HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Fire; 2025-01-2707-22-2024 8/9/2024
CORODATA 1/27/2025
----
RECORDS DESTRUCTION AUTHORIZATION FORM
DATE: JULY 19, 2024
REQUESTING DEPARTMENT: FIRE ADMIN REQUESTER: DARCY FANT
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.
DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE
BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD TAB BARCODE
(if applicable)
FD036 Individual training certificates 2007-2016 FR-160 Separation
+ 5 yrs
FD036 Juvenile patient care reports 1993-2005 FR-075 10 yrs+ PT
age 19
FD037 Juvenile patient care reports 1997-2007 FR-075 10 yrs+ PT
age 19
FD037 Adult patient care reports 2007 FR-070 7 yrs
FD037 Ride along waivers 2014,2021 FR-035 2 yrs
FD037 Fire incident record requests -2013-2022 FR-003 2 yrs incomplete
2019, Jul
FD037 Fire incident record requests 2021-Jun FR-003 2 yrs
2022
FD037 Subpoenas for fire records June 2020, FR-008 2 yrs Jul-Dec 2021
*If more spoces ore needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table.
To be filled out once records hove been destroyed.
RECORD DESTRUCTION COMPLETED BY: __________ _ DATE: _____ _
CERTIFICATE OF DESTRUCTION? ~ YES 0 NO
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
Page /1
CERTIFICATE OF DESTRUCTION & RECYCLING
This Certificate is presented to: CITY OF CARLSBAD - RECORDS MANAGEMENT DIVISION
Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then
recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not
inventory, record or track any information contained within or related to the Material.
Account #(s)SD012455
Certificate #104891
Date Issued Tuesday, January 28, 2025
Service Locations 5815 EL CAMINO REAL
Date Range of Service Jan-27-2025 thru Jan-27-2025
Work Ticket(s)1441119
Quantity/Item 106 -106 Boxes for Destruction (standard)
* Nothing in this certificate shall be deemed to modify the terms of the parties’ Service Agreement(s) or Work Ticket(s).
E•Jcorodata -tl HIPA'A
GIJIJlll!affl