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RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: NOVEMBER 12, 2024
REQUESTING DEPARTMENT: PSSB REQUESTER: SERGEANT DEMENT
DESTRUCTION APPROVALS:
We certify that the records listed below have been retained for the scheduled retention period, required audits have been
completed, and no pending or ongoing litigation or investigation involving these records is known to exist.
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DEPT. EAD/DIVISION MANAGER DATE
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RECORDS DESCRIPTION RRS NO. RRS TAB BARCODE BOX NO. DATED PERIOD (if applicable)
IA #16-23 IA Type II 11-18-2016 5 years
IA #17-07 IA Type II Empty File 5 years
IA #17-07 IA Type II Hart 4-4-2017 5 years
IA #17-09 IA Type II 8-28-2017 5 years
IA #17-03 IA Type II Empty File 5 years
IA #17-03 IA Type II Prior 5-24-2017 5 years
IA #18-02 IA Type II 2-17-2018 5 years
IA #18-07 IA Type II 3-1-2018 5 years
IA #17-15 IA Type II 12-4-2017 5 years
IA #18-12 IA Type II 4-6-2018 5 years
IA #18-15 IA Type II 6-19-2018 5 years
IA #18-16 IA Type II 5-8-2018 5 years
IA #18-19 IA Type II 8-20-2018 5 years
IA #18-20 IA Type II 11-1-2018 5 years
IA #18-01 IA Type II Empty File 5 years
IA #18-22 IA Type II 11-19-2018 5 years
IA #18-18 IA Type II 9-4-2018 5 years E. Ramirez
IA #18-18 IA Type II 9-4-2018 5 years Solaria
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
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Carlsbad Revised: 2021
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IA #18-18 IA Type II 9-4-2018 5 years Wolf
IA #18-23 IA Type II Empty File 5 years
IA #18-23 IA Type II 12-12-2018 5 years Benevidez
IA #19-08 IA Type II 5-14-2019 5 years Galivan
IA #19-08 IA Type II 5-14-2019 5 years Walker J.
IA #19-14 IA Type II 8-28-2019 5 years
IA #19-15 IA Type II 5-22-2019 5 years
IA #19-13 IA Type II Empty File 5 years
IA #19-13 IA Type II 8-19-2019 5 years Gallucci
*If more spaces ore needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table.
RECORD DESTRUCTION COMPLETED BY: ---~-,........~~~-~--
CERTIFICATE OF DESTRUCTION?
To be filled out once records have been destroyed.
,~&~kKl) □·YES ~ DATE: // /20 /202-f ' ,
TAB BARCODES DELETED BY: DATE: -----------------------
This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program.
C Cityof
Carlsbad Revised: 2021
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