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E-Filing form printed on 4l2l2AB 8;18 PM

Forml2 3B0n0l3

Status

Processed

AM

Originel Entry Date

312012013 1:54

Modified
Case Number

3nAD0l3 9:47 ANI

Last

DI-13-227A

User Information

Oliver Mitchell
redpatchmarine@hotmail. com

A summary of the drta you entered:


Name of the person seeking OSC action

("Complaintnt"): prefix

Mr.
Name of the person seeking OSC action ("Complainant"): First name

Oliver
Name of the person sceking OSC action ("Complainant"): Middle nime
Bruce
Name of the person seeking OSC action

("Comphinant"): Last name

Mitchell
Name of the person seeking OSC nction ("Complainant"): Suffix

m
Status: Other (For Other, please speciff)
Contact Information: (Ilome or mailing address): Street
PO Box 21559

Contact Information: (Home or mailing address): Apt No


Contact Information: (Ilome or mailing address): City
Long Beach

Contact Information: (Home or mailing address): State


California
Contact Information: (Home or mniling addrcss): Zipcode
90801

Contact Information: (Home or mriling address): Country


IiNITED STATES
Phone Number: International Number
False

Phone Number: Country Code


00000
Phone numbers; Home

{2s1) 206-t0s7

'

Phone numbers: Ilome Ext


Phone numbers:

Work

Phoue numbens: Work Ext


Phone numbers: Cell
(zsr) 206-10s7
Phone numbers: Cell Ext

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Phone numbers: Fax


Phone numbers: Fax Ext
Phone numbers: Other
Phone numbers: Other Ext

Emaih Email
redpatchmarine@hotrnail.com

Title
Patient Services Assistant
Series
GS-0303

Grade
5

Agency: Name
Veterans Affairs
Agency: Strect
11301 Wilshire

Blvd

Agency: AptNo
Agency: City
Los Angeles

Agency: State
California
Agency: Zipcode
90073

Agencp Country
TINITED STATES
Outreach: For Other, please describe:
Outreach: Date (approximate):
6lL/20A9

Are you filling as an attorney of the Complainant?


False

Attorney: prelix
Attorney: First name
Attorney: Middle nrme
Attorney: Last name
Attorney: Suflix
Attorney: Street
Attorney: Apt No
Attorney; City
Attorney: State
Attorney: Zipcode
Attorney: Country

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Attorney Phone numbers: Work


Attorney Phone numbers: Work Ext
Attorney Phone numbers: Cell
Attorney Phone numbers: Cell Ext
Attorney Phone numbers: Fax
Attorney Phone numbers: Fax Ext
Attorney Phone numbers: 0ther
Attorney Phone numbers: 0ther Ext
Attorney Email: Email
Other sources(s) (please explain):
Please identifo the U.S. government department or agency involved in your disclosure
Veterans Affairs

identi$ the organizational unit of the department or agency involved


Imaging/Radiology Service

Please

Address of the organizational unit


1 1301 Wilshire Blvd Los Angeles Ca 90073
Please

identiff the type of agency wrong doing that you are elleging

Violation of law, rule or regulation (please specify):


Pleasc

identi$ the type of agency wrong doing that you are alleging

Gross mismanagement
Please identify the type of agency rvrong doing that you are alleging

identiS the type of agency wrong doing that you are alleging
Abuse of authority
Please

identiff the type of agency wrong doing that you are alleging
Substantial and specific danger to public health
Please

Please identify the type of agency wrong doing that you arc alleging
Substantial and specific danger to public safety

Plcrsc dcs.ribc thc sgctrcy wrotrg doing thrt yoo rc dbcloofug


Or Noyember 24, 2008 the Chief lmagiry/Radiology Ssrvice askd me direGdy to begin deletiry/purging a depdtrnent backlog ftat weot back l0
plus yeos. Oo May 27,2009 the Chieflmaging/Radiology Service askd me dircctly to altow a backlog contiru for 4 motrths io clear violation of
mandate to treat Vderaff within 30 days.
Other Actions You Are Taking On Your Disclosure: Inspector General of department / agency involved
Inspector General of department I agency involved
Other Actions You Are Taking On Your Disclosure: Inspector Gencral of department / agency involved Date
6/2y2009
Other Actions You Are Taking On Your Disclosure: Other offrce of department / agency involved
Other office of department I agency involved
Other Actions You Are Taking On Your Disclosure: Other ofrice of department / agency involved Date
4/r4/2009
Other Actions You Are Taking On Your Disclosure: Othcr ofrice of deprrtment I agency involved Text
EEOC

Other Actions You Are Taking On Your Disclosure: Department of Justice


Other Actions You Are Taking On Your Disclosure: Dep*rtment of Justice Date

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Other Actions You Are Taking On Your Disclosure: Other Executive Branch / department / agency
Other Actions You Are Taking On Your Disclosure: Other Executive Branch / department / agency Date
Other Actions You Are Teking On Your Disclosure: Other Executive Branch / department / agency Text
Other Actions You Are Taking On Your Disclosure: General Accounting Ofrice (GAO)
Other Actions You Are Taking On Your Disclosure: General Accounting Ofrice (GAO)
Other Actions You Are Taking On Your Disclosure: Congress or congressional committee
Congress or congressional committee

Other Actions You Arc Taking On Your Disclosure: Congress or congrcssional committee Date

u7DAlt
Other Actions You Are Taking On Your Disclosure: Congress or congressional committee Text
Other Actions You Are Teking On Your Disclosure: Press / media (newspaper, television, other)
Other Actions You Are Taking On Your Diselosure: Press / media (newspaper, television, other) Date
Other Actions You Are Teking On Your Disclosure: Press / media (newspeper, television, other) Text
Other Actions You Are Taking On Your Disclosure: what is the current status of the matter?

N/A
Consent
consent to disclosure of my name

Signature
oliver mitchell
Status
Former Federal Employee

Outreach: How did you lirst become aware that you could file a complrint with OSC?
OSC Poster

Outreach: How did you first become aware that you could file a complaint with OSC?
Agency Personnel Office

Outrerch: IIow did you lirst besome aware that you could file a complaint with OSC?
Union

I know about the information I am disclosing here based on (check all that appty)
I have personal and/or direct knowledge ofevents or records involved

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