 95110
Please attach additional pages as needed.
Please submit the
10. Name of witness, if anY:
11. lf the claim is for less füan $10,000, state the total amount of the .f{;¿tr ¿. ca
List the items totaling the amount of the claim:ttem Amount Item Amount
12. lf the claim is for rnore than $10,000, is the amount over$25,000? Yes -$ No-
IDate
Any person who, with lhe Íntent to defraud,pfesenfs any false or fraudulent claim may be punished either by
imþifsonment or fine, or both. See secfibn 72 of the Penal Code'
cogan/02n1
GOYERNMENT TORT CLAIM F'ORM
(PLEASE TYPE OR PRINT ALL INFORMÄTION REQIIESTED)
CLAIMAGÄINSTn
(NAIvrE OF PTTBLIC ENTITÐ.
1. CLAIMANT'SNAME:
2. CI,AIMÄN'T'S MAILING ADDRESS:(ADDRESS)
t-I(crrr) (STATE) (äP CODE)
3. AMOTJNTOFCLAIM: ffi, oa
IF THE AMOI]NT CLAIMED EXCEEDS TEN THOUSAND DOLLARS ($1O,OOO)' TIIE AMOI]NT
OF THE CLAIM SHOI]LD BE UNSPECIF'TED ÄND CLAIMANT SIIOULD INDICATE THE
TYPE OF CIVIL CASE:
E r,n¡nno crwl, casp ($25,000 oRLEss)
fl¡on-nrnrrnD crvrr, cAsE (ovER $2s'000)
3a
4. ffEMIZATION OF CLÄIM: @ow was the amount claimed above computetl; list items totaling
amount set forth above, including àamages for pain and suffering, if applicable). gIggglvEsuppoRTrNc oocun¡nNTlfroN rõn rgil AMoUNT cLATMED (BrLLs, RECEIPTS' ETc.),
PL,EASE ATTACI{THREE (3) COPIESTO THIS CLAIM.
ITEM DOLI'ARAMOI]NT
& vrcl EF iL t( lu ç.:- c 3(q tt)
lsr ,t rvleÀrr"lh.\¿ÀJ ,l- fuz\*{,
^'{to¡¡6,
'"1 .{)\-:
{./,
tL{ ?¿
.lt.tJr\ f ¿,1tz 4: 'îLi
(CONTINUE ITEMIZATION ON SEPARATE SIIEET, IF NECESSARÐ
5. ADDRESS TO VffIICII NOTICES ARETO BE SENT M DIFFERENT FROMLINES 1 AND 2:
(STREET OR P.O. BOX
(f-.i !
- ù't7 t8(CITÐ (sr ) (zF
6. DÁ.TE & TIME OF ACCIDDNT OR LOSS:q")3- f p- /J' li
7. IOCATION OF ACCIDENT OR LOSS (INCLIIDE CITY' COIINTY' AND STREEÎ
ADDRESS, INTERSECTION, ROAD NT]MBERS OR IVÍILE MÄRI(ER):
t- r-
8. IIOW DID TIM ALLEGED ACCIDENT OR LOSS OCCUR? STATE ALL FACTS \ryHICH
ST]PPORT YOUR CLAIM AGAINST THT'PIIBLIC ENTITY:cii /ltrua I ç p
tl
,.K
fl
)t. !¡'a
,llt ¡¿\
fi¡JEt f,¡1
ç, o3-
f
l,'Q l¿ ¿F /sr
,''l'iLtJ
11
IIt )t¿,
¿-.(CoNTINUE ON SEPARATE , IF NECESSARÐ /j ¡¡ rf ¡, ¡1 ¡t( t'1
9. DESCRIBE INJURY / DAMAGE / IÍ)SS:
^ .; Ifr¡ ,'i ¿;" i
fl"'' nr l(
(CoNTINITE ON SEPARATE SI{EET, IF NECESSÄRÐ
10. NAME OF PUBLIC EMPLOYEE (S) CAUSING INJURY / DAMAGE / LOSS,IF
KNOWN:
U. R ATTORNEYIREPRESENTATIVE:
12. DAYTIME TELEPIIONE NTJMBERS (PLEASE INCLUDE AREA CODE)
CLAIMANT ATTORNEYIREPRESENTÄTTVE
()()
OTICE
SECTION 72 OF TIIE PENAL CODE PROVIDES:
.EVERY PERSON WHO, WITII INTENT TO DEFRAIID, PRESENTS FOR ALLOV/ANCE ORFORpAyMENT To ANy srÂTE B6ARD oR oFFIcE& oR To ANY couNTY, cITY, oRDIsrRIcr
BOARD OR OFFICE& AUTHORTZED TO ALLOV/ ORPAY TTIE SAME IF GENUINE, ANY FALSE
oRFRAUDULENT CLAIM, BILL, AÇCOUNT, VOUCHE& OR WRITING," IS GUILTY OF EITImR
A MISDEMEANoR oR FEioNY AND MAY BE SUBJECT TO IMPRISONMENT AND/OR A FINE.
l5ì3 tk{ {edd.6 Jfå.^t ss¿/ cJ lfflo 't7/ß
D,Ò.C- rnArf.l Xi¡l
COUNTYJÅ,.LGËNERATED MAIL
/t&$'"J*Cf*r¡
FOREVENUSA
Bank Swallow
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